Villa Rancho Bernardo Care Center

Name: Villa Rancho Bernardo Care Center
Address: 15720 BERNARDO CENTER DRIVE, San Diego, CA, 92127, US
Telephone: 8586723900

15720 Bernardo Center Drive, San Diego, CA 92127 · San Diego County · 299 certified beds · avg 286 residents/day · certified since Oct 12, 1988

Part of chain: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · 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.

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
Mar 4, 2026	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
Nov 7, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
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.
Nov 7, 2024	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.
Nov 7, 2024	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.
Nov 7, 2024	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.
Nov 7, 2024	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.
Aug 16, 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
Dec 7, 2023	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 7, 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.
Dec 7, 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.
Dec 7, 2023	E · Potential for harm, repeated	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.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 7, 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.
Dec 7, 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.
Dec 7, 2023	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.
Dec 7, 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.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Dec 7, 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.
Aug 11, 2023	D · Potential for harm, one-off	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. · from a complaint
Nov 18, 2021	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Nov 18, 2021	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.
Nov 18, 2021	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.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 18, 2021	E · Potential for harm, repeated	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.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Nov 18, 2021	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Nov 18, 2021	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.
Nov 18, 2021	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Nov 18, 2021	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.
Nov 18, 2021	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.
Nov 18, 2021	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.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Nov 18, 2021	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 6).

Year	Citations	Worst severity that year
2021	15	F
2023	14	F
2024	7	D
2026	1	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)	4.21	4.31	3.95	top 44% in California; top 32% in the U.S.
Registered Nurse hours	0.96	0.61	0.69	top 12% in California; top 18% in the U.S.
Weekend total nurse staffing	3.95	3.90	3.50	top 36% in California; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.77	0.51	0.48	top 12% in California; top 13% in the U.S.
Total nursing staff turnover (%)	33.3	36.7	45.8	top 40% in California; top 20% in the U.S.
RN turnover (%)	27.3	38.1	42.9	top 31% in California; top 24% 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 4.05, RN 0.92, weekend 3.80. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Villa Rancho Bernardo Health Care LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/07/1996
Cibc Bank USA	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2021
Davis, Maria	Individual	Operational/Managerial Control	NOT APPLICABLE	12/08/2014
Davis, Maria	Individual	ADP of the SNF	NOT APPLICABLE	12/08/2014
Dawson, Kyle	Individual	Operational/Managerial Control	NOT APPLICABLE	09/05/2023
Dawson, Kyle	Individual	ADP of the SNF	NOT APPLICABLE	09/05/2023
Dehghanmanesh, Adrian	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2021
Dehghanmanesh, Adrian	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2021
Farrales, Mary	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Johnson, Frank	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/06/2003
Johnson, Frank	Individual	Operational/Managerial Control	NOT APPLICABLE	02/06/2023
Kochek, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Kochek, Joshua	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Oxford, Micheal	Individual	Operational/Managerial Control	NOT APPLICABLE	01/03/2022
Oxford, Micheal	Individual	ADP of the SNF	NOT APPLICABLE	01/03/2022
Singh, Teja	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2016
Singh, Teja	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2016
Sun Mar Management Services	Organization	ADP of the SNF	NOT APPLICABLE	10/12/1989
Villa Rancho Bernardo Health Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/07/1996
Villa Rancho Bernardo Health Care LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/07/1996

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"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
Carmel Mountain Rehabilitation & Healthcare Center	1.1 mi	San Diego, CA	★★★☆☆	2/5
The Villas at Poway	1.8 mi	Poway, CA	★★★★★	3/5
Poway Healthcare Center	1.8 mi	Poway, CA	★★★★☆	4/5
Boulder Creek Post Acute	2.4 mi	Poway, CA	★★★★☆	3/5
Casa de Las Campanas	3.3 mi	San Diego, CA	★★☆☆☆	2/5
Ocean View Post Acute	6.4 mi	Escondido, CA	★★★★☆	3/5
Redwood Terrace Health Center	7.1 mi	Escondido, CA	★★★★★	5/5
Valley Vista Post Acute	7.5 mi	Escondido, CA	★★★★☆	3/5
Palomar Vista Healthcare Center	8.4 mi	Escondido, CA	★★☆☆☆	2/5
Palomar Heights Post Acute	8.7 mi	Escondido, CA	★★★☆☆	2/5
Escondido Post Acute	8.8 mi	Escondido, CA	★★★★★	4/5
Bayshire Torrey Pines Post-Acute	8.8 mi	San Diego, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in San Diego →

Facility data as of CMS processing date 2026-08-01. CCN 555318.

The Care File

Visit checklist — Villa Rancho Bernardo Care Center

15720 Bernardo Center Drive, San Diego, CA 92127 · 8586723900

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555318 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)