Skilled nursing facility · CMS certification number 055067
PALOMAR VISTA HEALTHCARE CENTER
ESCONDIDO, California · Medicare and Medicaid · 74 certified beds in Care Compare
PALOMAR VISTA HEALTHCARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue rose from $10.5M in fiscal year 2023 to $12.3M in fiscal year 2024.
- Its result from service to patients: $120K (2022), $566K (2023), $1.1M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $12.3M ranks 627th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 4 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
PALOMAR VISTA HEALTHCARE CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1432977 | 2023 · report 1392071 | 2022 · report 1363789 | 2021 · report 1330303 | 2020 · report 1300826 | 2019 · report 1277088 | 2018 · report 1239215 | 2017 · report 1210181 | 2016 · report 1172158 | 2015 · report 1142034 | 2014 · report 1106613 | 2013 · report 1069575 | 2012 · report 1080517 | 2011 · report 1022043 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | August 28, 2025 | August 14, 2024 | September 9, 2023 | August 23, 2022 | September 23, 2021 | December 23, 2020 | August 2, 2019 | August 23, 2018 | August 7, 2017 | August 22, 2016 | August 3, 2015 | June 28, 2014 | November 19, 2014 | December 17, 2012 |
| Total patient revenue | $11,910,382 | $11,315,590 | $10,139,596 | $9,453,938 | $8,856,341 | $8,867,674 | $8,587,926 | $8,420,224 | $8,166,515 | $7,671,207 | $7,649,808 | $7,898,412 | $7,707,523 | $6,721,900 |
| Contractual allowances and discounts | −$396,202 | $835,953 | $714,093 | $336,269 | $286,604 | $661,470 | $1,237,358 | $1,184,364 | $1,307,099 | $1,476,367 | $1,627,252 | $1,474,499 | $1,164,015 | −$71,624 |
| Net patient revenue | $12,306,584 | $10,479,637 | $9,425,503 | $9,117,669 | $8,569,737 | $8,206,204 | $7,350,568 | $7,235,860 | $6,859,416 | $6,194,840 | $6,022,556 | $6,423,913 | $6,543,508 | $6,793,524 |
| Total operating expenses | $11,208,271 | $9,913,189 | $9,305,370 | $8,415,275 | $7,817,715 | $7,472,022 | $7,129,470 | $7,073,967 | $6,542,782 | $6,301,933 | $6,084,509 | $6,063,473 | $6,188,218 | $6,322,501 |
| Net income from service to patients | $1,098,313 | $566,448 | $120,133 | $702,394 | $752,022 | $734,182 | $221,098 | $161,893 | $316,634 | −$107,093 | −$61,953 | $360,440 | $355,290 | $471,023 |
| Total other income | $5,771 | $8,547 | $3,306 | $5,418 | $4,140 | $7,527 | $3,442 | $12,358 | $4,226 | $3,138 | $2,947 | $2,242 | $2,523 | $1,996 |
| Net income after other income | $1,104,084 | $574,995 | $123,439 | $707,812 | $756,162 | $741,709 | $224,540 | $174,251 | $320,860 | −$103,955 | −$59,006 | $362,682 | $357,813 | $473,019 |
| Net income | $1,104,084 | $574,880 | $123,439 | $707,812 | $756,162 | $741,709 | $224,540 | $174,251 | $320,860 | −$103,954 | −$59,007 | $362,681 | $357,813 | $473,019 |
| Total facility beds, all components | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 |
| Bed days available, all components | 27,084 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,072 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 15,537 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 8,126 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 25,735 | 24,829 | 24,388 | 22,960 | 23,455 | 25,391 | 24,644 | 24,321 | 24,114 | 22,845 | 27,731 | 23,731 | 23,989 | 24,461 |
| Medicare discharges | 46 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 55 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 306 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 407 | 390 | 293 | 317 | 265 | 309 | 304 | 325 | 296 | 258 | 283 | 269 | 355 | 316 |
| Average length of stay, Medicare, in days | 45.04 | 33.44 | 33.16 | 39.86 | 43.88 | 32.39 | 27.59 | 25.26 | 23.88 | 29.52 | 29.71 | 35.39 | 31.62 | 31.63 |
