Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vi At La Jolla Village during CMS and state inspections, most recent first.
Failure to obtain consent for a sensor alarm and psychotropic medication: A resident admitted after multiple falls had a sensor alarm attached to the wheelchair, but the record contained no physician order or written consent from the RP for its use. Another resident with depression received bupropion and escitalopram before informed consent was documented, and the DON could not show that consent was obtained before the meds were started.
A resident with major depressive disorder was prescribed two antidepressants for reported depressive symptoms, but the MAR showed no documented behaviors matching those indications and no evidence that NPI were implemented. The care plan included interventions such as offering activities, 1:1 visits, group activities, and daily verbal reminders, and the DON acknowledged there was no documented evidence that NPI were provided before the psychotropic meds were used.
A resident with dementia and severe cognitive impairment did not receive an activity program tailored to his interests. Staff and private caregivers reported he liked music, trivia, sing-alongs, travel videos, doodling, and helping with simple tasks, but he was often left in his room after daily activity sheets were dropped off without review or individualized encouragement. Records showed an incomplete activity assessment and room visits that were largely limited to TV viewing, conversation, or visitors, with no documented music interest despite staff acknowledging it.
Controlled medication documentation was not completed according to policy for two residents. For one resident, tramadol was documented at different times on the CDR and EMAR, and for another resident, wasted tramadol doses were missing the required second nurse signature. The LPN and DON both acknowledged that controlled medications should be signed out at the same time they are given and that wasted controlled drugs require two nurse signatures.
Lack of Bleeding Monitoring for Anticoagulant Therapy: A resident with CHF and A-Fib received Eliquis 5 mg BID, but the record lacked documented monitoring for signs and symptoms of bleeding. The care plan called for observation for active bleeding, and the DON confirmed that bleeding monitoring should be documented every shift, yet no such monitoring was found in the chart.
An expired bottle of Sodium Chloride tablets was found stored with unexpired medications in a medication cabinet on the third floor. An LPN acknowledged the medication had expired and should have been discarded, and the ADON confirmed the expiration and stated the cabinet should be checked monthly for expired medications. The facility policy did not include a process for checking or discarding expired medications.
A licensed nurse gave a resident propranolol and losartan, which were not prescribed for them, after confusing their identity with another resident. The error was identified and documented, with the resident's blood pressure recorded as 92/55 at the time. Facility policy required identity confirmation before medication administration, but this was not done.
Failure to Obtain Consent for Sensor Alarm and Psychotropic Medication
Penalty
Summary
The facility failed to obtain written consent for the use of a bed/chair sensor alarm for Resident 51. Resident 51 was admitted after multiple falls at home and had an RP listed on the admission record. During observation, a sensor alarm was attached to the resident's wheelchair, and the medical record showed the alarm had been used after a nurse documented that the resident's family attempted to get her up from bed and the alarm sounded. Review of the physician's order and the electronic and paper medical record found no documentation authorizing the sensor alarm and no written consent from the RP. The DON stated the resident had prior falls, old fractures of the left elbow and left hip were believed to be related to those falls, and sensor alarms had been implemented because of fall risk, but she could not locate any consent documentation and noted there was no documentation that staff monitored the alarm each shift. The facility also failed to obtain informed consent before starting psychotropic medication for Resident 1. Resident 1 had diagnoses including major depressive disorder and was ordered bupropion HCI 150 mg daily and escitalopram 10 mg daily for depression. The EMAR showed the first doses of both medications were administered on 7/1/25, while informed consent forms for anti-depressant medication therapy were dated by the physician on 7/3/25 and did not show when the resident or RP signed them. The DON stated she could not provide evidence that informed consent was obtained before the medications were started and acknowledged the facility did not follow its process for Resident 1.
Failure to Document Non-Pharmacological Interventions for Antidepressant Use
Penalty
Summary
The facility failed to ensure non-pharmacological interventions were implemented related to the use of antidepressant medications for one resident with a diagnosis of major depressive disorder. The resident’s face sheet showed admission with diagnoses including depression, and physician orders included bupropion hydrochloride extended release 150 mg daily for depression as evidenced by decreased motivation and self-isolation, and escitalopram 10 mg daily for depression as evidenced by feeling helpless, hopelessness, and disinterested, both started on 6/30/25. Review of the resident’s MAR for 8/1/25 through 8/26/25 showed no documented depression behaviors matching the stated indications for either medication and no evidence that non-pharmacological interventions were implemented. The care plan for psychotropic drug use, dated 7/8/25, included interventions such as assessing for underlying cause, offering and encouraging attendance at programs of choice, providing 1:1 visits, group activities, and daily verbal reminders of activities. During interview and record review, the DON acknowledged there was no documented evidence that non-pharmacological interventions were provided prior to use of the psychotropic medications and stated the resident should have had orders for interventions such as encouragement to attend activities if self-isolating; the DON also stated that because there was no physician order for NPI, they were not provided.
