The Villas at Poway
15615 Pomerado Rd, Poway, CA 92064 · San Diego County · 129 certified beds · avg 85 residents/day · certified since May 5, 1988
3/5
Health inspection rating (on-site)
1
Serious findings on record
$57,124
Fines, last 3 years
4.33
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 21, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (40)
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 |
|---|---|---|
| May 22, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 22, 2025 | 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. |
| May 22, 2025 | 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. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| May 22, 2025 | 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. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 22, 2025 | 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. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. |
| May 22, 2025 | 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 21, 2024 | ▲ G · Actual 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 |
| Oct 21, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Oct 21, 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 |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 28, 2023 | 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. · from a complaint |
| Sep 18, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint |
| Mar 23, 2023 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 23, 2023 | 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. |
| Mar 23, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 23, 2023 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Mar 23, 2023 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Mar 23, 2023 | E · Potential for harm, repeated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Mar 23, 2023 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 23, 2023 | E · Potential for harm, repeated | 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. |
| Mar 23, 2023 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 23, 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. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 23, 2023 | D · Potential for harm, one-off | 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. |
| Mar 23, 2023 | 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. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 23, 2023 | 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. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Jan 30, 2020 | 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. |
| Jan 30, 2020 | 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. |
| Jan 30, 2020 | 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. |
| Jan 30, 2020 | D · Potential for harm, one-off | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Jan 30, 2020 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jan 30, 2020 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (17 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 6 | 0 | D |
| 2023 | 19 | 0 | F |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 11 | 0 | E |
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)
10 fines totaling $57,124.
| Date | Type | Amount / length |
|---|---|---|
| Oct 21, 2024 | Fine | $16,790 |
| Dec 26, 2023 | Fine | $14,113 |
| Nov 13, 2023 | Fine | $4,196 |
| Nov 6, 2023 | Fine | $3,846 |
| Oct 30, 2023 | Fine | $3,496 |
| Oct 23, 2023 | Fine | $3,147 |
| Oct 17, 2023 | Fine | $2,797 |
| Oct 10, 2023 | Fine | $2,447 |
| Oct 2, 2023 | Fine | $2,098 |
| Sep 11, 2023 | Fine | $4,194 |
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) | 4.33 | 4.31 | 3.95 | top 37% in California; top 28% in the U.S. |
| Registered Nurse hours | 1.46 | 0.61 | 0.69 | top 4% in California; top 5% in the U.S. |
| Weekend total nurse staffing | 3.83 | 3.90 | 3.50 | top 44% in California; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.82 | 0.51 | 0.48 | top 3% in California; top 1% in the U.S. |
| Total nursing staff turnover (%) | 11.8 | 36.7 | 45.8 | top 1% in California; top 1% in the U.S. |
| RN turnover (%) | 11.4 | 38.1 | 42.9 | top 8% in California; top 5% 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 6.90, RN 2.33, weekend 6.10. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baker, Stephanie | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/14/2022 |
| Baker, Stephanie | Individual | Corporate Director | NOT APPLICABLE | 02/14/2022 |
| Baker, Stephanie | Individual | Corporate Officer | NOT APPLICABLE | 02/14/2022 |
| Hansen, Diane | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/15/2012 |
| Hansen, Diane | Individual | Corporate Director | NOT APPLICABLE | 12/01/2017 |
| Hansen, Diane | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2017 |
| King, Hubert | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/18/2022 |
| King, Hubert | Individual | Corporate Director | NOT APPLICABLE | 04/18/2022 |
| King, Hubert | Individual | Corporate Officer | NOT APPLICABLE | 04/18/2022 |
| Palomar Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/24/1966 |
| Piearson, Jami | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/04/2019 |
| Piearson, Jami | Individual | Corporate Director | NOT APPLICABLE | 02/04/2019 |
| Waishkey, Helen | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/30/2021 |
| Waishkey, Helen | Individual | Corporate Director | NOT APPLICABLE | 08/30/2021 |
| Waishkey, Helen | Individual | Corporate Officer | NOT APPLICABLE | 08/30/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "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 |
|---|---|---|---|---|---|
| Poway Healthcare Center | 0.0 mi | Poway, CA | ★★★★☆ | 4/5 | |
| Boulder Creek Post Acute | 0.6 mi | Poway, CA | ★★★★☆ | 3/5 | |
| Carmel Mountain Rehabilitation & Healthcare Center | 1.3 mi | San Diego, CA | ★★★☆☆ | 2/5 | |
| Villa Rancho Bernardo Care Center | 1.8 mi | San Diego, CA | ★★★★★ | 4/5 | |
| Casa de Las Campanas | 3.6 mi | San Diego, CA | ★★☆☆☆ | 2/5 | |
| Ocean View Post Acute | 7.0 mi | Escondido, CA | ★★★★☆ | 3/5 | |
| Redwood Terrace Health Center | 7.6 mi | Escondido, CA | ★★★★★ | 5/5 | |
| Valley Vista Post Acute | 8.2 mi | Escondido, CA | ★★★★☆ | 3/5 | |
| Palomar Vista Healthcare Center | 8.9 mi | Escondido, CA | ★★☆☆☆ | 2/5 | |
| Palomar Heights Post Acute | 9.1 mi | Escondido, CA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555301.