| Average length of stay, Medicaid, in days | 282.49 | 390.24 | 425.83 | 218.41 | 310.15 | 405.73 | 494.31 | 370.26 | 571.31 | 794.85 | 695 | 748.68 | 396.03 | 456.41 |
| Average length of stay, all patients, in days | 63.23 | 63.66 | 83.24 | 72.43 | 88.51 | 82.17 | 81.07 | 74.83 | 81.47 | 88.55 | 97.99 | 88.22 | 67.57 | 77.41 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 414127 | 2009 · report 384524 | 2008 · report 349836 | 2007 · report 323433 | 2006 · report 291403 | 2005 · report 275560 | 2004 · report 231002 | 2003 · report 192696 | 2002 · report 159822 | 2001 · report 128561 | 1998 · report 63191 | 1997 · report 80077 | 1996 · report 80076 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | July 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 1998 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | — | — | — | — | 183 | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | August 1, 2011 | August 2, 2010 | July 14, 2009 | August 11, 2008 | August 8, 2007 | March 21, 2007 | August 18, 2005 | September 1, 2004 | September 16, 2003 | February 13, 2003 | February 15, 2000 | July 8, 1999 | March 24, 1998 |
| Net patient revenue | $6,268,868 | $6,160,864 | $5,617,419 | $5,064,835 | $5,255,734 | $4,694,460 | $4,687,483 | $1,867,732 | $3,239,183 | $3,417,711 | $3,813,798 | $3,705,460 | $3,304,071 |
| Total operating expenses | $5,948,482 | $5,719,368 | $5,377,399 | $4,948,541 | $4,782,225 | $4,457,458 | $4,338,100 | $1,857,500 | $3,838,063 | $4,020,047 | $3,796,213 | $3,277,804 | $3,011,027 |
| Net income from service to patients | $320,386 | $441,496 | $240,020 | $116,294 | $473,509 | $237,002 | $349,383 | $10,232 | −$598,880 | −$602,336 | $17,585 | $427,656 | $293,044 |
| Total other income | $3,012 | $2,227 | $3,015 | $8,025 | $4,013 | $3,087 | $2,823 | $1,284 | $4,371 | $6,049 | $1,017 | $6,322 | −$2,220 |
| Total other expenses | — | $3,553 | — | — | — | — | $5 | — | — | — | — | — | — |
| Net income | $323,398 | $440,170 | $243,035 | $124,319 | $477,522 | $240,089 | $352,201 | $11,516 | −$594,509 | −$596,287 | $18,602 | $433,978 | $290,824 |
| Total facility beds, all components | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 | 74 |
| Total patient days, all components | 24,161 | 24,376 | 23,512 | 22,819 | 22,873 | 24,363 | 25,048 | 10,540 | 22,296 | 23,342 | 25,578 | 25,392 | 24,721 |
| Total discharges, all components | 293 | 337 | 347 | 338 | 383 | 274 | 315 | 115 | 329 | 314 | 263 | 363 | 371 |
| Average length of stay, Medicare, in days | 39.43 | 44.55 | 32.66 | 34.19 | 43.6 | 47.97 | 58.95 | 39.71 | 21.59 | 19.9 | 25.63 | 25.15 | 26.94 |
| Average length of stay, Medicaid, in days | 319.11 | 262.05 | 242.08 | 419.29 | 211.64 | 276.89 | 279.62 | 337.61 | — | — | — | — | 166.08 |
| Average length of stay, all patients, in days | 82.46 | 72.33 | 67.76 | 67.51 | 59.72 | 88.92 | 79.52 | 91.65 | 67.77 | 74.34 | 97.25 | 69.95 | 66.63 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
PALOMAR VISTA HEALTHCARE CENTER: nurse staffing hours by quarter →
Who owns PALOMAR VISTA HEALTHCARE CENTER, as filed with CMS
Care Compare
- ADP OF THE SNF: ALKEMA, SHAUN (individual), since 06/20/2017; CARETRUST GP LLC (organization), since 07/01/2003; CARETRUST REIT INC (organization), since 07/01/2003; CTR PARTNERSHIP LP (organization), since 07/01/2003; ENSIGN SERVICES INC (organization), since 07/01/2003; FIG STREET HEALTH HOLDINGS LLC (organization), since 07/01/2003; MALLO, RICHARD (individual), since 02/16/2016
- CORPORATE OFFICER: BURNAM, SOON (individual), since 02/01/2017; KEETCH, CHAD (individual), since 03/01/2011; WILLITS, ADAM (individual), since 09/09/2024
- INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), since 01/30/2006
