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On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 115 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
Families should exercise extreme caution, as recent reviews frequently report severe medical neglect, including untreated bedsores, sepsis, and failure to administer essential medications. While some recent visitors praise a new management team and a clean, renovated atmosphere, these positive experiences are overshadowed by serious allegations of understaffing and patient safety risks.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
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Distribution · 119 analyzed
The owner relies heavily on a small set of pre-written templates to respond to reviews. While they attempt to personalize some responses by including the reviewer's name, the core message remains a repetitive, copy-paste script.
Personalized based on this facility's data
Key Review Excerpts
“The new team at Fallbrook has brought a lot of vibrance and kindness to the residents there. The remodel is beautiful and the energy is great.”
“She was left in the same gown for a week without a proper bath, her room was never cleaned and call lights were ignored or dismissed without action.”
“I cannot speak highly enough of Tierra (Activity Director) at Fallbrook Rehabilitation and Care Center. From the moment we walked in, we were greeted with warmth and professionalism.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
9
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed numerous complaints triggering 31 deficiencies, indicating ongoing concerns about care quality. The facility has persistent issues with medication management, daily living assistance, and care planning that recur across multiple surveys and recent dates. While all deficiencies show correction dates, the pattern of repeated problems in core care areas, particularly medication services appearing in 2022, 2023, and 2025, suggests systemic challenges that warrant careful consideration during any visit.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal Penalties
Fine
Apr 29, 2026
$19,610
Fine
Feb 27, 2026
$18,060
Payment Denial
Aug 16, 2025
24-day denial
Fine
Feb 11, 2024
$46,008
Frio Hospital District
for profit
CRESCENT MOON DR HEATHCARE LLC
RAY BAKER
Owners
Frio Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
115 reviews from families & visitors
Official Website
Visit fallbrookrehabandcarecenter.com
Medicare data downloads
Original nursing home datasets
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