| Fallbrook Skilled Nursing | |
| 325 Potter Street, Fallbrook, California 92028 | |
| (760) 728-2330 | |
| Name | Fallbrook Skilled Nursing |
|---|---|
| Location | 325 Potter Street, Fallbrook, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 93 |
| Occupancy Rate | 86.88% |
| Medicare ID (CCN) | 055298 |
| Legal Business Name | Fallbrook Healthcare Center Operating Company LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Progressive Health Care Centers (5 nursing homes) |
| Chain Average Overall Rating | 3.8 out of 5 |
| NPI Number | 1265823264 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fallbrook Healthcare Center Operating Company, LLC |
| Doing Business As | Fallbrook Skilled Nursing |
| Address | 325 Potter St, Fallbrook, CA 92028 |
| Phone Number | 760-728-2330 |
| NPI Number | 1851220016 |
| Match | Possible same name, address or phone number |
| Organization Name | Rubystar Holdings LLC |
| Address | 325 Potter St, Fallbrook, CA 92028 |
| Phone Number | 760-728-2300 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.84 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.31 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.13 | 0.86 |
| Nurse aide hours per resident per day | 2.4 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.38 | 3.42 |
| RN hours per resident per day on the weekend | 0.19 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 40.9% | 45.8% |
| Registered nurse turnover | 57.1% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Sep 18, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | No revisit needed |
| Sep 18, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | No revisit needed |
| May 1, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 31, 2025 |
| May 1, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 31, 2025 |
| May 1, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 31, 2025 |
| May 1, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 31, 2025 |
| May 1, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 31, 2025 |
| Oct 29, 2024 | Honor the resident's right to choose his or her attending physician. F0555, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 4, 2024 |
| Jul 20, 2023 | 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. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 20, 2023 |
| Jul 20, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 20, 2023 |
| Sep 18, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 18, 2019 |
| Sep 18, 2019 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2019 |
| Sep 18, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2019 |
| Sep 18, 2019 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.73 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.17 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.24 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.07 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.43 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.95 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.44 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.25 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.05 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.28 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.94 | 15.38 |