Nursing HomeInspections

Carmel Mountain Rehabilitation & Healthcare Center

Nursing home in San Diego, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (858) 673-0101Send a messageMap ↗

Public-record details

Address
11895 Avenue of Industry, San Diego, CA 92128
Phone
(858) 673-0101
Listed under
For-profit, No fines in 3 years
Medicare CCN
555326
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
115
Ownership
For-profit, limited Liability company
Legal business name
Bernardo Heights Healthcare, INC.
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 12, 1988
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555326. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 24, 2025. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 28, 2023 to Apr 15, 2026): 17 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 15, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 15, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 15, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Jan 22, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
Sep 16, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 16, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 4, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 24, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 24, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 24, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 53. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.02 hours
Registered nurse (RN) time per resident per day
0.96 hours
Nurse aide time per resident per day
2.49 hours
Total nurse staffing on weekends
4.61 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
38%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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