Short answer: Village Square Healthcare Center in San Marcos holds Medicare's 4-star overall rating (health inspections 4, staffing 4, quality 4). Its latest inspection cycle lists 7 health citations (Aug 7, 2026 most recent). Medicare lists no fines in about three years. California's State file lists 16 citations (1 Class AA, 1 Class A, 13 Class B, 1 staffing), the latest in December 2022.
1586 W. San Marcos Blvd, San Marcos · (760) 471-2986 · 118 certified beds · for profit - partnership. Owned by Gc Holding Company 2 LLC.
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The latest inspection, citation by citation
| Date | What inspectors cited | Severity |
|---|---|---|
| Aug 7, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities (complaint) | D no actual harm, potential for more |
| Aug 7, 2026 | Respond appropriately to all alleged violations (complaint) | D no actual harm, potential for more |
| Mar 19, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist (complaint) | D no actual harm, potential for more |
| Feb 5, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist (complaint) | E no actual harm, potential for more |
| May 15, 2025 | 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 |
| May 15, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | D no actual harm, potential for more |
| May 15, 2025 | Allow residents to self-administer drugs if determined clinically appropriate | 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 16 citations for this home: 1 Class AA, 1 Class A, 13 Class B, 1 staffing, $135,950 final, the latest on Dec 20, 2022.
- 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: Village Square Healthcare Center's page has the full inspection reports and staffing.
- Cal Health Find: search Village Square 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, "Village Square Healthcare Center: inspections, citations and fines," updated November 6, 2026, https://www.sideguysolutions.com/village-square-healthcare-center-san-marcos-nursing-home-inspections-citations.html
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Questions people ask
What is Village Square Healthcare Center's Medicare star rating?
4 of 5 overall: health inspections 4, staffing 4, quality measures 4 (CMS Care Compare).
Has Village Square Healthcare Center been cited by inspectors?
Village Square Healthcare Center in San Marcos holds Medicare's 4-star overall rating (health inspections 4, staffing 4, quality 4). Its latest inspection cycle lists 7 health citations (Aug 7, 2026 most recent). Medicare lists no fines in about three years. California's State file lists 16 citations (1 Class AA, 1 Class A, 13 Class B, 1 staffing), the latest in December 2022.
Has Village Square Healthcare Center been fined?
Medicare lists no fines in about three years. California's State file lists 16 citations.
Who owns Village Square Healthcare Center?
CMS lists Gc Holding Company 2 LLC with 5% or more direct ownership.
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