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 07/15/2025
- MANAGING CONTROL - GOVERNING BODY: ALKEMA, SHAUN (individual), since 06/20/2017; MALLO, RICHARD (individual), since 02/16/2016
- OPERATIONAL/MANAGERIAL CONTROL: ALKEMA, SHAUN (individual), since 06/20/2017; BURNAM, SOON (individual), since 02/01/2017; MALLO, RICHARD (individual), since 02/16/2016
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST ESCONDIDO HEALTHCARE LLC (enrollment ID O20030610000022).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 01/30/2006
- ADP OF THE SNF: CARETRUST GP LLC (organization), since 07/01/2003; CARETRUST REIT INC (organization), since 07/01/2003; CTR PARTNERSHIP LP (organization), since 07/01/2003; ENSIGN SERVICES INC (organization), since 07/01/2003; FIG STREET HEALTH HOLDINGS LLC (organization), since 07/01/2003; RICHARD MALLO (individual), since 02/16/2016; SHAUN ALKEMA (individual), since 06/20/2017
- CORPORATE OFFICER: ADAM WILLITS (individual), 0.00%, since 09/09/2024; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 02/01/2017
- INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
- MANAGING CONTROL - GOVERNING BODY: RICHARD MALLO (individual), since 02/16/2016; SHAUN ALKEMA (individual), since 06/20/2017
- OPERATIONAL/MANAGERIAL CONTROL: RICHARD MALLO (individual), since 02/16/2016; SHAUN ALKEMA (individual), 0.00%, since 06/20/2017; SOON BURNAM (individual), since 02/01/2017
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE SOUTH LLC; CARETRUST GP LLC; CARETRUST REIT INC; CTR PARTNERSHIP LP; ENSIGN SERVICES INC; FIG STREET HEALTH HOLDINGS LLC; THE ENSIGN GROUP INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: RICHARD MALLO; SHAUN ALKEMA; ADAM WILLITS; CHAD KEETCH; SOON BURNAM; RICHARD MALLO; SHAUN ALKEMA; RICHARD MALLO; SHAUN ALKEMA; SOON BURNAM.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: SHAUN ALKEMA (W-2 MANAGING EMPLOYEE); THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: FIG STREET HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since July 1, 2003; SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2017; RICHARD MALLO (ADP OF THE SNF), associated since February 16, 2016; RICHARD MALLO (MANAGING CONTROL - GOVERNING BODY), associated since February 16, 2016; RICHARD MALLO (OPERATIONAL/MANAGERIAL CONTROL), associated since February 16, 2016; SHAUN ALKEMA (ADP OF THE SNF), associated since June 20, 2017; SHAUN ALKEMA (MANAGING CONTROL - GOVERNING BODY), associated since June 20, 2017; CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; CARETRUST REIT INC (ADP OF THE SNF), associated since July 1, 2003; CARETRUST GP LLC (ADP OF THE SNF), associated since July 1, 2003; CTR PARTNERSHIP LP (ADP OF THE SNF), associated since July 1, 2003; ENSIGN SERVICES INC (ADP OF THE SNF), associated since July 1, 2003; THE ENSIGN GROUP INC (INDIRECT OWNERSHIP INTEREST), associated since January 30, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections of PALOMAR VISTA HEALTHCARE CENTER
- Cycle 1: health September 12, 2025 (22 deficiencies), fire safety September 12, 2025 (5)
- Cycle 2: health July 1, 2024 (9 deficiencies), fire safety July 1, 2024 (4)
- Cycle 3: health May 18, 2023 (20 deficiencies), fire safety May 18, 2023 (8)
Deficiencies cited at PALOMAR VISTA HEALTHCARE CENTER
51 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 9 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0627, resident rights: January 15, 2026 (E, from a complaint, corrected February 2, 2026).
- F 0552, resident rights: September 12, 2025 (D, corrected October 7, 2025).
- F 0558, resident rights: September 12, 2025 (D, corrected October 7, 2025).
- F 0561, resident rights: September 12, 2025 (D, corrected October 7, 2025).
