01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 11 | 2025-05-22 | 10 |
| Cycle 2 | 2023-03-23 | 20 | 2023-03-23 | 8 |
| Cycle 3 | 2020-01-30 | 9 | 2020-01-30 | 4 |
CMS CCN 5553012026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Villas At Poway
15615 Pomerado Rd · Poway, CA 92064 · San Diego County
Certified beds129CMS provider file
Recent citation rows62current CMS citation release
Penalty rows10current 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
62 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-22 · FIREE0004Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREE0029Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Develop a communication plan.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREE0032Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · 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 · 2025-06-132025-05-22 · HEALTHF0841Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · 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: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0880Severity E · pattern; 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 · 2025-06-132025-05-22 · FIREK0346Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREK0352Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREK0353Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · 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 · 2025-06-132025-05-22 · FIREK0711Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-06-132024-10-21 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-10-29 · complaint2024-10-21 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-10-29 · complaint2024-10-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-10-29 · complaint03 / 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 |
|---|---|---|---|
| 2024-10-21 | Fine | $16,790 | 0 |
| 2023-12-26 | Fine | $14,113 | 0 |
| 2023-11-13 | Fine | $4,196 | 0 |
| 2023-11-06 | Fine | $3,846 | 0 |
| 2023-10-30 | Fine | $3,496 | 0 |
| 2023-10-23 | Fine | $3,147 | 0 |
| 2023-10-17 | Fine | $2,797 | 0 |
| 2023-10-10 | Fine | $2,447 | 0 |
| 2023-10-02 | Fine | $2,098 | 0 |
| 2023-09-11 | Fine | $4,194 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAKER, STEPHANIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/14/2022
- HANSEN, DIANEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/15/2012
- KING, HUBERTIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/18/2022
- PIEARSON, JAMIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/04/2019
- WAISHKEY, HELENIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/30/2021
- BAKER, STEPHANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/14/2022
- HANSEN, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2017
- KING, HUBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/18/2022
- PIEARSON, JAMIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/04/2019
- WAISHKEY, HELENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/30/2021
- BAKER, STEPHANIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/14/2022
- HANSEN, DIANEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2017
- KING, HUBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/18/2022
- WAISHKEY, HELENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/30/2021
- PALOMAR HEALTHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/24/1966
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 hours6.90per resident day
RN hours2.33per resident day
Weekend nurse hours6.10per resident day
Staff turnover11.8%CMS reported field
06 / LOCAL RECORDS
Open the Poway ledger →