Encinitas Post-Acute
900 Santa Fe Drive, Encinitas, CA 92024 · San Diego County · 99 certified beds · avg 99 residents/day · certified since Aug 1, 1974
Part of chain: LINKS HEALTHCARE GROUP (32 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (37)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 22, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 29, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Apr 15, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 21, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Aug 17, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | D |
| 2023 | 13 | 0 | E |
| 2024 | 7 | 0 | D |
| 2025 | 10 | 0 | F |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.75 | 4.31 | 3.95 | bottom 24% in California; bottom 49% in the U.S. |
| Registered Nurse hours | 0.27 | 0.61 | 0.69 | bottom 7% in California; bottom 7% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.90 | 3.50 | bottom 16% in California; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.51 | 0.48 | bottom 4% in California; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 36.7 | 45.8 | bottom 27% in California; top 49% in the U.S. |
| RN turnover (%) | 55.6 | 38.1 | 42.9 | bottom 20% in California; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.90, RN 0.28, weekend 3.43. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Beardsley, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Beardsley, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Bernholz, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Bernholz, Victoria | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Carter, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Carter, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Christensen, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Christensen, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Clifford, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Clifford, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Eide Bailly LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Forbright Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/01/2025 |
| Frojelin, Antonette | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Frojelin, Antonette | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Links Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Links Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Links Support Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Links Support Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/23/2025 |
| Padrigon, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Padrigon, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Aviara Healthcare Center | 0.6 mi | Encinitas, CA | ★★★★☆ | 3/5 | |
| The Dorothy & Joseph Goldberg Healthcare Center | 1.6 mi | Encinitas, CA | ★★★★★ | 4/5 | |
| Glenbrook | 2.6 mi | Carlsbad, CA | ★★★★★ | 4/5 | |
| Bayshire Torrey Pines Post-Acute | 6.0 mi | San Diego, CA | ★★★★★ | 4/5 | |
| Village Square Healthcare Center | 7.7 mi | San Marcos, CA | ★★★★☆ | 4/5 | |
| Carlsbad by the Sea | 9.7 mi | Carlsbad, CA | ★★★★★ | 5/5 | |
| Bayshire Carlsbad | 9.9 mi | Carlsbad, CA | ★★★★☆ | 4/5 | |
| La Paloma Healthcare Center | 10.5 mi | Oceanside, CA | ★★★★★ | 5/5 | |
| Pacific Villas Post Acute | 10.5 mi | Oceanside, CA | —/5 | ||
| Villa Rancho Bernardo Care Center | 10.7 mi | San Diego, CA | ★★★★★ | 4/5 | |
| Vista Knoll Specialized Care Facility | 10.8 mi | Vista, CA | ★★★★★ | 4/5 | |
| Vista View Post Acute | 11.3 mi | Vista, CA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055761.