Fallbrook Skilled Nursing
Strong Medicare quality ratings; families often praise excellent physical and occupational therapy. Still worth an in-person visit.
based on 21 Google reviews
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What this means for your family
While the physical and occupational therapy departments have received high praise from several patients, the facility has a troubling pattern of serious medical neglect and hygiene issues. If you choose this facility, you must closely monitor medical protocols and ensure that staff are following all prescribed injury precautions and hygiene standards.
Google Reviews
Google Reviews
21 reviews on Google“Families considering Fallbrook Skilled Nursing should be aware of significant discrepancies in care quality. While some patients report excellent rehabilitation and physical therapy experiences, multiple reviewers have reported severe issues including medical neglect, improper handling of injuries, and poor hygiene practices.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical and occupational therapy
- Kind and professional rehabilitation staff
- Attentive physicians in some instances
Concerns
- Medical neglect and improper injury care (mentioned by 3 reviewers)
- Poor hygiene and incontinence care (mentioned by 2 reviewers)
- Loss of personal belongings and clothing (mentioned by 2 reviewers)
- Unprofessional or rude staff behavior (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how the rehab staff works with residents to meet their mobility goals?
- 2How do you ensure that medication management is handled accurately and that any changes in a resident's prescription are communicated promptly to the family?
- 3What specific protocols do you have in place to ensure consistent hygiene care and to maintain a high standard of cleanliness in the resident rooms?
- 4In the event of a medical emergency or a sudden change in a resident's condition during the night, what is the process for notifying the family and coordinating care?
- 5Could you describe the daily activity schedule and what kind of social engagement or dining experiences are available to keep residents active and connected?
- 6What steps are taken to ensure that residents' personal belongings and clothing are organized and kept safe within their rooms?
Personalized based on this facility's data
Key Review Excerpts
“I had excellent care by everyone in the facility , with a special shout out to Brent, the head therapist.( since my illness I have pretty much recovered)”
“The admissions woman, Janet, even called me beforehand to answer any questions I had. I was SO pleasantly surprised at how good all of the staff were!”
“Due to their neglagence, my mom has a broken hip. The xrays took almost 24 hrs to get done, now she is in pain that she would not have if the staff was properly trained.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents who lost too much weight
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has recurring issues across multiple areas, with families filing complaint reports that led to citations for medication errors and medical record problems. The most persistent problems involve fire safety systems, dietary services, and daily care assistance, with fire safety deficiencies appearing in every survey from 2019 to 2025. While the facility corrects issues when cited, the pattern of repeated violations in critical safety areas suggests ongoing operational challenges that families should carefully consider.
Sep 18, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
May 1, 2025Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Oct 29, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
Jul 20, 2023Routine11
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Sep 18, 2019Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Ownership & Operations
Who Operates This Facility
Fallbrook Skilled Nursing
for profit
Chain Affiliation
Progressive Health Care Centers
5 facilities nationwide
Chain avg rating: 2.8/5 · Rank 1 of 5 (Best)
Ownership & Management
Owners
Goings Family Trust Dated February 18, 2005
Owner · Organization
Helen Louise Larson Revocable Trust Created Under That Certain Declara
Owner · Organization
The Herman J Tanske Trust Dated May 28, 1987, as Amended
Owner · Organization
The Larson Family Trust of 2010 as Amended
Owner · Organization
Victor Avila Family Trust Dated January 26, 1990
Owner · Organization
Avila, Stephanie
Owner (parent company)
Avila, Victor
Owner (parent company)
Goings, Verna
Owner (parent company)
Larson, Maria
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
21 reviews from families & visitors
Official Website
Visit progressivecarecenters.com
Medicare data downloads
Original nursing home datasets
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