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Nursing homeFAID #13555

Carmel Mountain Rehabilitation & Healthcare Center

11895 AVENUE OF INDUSTRY, SAN DIEGO, CA, 92128

(858) 673-0101

ensignservices.net

120 licensed beds

★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER

Photo via Google · Carmel Mountain Rehabilitation & Healthcare Center

Address

11895 Avenue of Industry

San Diego, CA 92128

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Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

555326

Care type

Nursing home

County

San Diego

Facility name

Carmel Mountain Rehabilitation & Healthcare Center

Street address

11895 AVENUE OF INDUSTRY

City / state / ZIP

San Diego, CA 92128

Phone

(858) 673-0101

Website

ensignservices.net

About this facility — Carmel Mountain Rehabilitation & Healthcare Center

Carmel Mountain Rehabilitation & Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in San Diego, California. It is licensed for 120 beds — above the median for skilled nursing facilities in California (98 beds).

It is one of 256 senior care facilities in San Diego and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Carmel Mountain Rehabilitation & Healthcare Center 70 times across 16 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Burnam, Soon

Governing body · Officer — since 2024

Caretrust Gp Llc

Additional disclosable party — since 2006

Caretrust Reit Inc

Additional disclosable party — since 2006

Cetna Staffing Inc

Operational control — since 2006

Cm Health Holdings Llc

Additional disclosable party — since 2006

Ctr Partnership Lp

Additional disclosable party — since 2006

Ensign Services Inc

Additional disclosable party — since 2006

Kalafer, Michael

Governing body · Operational control · Additional disclosable party — since 2016

Keetch, Chad

Officer — since 2011

Lincare Inc

Operational control — since 2006

Matthews, Glenn

Governing body · Operational control · Additional disclosable party — since 2013

Oh, Katherine

Officer — since 2024

Port, Barry

Director — since 2015

Sato, Ami

Officer — since 2024

Sevenoaks Capital Associates Llc

Operational control — since 2006

The Ensign Group Inc

Additional disclosable party — since 2006

Willits, Adam

Officer — since 2006

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1988-10-12

CMS overall rating

3 of 5 stars

Health deficiencies

23 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-04-24

Nurse staffing

5.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$666 per day (≈ $20,250/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

52% Medicaid · 14% Medicare · 34% private/other

Occupancy

89% (fiscal year 2023)

Vs. state median

30% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-15Health inspectionComplaint-triggered3 citations

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-05-04

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-05-04

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-04

2026-01-22Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-02-12

12 earlier / fire-safety inspections (66 citations)

2025-09-16Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-10-05

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-10-05

2025-09-04Health inspectionComplaint-triggered3 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-05

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-22

F-0835

D · No harm foundFrom a complaint

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-09-22

2025-04-24Health inspectionComplaint-triggered14 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-24

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-05-24

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-24

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-24

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-24

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-24

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-24

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-05-24

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-05-24

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-05-24

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-24

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-24

F-0865

E · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-05-24

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-24

2024-12-26Health inspectionComplaint-triggered1 citation

F-0656

E · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-03

2024-10-15Health inspectionComplaint-triggered2 citations

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-11-15

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-11-15

2024-09-13Health inspectionComplaint-triggered2 citations

F-0808

D · No harm foundFood safetyFrom a complaint

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-10-15

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-10-15

2024-07-30Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-22

2024-05-10Health inspection17 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-06-21

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-06-21

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-06-21

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-06-21

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-21

F-0584

D · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-06-21

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-21

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-21

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-21

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-06-21

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-06-21

F-0726

D · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-06-21

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-21

F-0761

D · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-06-21

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-21

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-06-21

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-06-21

2023-07-28Health inspection7 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-08-28

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-28

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-08-28

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-08-28

F-0758

D · No harm found

Corrected 2023-08-28

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-08-28

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-08-28

2025-04-24Fire-safety inspection8 citations

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2025-05-23

K-0291

D · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-24

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-05-23

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-22

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-05-23

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-23

K-0711

C · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-05-23

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-23

2024-05-10Fire-safety inspection6 citations

E-0032

D · No harm found

Provide primary/alternate means for communication.

Corrected 2024-05-21

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-21

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-21

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-21

K-0711

E · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-05-21

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-05-21

2023-07-28Fire-safety inspection3 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2023-08-03

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-03

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-03

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555326.

Visitor reviews

What people say on Google.

4.4138 ratings on Google

★★★★★Shelly LaPointe · 2026-04-22 · via Google
“Very nice facility with amazing staff and many awards. Good to know that there are places like this if and when you need it... They have excellent quality of service here ♥️”

★★★★★CarolT · 2026-05-14 · via Google
“As a visitor to your facility, the only important thing is how my friend feels about her extended rehab stay there. She is consistently pleased with her care and with the sincerely friendly staff. I observed that the staff all know my friend’s name and her needs. They are very accommodating, always smile and greet patients and visitors, and I believe they all try to create a caring environment…”

★★★★★Shing Hang · 2026-03-24 · via Google
“I can’t say enough amazing things about this rehab center. The care they provided for my mom was truly outstanding from start to finish. The staff went above and beyond every single day. they were not only professional and skilled, but also incredibly kind, patient, and genuinely caring. They treated my mom with so much respect and compassion, and it gave our family so much peace of mind knowing …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 70 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered