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Nursing HomeMedicaid Top Rated

La Paloma Healthcare Center

Strong Medicare quality ratings; families often praise outstanding physical and occupational therapy teams. Still worth an in-person visit.

3232 Thunder Drive, Tri-City · Oceanside, CA 9205693 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 72 Google reviews

5
4
3
2
1
La Paloma Healthcare Center Nursing Home in Oceanside, CA — Street View
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What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as the rehab teams receive consistent praise. However, families should be extremely vigilant about nursing responsiveness and medication schedules, as multiple reviewers have reported significant delays in care and communication failures.

Google Reviews

Google Reviews

72 reviews on Google
Families considering La Paloma Healthcare Center will find a facility highly praised for its exceptional physical and occupational therapy teams and many dedicated, caring nurses. However, there are significant, recurring reports of serious issues regarding staff responsiveness to call lights, inconsistent medication administration, and poor food quality. While some residents experience excellent recovery, others have reported distressing incidents involving lack of hygiene and unprofessional conduct.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean7.0Activities5.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Outstanding physical and occupational therapy teams
  • Caring and professional nursing staff
  • Clean and tranquil facility grounds
  • Effective wound care services

Concerns

  • Slow response times to call lights and patient needs (mentioned by 4 reviewers)
  • Poor food quality and lack of nutritional variety (mentioned by 3 reviewers)
  • Unprofessional or rude staff interactions (mentioned by 3 reviewers)
  • Difficulty reaching administration or nursing via phone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(5)'20(2)'22(8)'24(14)'26(1)

Distribution · 75 analyzed

5
37
4
7
3
3
2
3
1
25

How They Respond to Reviews

55%response rate
Good

The owner provides highly personalized, warm, and detailed responses to 5-star reviews, often mentioning specific staff members and patient milestones. For negative reviews, they use a consistent professional template that acknowledges the issue and provides a specific phone number to move the conversation offline.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; how do you tailor those programs to meet a resident's specific recovery goals?
  • 2How does the nursing team manage call lights and ensure that residents' needs are attended to promptly throughout the night?
  • 3Could you tell us more about the dining experience, specifically how you ensure there is nutritional variety and high-quality meal options every day?
  • 4What is the best way for family members to stay in direct communication with the nursing staff or administration if we have a quick question?
  • 5In the event of a medical emergency or a sudden change in a resident's condition, what are the immediate protocols the facility follows?
  • 6What kind of daily activities or social events are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Thanks to the amazing wound care team Sharon, Jonna and Zachary, the infection is cleared up and my legs have stopped weeping for the first time in years.

Rehab patient · 2025★★★★★

The rehab team helped me get prosthetics and taught me to walk again. The food was good and the medication was always on time.

Rehab patient · 2025★★★★★

My mother needed care for late stage dementia and was transported to La Paloma for rehabilitation due to lung infection complications. The staff was exceptionally accommodating throughout her stay.

Long-term resident's family · 2024★★★★★
Source: 72 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.87hrs
94%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility82.5%
Worse than Avg
Here
82.5%
US
95.5%
CA
98.2%
San diego
98.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
19.4%
CA
10.7%
San diego
11.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.3%
CA
10.5%
San diego
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
14.4%
CA
10.4%
San diego
8.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
15.4%
CA
11.6%
San diego
11.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
12.1%
CA
7.0%
San diego
9.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.4%
Worse than Avg
Here
81.4%
US
81.8%
CA
94.2%
San diego
97.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.7%
Mixed vs Avgs
Here
91.7%
US
79.7%
CA
93.2%
San diego
95.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (15.4)
3 complaint-triggered

This facility has a concerning pattern with 46 deficiencies across six surveys, including three complaint-triggered investigations where families filed reports. The most recurring issues involve fire safety equipment, medication management, and care quality problems. While all deficiencies show correction dates, the persistent safety violations and repeated complaints about treatment quality suggest ongoing operational challenges that families should carefully evaluate before placement.

Apr 17, 2025Routine
11
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Aug 17, 2023Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Aug 1, 2023Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

May 11, 2023Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jul 9, 2021Routine
15
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0842Potential for harm · IsolatedCorrected

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.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 26, 2019Routine
17
0343Potential for harm · PatternCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0726Potential for harm · PatternCorrected

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.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Ownership & Operations

Who Operates This Facility

Owner / Operator

La Paloma Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 38 of 260 (Best)

Ownership & Management

Key personnel

Novak, LorenContracted Managing EmployeeDuerden, JonathanW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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