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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Brookdale San Marcos, found at 1590 W. San Marcos Blvd in San Marcos, California, delivers luxury assisted living in an elegant coastal setting. The community provides personalized care, genuine relationships, and a focus on helping residents enjoy an active and fulfilling lifestyle. At the community, residents can expect assistance with daily tasks such as housekeeping, meals, bathing, and dressing, all customized to their specific needs. The community offers a full calendar of events and activities, including shopping trips, art clubs, and fitness classes, allowing residents to explore old hobbies or discover new ones.
The community features vacation-style amenities, including an outdoor pool, fitness center, and transportation services. Apartments are spacious and pet-friendly, with options for studio, one-bedroom, and two-bedroom floor plans. Basic utilities and maintenance are typically included in the basic service rate, providing residents with peace of mind and fewer bills to worry about. They aim to meet residents where they are in life’s journey, making Brookdale San Marcos a top choice when looking for a community for your loved one.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 105th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 50m per day | ▼ 6% State avg: 4h 4m per day · National avg: 3h 25m per day |
Lower than the California average: 72.8%Brookdale San Marcos is legally operated by Blc-brookdale Place Of San Marcos Lp, and administrated by Mario Preston.
Key information about the people who lead and staff this community.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
11 points above the California average for nursing homes (70/100)
Inspection score: 81 out of 100. Letter grade B-. 11 points above the California average for nursing homes (70/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 10 | This facility has 90% fewer total citations than a typical California nursing home (1 vs. CA avg 10).↓ 90% better |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 1 | 3 | This facility has 67% fewer serious citations (type a) than a typical California nursing home (1 vs. CA avg 3).↓ 67% better |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 0 | 4 | This facility has 100% fewer moderate citations (type b) than a typical California nursing home (0 vs. CA avg 4).↓ 100% better |
|
Citations per year
Average citations per year since 2020.
| 0.2 | 1.7 | This facility has 88% fewer citations per year than a typical California nursing home (0.2 vs. CA avg 1.7).↓ 88% better |
|
Citations per inspection
Average citations per inspection.
| 0.1 | 3.3 | This facility has 97% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 3.3).↓ 97% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 20 | 16 | This facility has 25% more total visits than a typical California nursing home (20 vs. CA avg 16).↑ 25% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 13 | 13 | This facility has complaint visits in line with the California average (13 vs. CA avg 13).— At avg |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 3 | 7 | This facility has 57% fewer other visits than a typical California nursing home (3 vs. CA avg 7).↓ 57% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 10 | 10 | This facility has complaint investigations in line with the California average (10 vs. CA avg 10).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
California average 12.5
Last Health inspection on Jun 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 41 citations resulted from standard inspections; and 10 of 41 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% better than California average
5% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursAssists with medical care and medications.
57 total: 30 full-time employees and 27 contractors.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
166 total: 72 full-time employees and 94 contractors.
166
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,959 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 72 | 94 | 166 | 27,911 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 30 | 27 | 57 | 9,158 | 92 | 100% | 7.3 |
| Registered Nurse | 12 | 0 | 12 | 2,810 | 92 | 100% | 7.4 |
| RN Director of Nursing | 5 | 0 | 5 | 1,137 | 85 | 92% | 7.4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 932 | 77 | 84% | 7.8 |
| Dental Services Staff | 3 | 0 | 3 | 867 | 75 | 82% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 725 | 92 | 100% | 7.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 713 | 73 | 79% | 7.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 654 | 76 | 83% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 496 | 62 | 67% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 474 | 61 | 66% | 7.8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 451 | 57 | 62% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 266 | 32 | 35% | 8.3 |
| Qualified Social Worker | 1 | 0 | 1 | 197 | 63 | 68% | 3.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
25% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
17% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
14.1%
27% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
16.8%
40% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
21% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
146% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.4%
11% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.7%
39% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
2.1%
50% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.6%
91% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
10.9%
8% worse than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
14% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
32% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brookdale San Marcos based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #131 / 346Payroll — State benchmarkedThis home is ranked 131st out of 346 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: Alcove / 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
2.7 miles from city center
Estimated distance in miles from San Marcos's city center to Brookdale San Marcos's address, calculated via Google Maps.
— 4.82 miles to nearest hospital (Palomar Medical Center Escondido)
Add your location
Brookdale San Marcos is located in San Marcos, California.
Here are the financial assistance programs available to residents in California.
The team at Brookdale San Marcos speaks ["english"].
The legal owner and operator of Brookdale San Marcos is Blc-Brookdale Place Of San Marcos Lp.
Brookdale San Marcos has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to CA state health department records, Brookdale San Marcos's license number is 374601046.
Brookdale San Marcos's occupancy is 67%.
Mario Preston is the administrator of Brookdale San Marcos.
Brookdale San Marcos has 245 beds.
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