PALOMAR CONTINUING CARE CENTER (DISTINCT PART SNF)

The information listed below provides an in-depth look into the type and quality of care offered at Palomar Continuing Care Center (Distinct Part Snf). It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

PALOMAR CONTINUING CARE CENTER (DISTINCT PART SNF)
1817 AVE DEL DIABLO
ESCONDIDO, CA 92029
(760) 739-2000

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

85%

Number of Residents and Certified Beds

  • Residents: 82
  • Certified Beds: 96

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - Hospital District
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

San Diego | San Marcos | Poway

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Palomar Continuing Care Center (Distinct Part Snf). For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.4%
ADL Index Range: 2-105.6%
Total Percent:6.0%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-1611.2%
Total Percent:11.2%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-166.0%
Total Percent:6.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-105.2%
ADL Index Range: 0-55.6%
Total Percent:10.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.6%
ADL Index Range: 6-1010.0%
ADL Index Range: 0-510.4%
Total Percent:28.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1612.4%
ADL Index Range: 6-1012.9%
Total Percent:25.3%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
2.0%
Total Percent:2.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
4.4%
Total Percent:4.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
6.0%
Total Percent:6.0%
 

Rating Details For Palomar Continuing Care Center (Distinct Part Snf)

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 18 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours58 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 6 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours2 Hours and 17 Minutes1 Hour and 44 Minutes
Total Nurse Hours5 Hours and 22 Minutes4 Hours

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight6%7%
Percent of Long-Stay Residents Who Were Physically Restrained2%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair13%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder39%58%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination76%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain25%23%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores7%17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/27/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 01/07/2009
  • Correction Date: 01/28/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/07/2009
  • Correction Date: 01/28/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/07/2009
  • Correction Date: 01/28/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/07/2009
  • Correction Date: 01/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/07/2009
  • Correction Date: 01/28/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 01/07/2009
  • Correction Date: 01/28/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/17/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/29/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Palomar Continuing Care Center (Distinct Part Snf) had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/01/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/03/2009
  • Correction Date: 03/02/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/03/2009
  • Correction Date: 03/02/2009
Portable Fire Extinguishers.
  • Inspection Date: 02/03/2009
  • Correction Date: 03/02/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/03/2009
  • Correction Date: 03/02/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/03/2009
  • Correction Date: 03/02/2009
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/03/2009
  • Correction Date: 03/02/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/23/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/01/2011
  • Correction Date: 03/14/2011
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011