Carlsbad by the Sea (facility #374600799) has undergone a series of unannounced licensing visits between 2021 and 2024, each focusing on distinct regulatory aspects—case management, annual compliance, infection control, safety and incident response. In every instance the inspectors reported that the facility met all applicable standards and cited no deficiencies. The repeated findings underscore a strong culture of compliance, with staff maintaining current criminal‑record clearances, up‑to‑date first‑aid and CPR certifications, and a rigorous schedule of fire and emergency drills that are reviewed quarterly.

The inspections also highlighted robust operational practices. Infection‑control protocols were consistently verified, including universal screening at the primary entry point, staff masking, hand‑sanitizer stations, and ample cleaning supplies. Food service operations were observed to meet health‑and‑safety requirements, with proper storage of perishable and non‑perishable items and clean, well‑equipped kitchen and dining areas. The facility’s medical‑care processes were sound: medication carts and resident records were locked, medication labeling complied with regulations, and residents in assisted living managed medications under appropriate staff oversight. The physical environment—pool access secured by key fobs, grab bars in most bathrooms, smoke alarms in all rooms, and a functioning signal system—demonstrated adherence to safety and accessibility mandates.

The most recent visit in October 2024 addressed a fall‑related incident involving a resident who sustained a compression fracture after a fall on 8 October 2024. The incident report confirmed that the facility followed its fall‑assessment protocol, notified the primary‑care physician and the resident’s family, and increased the resident’s level of care accordingly. The inspection found no immediate health or safety risks and no deficiencies in the incident‑management process. Over the four‑year span, leadership transitioned from Executive Director Joan Johnson to Paula Digerness, yet the facility maintained consistent compliance and a record of proactive, resident‑centered care.