01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-01 | 7 | 2025-05-01 | 7 |
| Cycle 2 | 2023-07-20 | 9 | 2023-07-20 | 3 |
| Cycle 3 | 2019-09-18 | 4 | 2019-09-18 | 9 |
CMS CCN 0552982026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Fallbrook Skilled Nursing
325 Potter Street · Fallbrook, CA 92028 · San Diego County
Certified beds93CMS provider file
Recent citation rows39current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
39 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-18 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: No revisit needed · 2025-11-07 · complaint2025-09-18 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: No revisit needed · 2025-11-07 · complaint2025-05-01 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-05-312025-05-01 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-05-312025-05-01 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-05-312025-05-01 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-312025-05-01 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-312025-05-01 · FIREK0161Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0352Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-282024-10-29 · HEALTHF0555Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
Correction field: Deficient, Provider has date of correction · 2024-12-04 · complaint2023-07-20 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0727Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-08-0803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GOINGS FAMILY TRUST DATED FEBRUARY 18, 2005Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST33% · since 01/23/2015
- HELEN LOUISE LARSON REVOCABLE TRUST CREATED UNDER THAT CERTAIN DECLARAOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST8% · since 01/23/2015
- THE HERMAN J TANSKE TRUST DATED MAY 28, 1987, AS AMENDEDOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST17% · since 01/23/2015
- THE LARSON FAMILY TRUST OF 2010 AS AMENDEDOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST8% · since 01/23/2015
- VICTOR AVILA FAMILY TRUST DATED JANUARY 26, 1990Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST33% · since 01/23/2015
- AVILA, STEPHANIEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST17% · since 01/23/2015
- AVILA, VICTORIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST17% · since 01/23/2015
- GOINGS, VERNAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST17% · since 01/23/2015
- LARSON, MARIAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 01/23/2015
- MCDONALD, JASONIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/20/2015
- PISCO, MARY JEANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/20/2015
- GOINGS, GREGORYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/23/2015
- KILIAN, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/23/2015
- GOINGS & GOINGS INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/23/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.84per resident day
RN hours0.31per resident day
Weekend nurse hours3.38per resident day
Staff turnover40.9%CMS reported field
06 / LOCAL RECORDS
Open the California ledger →Other published facilities nearby
No second facility in the same city met the directory rule.