Activity Program Did Not Reflect Resident Interests
Penalty
Summary
The facility failed to provide an activity program that met the interests of one resident with dementia, who had a BIMS score of 0 indicating severe cognitive impairment. The resident had been admitted with diagnoses including dementia and was observed in bed asleep during one visit and later sitting on the side of the bed without responding to questions. The resident’s private duty caregivers stated he had previously been very engaged in activities in memory care, but on the skilled nursing unit he was mostly left sitting in his room while staff dropped off a daily activity sheet without reviewing the offerings or discussing his interests. The caregivers reported the resident liked music programs, trivia, sing-alongs, travel videos, doodling, and helping with folding or filing tasks, but he was not being individually engaged in those interests. One caregiver stated that when he attended an art activity, he sat in the back and did not engage unless someone provided materials and encouraged him one-on-one. Another caregiver stated it was difficult to get him to another floor for activities because of his dementia and that he needed to stay busy. A CNA stated it was the facility CNA’s responsibility to identify activities that might interest residents and assist them in attending, while the private caregivers were primarily there for safety and companionship. Record review showed the activity assessment was incomplete, with the daily activity preferences section blank and education level and past occupation also blank. Although the care plan stated staff would escort the resident to activities as needed, provide daily verbal reminders, offer one-to-one visits three times weekly, and provide materials for independent use, the activity participation log mainly documented daily room visits with TV viewing, conversation, or visitors as the primary interventions. The notes section for activity team discussions was blank. Facility staff acknowledged they knew the resident liked music and that this should have been documented, but the record did not reflect music as an activity interest.
Controlled Medication Documentation and Waste Signatures Not Properly Recorded
Penalty
Summary
Pharmaceutical services were not provided in accordance with professional standards of practice for two residents reviewed for pharmacy services. For one resident, the record showed an order for tramadol 50 mg, half a tablet by mouth every eight hours as needed for pain, but the July 2025 controlled drug record and the electronic medication administration record did not show the same administration time for a dose given on July 22, 2025. The controlled drug record showed the tramadol administration at 3:40 P.M., while the EMAR documented it at 8:25 P.M. The licensed nurse acknowledged that controlled medications should be documented on both records at the same time. For another resident, the July 2025 controlled drug record for tramadol 50 mg tablets showed wasted half-tablet doses on July 27, July 28, and July 29 without the required second nurse signature. The licensed nurse stated that controlled medication disposal required two nurses to waste together and sign off, and that the record should have had two nurse signatures. The DON also acknowledged the missing witness signatures and stated that two nurse signatures were needed for controlled substance waste. The facility policy on medication administration required each administered dose to be properly recorded in the resident's medical record, and the disposal policy stated that a single wasted controlled drug may be destroyed by two licensed nurses on the count sheet or back of the medication sheet.
Lack of Bleeding Monitoring for Anticoagulant Therapy
Penalty
Summary
The facility failed to ensure that one sampled resident was free from unnecessary drugs when the resident received Eliquis (apixaban), an anticoagulant, without documented monitoring for signs and symptoms of bleeding. The resident was admitted with diagnoses including congestive heart failure and atrial fibrillation, and a physician order dated 7/30/25 directed Eliquis 5 mg by mouth twice daily for A-Fib. The resident’s care plan dated 8/8/25 included an approach to observe for signs of active bleeding such as nosebleeds, bleeding gums, blood in urine, blood in stools, elevated temperature, pain in joints, and abdominal pain. During an interview and record review on 8/27/2025, the DON stated Eliquis can increase the risk of bleeding and that monitoring for bleeding should be documented every shift, but the record contained no monitoring documentation for signs and symptoms of bleeding for the resident. The facility policy titled Medication/Treatment Management Protocol-SN, revised October 2023, did not address high-risk medication monitoring for adverse consequences.
Expired Medication Found in Medication Storage Cabinet
Penalty
Summary
Medication storage was not maintained free of expired drugs and biologicals. During a tour of the third-floor medication storage room, a Licensed Nurse observed an expired bottle of Sodium Chloride tablets with an expiration date of 6/2025 stored in the same cabinet with unexpired medications. The nurse acknowledged that the medication had expired and should have been discarded. During a later tour, the ADON also confirmed the Sodium Chloride bottle was expired, stated the medication cabinet should be checked monthly for expired medications, and said the expired medication would be discarded. The facility policy titled Medication /Treatment Management Protocol-SN revised 10/2023 did not include a policy for checking or discarding expired medications.
Medication Error Due to Failure to Confirm Resident Identity
Penalty
Summary
A licensed nurse administered propranolol and losartan, medications intended for another resident, to Resident 1 after mistakenly identifying them as a different individual. Resident 1, who had diagnoses including heart failure and atrial fibrillation, did not have physician orders for either propranolol or losartan. The error was discovered and documented by the nurse, who noted that Resident 1's blood pressure at the time of administration was 92/55. Facility policy required confirmation of resident identity prior to medication administration, but this step was not followed, resulting in the medication error.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San Diego
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs At Pacific Regent | 0 mi | ★★★★★ | 0 | 0 |
| La Jolla Post-acute | 2.1 mi | ★★★★★ | 0 | 0 |
| The Cove At La Jolla | 3.7 mi | ★★★★★ | 0 | 0 |
| Kearny Mesa Convalescent And Nursing Home | 5.5 mi | ★★★★★ | 1 | 0 |
| Bayshire Torrey Pines Post-acute | 6.1 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.