- F 0578, resident rights: September 12, 2025 (D, corrected October 7, 2025).
- F 0584, resident rights: September 12, 2025 (E, corrected October 7, 2025).
- F 0605, freedom from abuse, neglect, and exploitation: September 12, 2025 (E, corrected October 7, 2025).
- F 0641, resident assessment and care planning: September 12, 2025 (D, corrected October 7, 2025).
- F 0644, resident assessment and care planning: September 12, 2025 (D, corrected October 7, 2025).
- F 0645, resident assessment and care planning: September 12, 2025 (D, corrected October 7, 2025); July 1, 2024 (D, corrected August 12, 2024); May 18, 2023 (D, corrected July 1, 2023).
- F 0656, resident assessment and care planning: September 12, 2025 (D, corrected October 7, 2025); August 29, 2024 (D, from a complaint, corrected September 29, 2024); July 1, 2024 (D, corrected August 12, 2024); May 18, 2023 (D, corrected July 1, 2023).
- F 0658, resident assessment and care planning: September 12, 2025 (E, corrected October 7, 2025); August 29, 2024 (D, from a complaint, corrected September 29, 2024).
- F 0679, quality of life and care: September 12, 2025 (D, corrected October 7, 2025).
- F 0693, quality of life and care: September 12, 2025 (D, corrected October 7, 2025).
- F 0700, quality of life and care: September 12, 2025 (D, corrected October 7, 2025).
- F 0755, pharmacy service: September 12, 2025 (D, corrected October 7, 2025); May 18, 2023 (E, corrected July 1, 2023).
- F 0761, pharmacy service: September 12, 2025 (D, corrected October 7, 2025); May 18, 2023 (E, corrected July 1, 2023).
- F 0803, nutrition and dietary: September 12, 2025 (E, corrected October 7, 2025).
- F 0812, nutrition and dietary: September 12, 2025 (E, corrected October 7, 2025); July 1, 2024 (E, corrected July 19, 2024); May 18, 2023 (E, corrected July 1, 2023).
- F 0814, nutrition and dietary: September 12, 2025 (D, corrected October 7, 2025).
- F 0842, resident assessment and care planning: September 12, 2025 (D, corrected October 7, 2025).
- F 0880, infection control: September 12, 2025 (D, corrected October 7, 2025); July 1, 2024 (D, corrected August 12, 2024); May 18, 2023 (E, corrected July 1, 2023).
- F 0689, quality of life and care: January 21, 2025 (D, from a complaint, corrected February 10, 2025); October 2, 2023 (D, from a complaint, corrected October 11, 2023).
- F 0686, quality of life and care: August 29, 2024 (D, from a complaint, corrected September 29, 2024); May 18, 2023 (D, corrected July 1, 2023).
- F 0557, resident rights: July 1, 2024 (D, corrected August 12, 2024).
- F 0695, quality of life and care: July 1, 2024 (D, corrected August 12, 2024).
- F 0698, quality of life and care: July 1, 2024 (D, corrected August 12, 2024); May 18, 2023 (D, corrected July 1, 2023).
- F 0727, nursing and physician services: July 1, 2024 (E, corrected August 12, 2024).
- F 0554, resident rights: April 3, 2024 (D, from a complaint, corrected April 30, 2024).
- F 0625, resident rights: March 28, 2024 (D, from a complaint, corrected April 11, 2024).
- F 0550, resident rights: December 8, 2023 (D, from a complaint, corrected December 26, 2023); May 18, 2023 (D, corrected July 1, 2023).
- F 0636, resident assessment and care planning: May 18, 2023 (D, corrected July 1, 2023).
- F 0655, resident assessment and care planning: May 18, 2023 (D, corrected July 1, 2023).
- F 0684, quality of life and care: May 18, 2023 (D, corrected July 1, 2023).
- F 0849, administration: May 18, 2023 (D, corrected July 1, 2023).
PALOMAR VISTA HEALTHCARE CENTER in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: WEST ESCONDIDO HEALTHCARE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1967-01-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: San Diego
- Telephone Number: 7607460303
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 68.0
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for PALOMAR VISTA HEALTHCARE CENTER: no penalty in Care Compare.
Other nursing facilities in ESCONDIDO
Report a figure on PALOMAR VISTA HEALTHCARE CENTER’s record that differs from its CMS file, quoting 055067.