Short answer: La Paloma Healthcare Center in Oceanside holds Medicare's 5-star overall rating (health inspections 4, staffing 3, quality 5). Its latest inspection cycle lists 15 health citations (Jun 18, 2026 most recent). Medicare lists no fines in about three years. California's State file lists 12 citations (12 Class B), the latest in February 2016.
3232 Thunder Drive, Oceanside · (760) 724-2193 · 93 certified beds · for profit - corporation.
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Official: Medicare.gov: joining a plan (Open Enrollment Oct 15 to Dec 7). Checked Nov 4, 2026.
The latest inspection, citation by citation
| Date | What inspectors cited | Severity |
|---|---|---|
| Jun 18, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | F no actual harm, potential for more |
| Jun 18, 2026 | 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 | E no actual harm, potential for more |
| Jun 18, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs | E no actual harm, potential for more |
| Jun 18, 2026 | Keep residents' personal and medical records private and confidential | D no actual harm, potential for more |
| Jun 18, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | D no actual harm, potential for more |
| Jun 18, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | D no actual harm, potential for more |
| Jun 18, 2026 | Provide care or services that was trauma informed and/or culturally competent | D no actual harm, potential for more |
| Jun 18, 2026 | 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 | D no actual harm, potential for more |
| Jun 18, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | D no actual harm, potential for more |
| Jun 18, 2026 | 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 | D no actual harm, potential for more |
| Jun 18, 2026 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service | D no actual harm, potential for more |
| Jun 18, 2026 | 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 | D no actual harm, potential for more |
| Jun 18, 2026 | Provide special eating equipment and utensils for residents who need them and appropriate assistance | D no actual harm, potential for more |
| Jun 18, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | D no actual harm, potential for more |
| Jun 18, 2026 | Provide and implement an infection prevention and control program | D no actual harm, potential for more |
CMS letters run A to L: A-C no harm with minimal potential, D-F no actual harm with potential for more, G-I actual harm, J-L immediate jeopardy. Fire-safety citations in the same cycle: 7. Source: CMS Care Compare health deficiencies (latest cycle).
Fines and payment denials
None in Medicare's penalty data (about three years).
A payment denial means Medicare stopped paying the home for new admissions for a stretch. Source: CMS Care Compare penalties.
The State's record
CDPH's enforcement file lists 12 citations for this home: 12 Class B, $15,900 final, the latest on Feb 4, 2016.
- Class AA: a Class A violation the State found was a direct cause of a resident's death (Health and Safety Code 1424).
- Class A: imminent danger, or a substantial probability, of death or serious harm to residents.
- Class B: a direct or immediate relationship to residents' health, safety or security, short of Class A.
- Staffing: an administrative penalty for falling below the State's minimum nursing hours per patient day (HSC 1276.5).
A home can appeal, and appeals can change the class or the amount. CDPH stopped updating this open file in mid-2024; newer ones are on Cal Health Find. Source: CDPH, Health Facilities State Enforcement Actions, matched by federal provider number.
The fix: check it yourself, then ask
- Medicare Care Compare: La Paloma Healthcare Center's page has the full inspection reports and staffing.
- Cal Health Find: search La Paloma Healthcare Center for State complaints and newer citations.
- On a tour: ask to see the home's most recent inspection report and its plan of correction (federal rules, 42 CFR 483.10(g)(11), let residents and families examine them), who covers nights and weekends, and how a fall or a change in condition gets reported to family.
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Every nursing home near Solana Beach, side by side: North County nursing home ratings.
Sources: CMS Care Compare provider data (provider information, health and fire-safety deficiencies, penalties, ownership); CDPH Health Facilities State Enforcement Actions. Checked November 6, 2026.
Using these numbers? Please cite and link the page: SideGuy, "La Paloma Healthcare Center: inspections, citations and fines," updated November 6, 2026, https://www.sideguysolutions.com/la-paloma-healthcare-center-oceanside-nursing-home-inspections-citations.html
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More nursing home records: Poway Healthcare Center · Santa Fe Post Acute Vista · the Pavilion at Ocean Point San Diego · the Springs at Pacific Regent · the Villas at Poway · Valley Vista Post Acute Escondido
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Questions people ask
What is La Paloma Healthcare Center's Medicare star rating?
5 of 5 overall: health inspections 4, staffing 3, quality measures 5 (CMS Care Compare).
Has La Paloma Healthcare Center been cited by inspectors?
La Paloma Healthcare Center in Oceanside holds Medicare's 5-star overall rating (health inspections 4, staffing 3, quality 5). Its latest inspection cycle lists 15 health citations (Jun 18, 2026 most recent). Medicare lists no fines in about three years. California's State file lists 12 citations (12 Class B), the latest in February 2016.
Has La Paloma Healthcare Center been fined?
Medicare lists no fines in about three years. California's State file lists 12 citations.
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