Inspection Reports for
Carlsbad By The Sea Care Center

CA, 92008

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

95% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 85% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

64% 72% 80% 88% 96% 104% Jan 2021 Aug 2022 Apr 2024 Oct 2024 Feb 2026

Inspection Report

Complaint Investigation
Census: 190 Capacity: 224 Deficiencies: 0 Date: Feb 19, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2022-04-15 regarding resident care and facility practices at Carlsbad By The Sea.

Complaint Details
The complaint investigation addressed nine allegations including staff not allowing residents to leave their rooms or the facility, interfering with resident sleeping, not providing records to authorized persons, and charging for unapproved services. Each allegation was reviewed through documentation and interviews but was ultimately unsubstantiated.
Findings
All allegations investigated, including staff restricting resident movement, interfering with sleep, withholding records, and unauthorized charges, were found unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 224 Census: 190

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystConducted the complaint investigation and delivered findings
Paula DigernessExecutive DirectorMet with Licensing Program Analyst during the investigation and exit interview
Joan E. JohnsonAdministratorFacility administrator named in the report

Inspection Report

Annual Inspection
Census: 190 Capacity: 224 Deficiencies: 0 Date: Aug 28, 2025

Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and facility standards.

Findings
The facility was found to be in full compliance with no deficiencies cited. The inspection included a tour of the facility, review of records, and verification of safety and operational standards.

Report Facts
Hospice waiver: 5

Employees mentioned
NameTitleContext
Paula DigernessExecutive DirectorMet with Licensing Program Analyst during inspection and named in report
Hannah RodgersLicensing Program AnalystConducted the inspection
Lizzette TellezLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 189 Capacity: 224 Deficiencies: 0 Date: Oct 17, 2024

Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a resident's fall and subsequent diagnosis of a closed compression fracture of L5.

Complaint Details
The visit was triggered by a complaint incident report concerning Resident 1's fall and injury. The complaint was investigated and found to be managed appropriately with no deficiencies cited.
Findings
The facility followed proper protocols for the resident's fall, including hospital evaluation, physician notification, family notification, fall assessment, and increased level of care. No immediate health or safety risks were observed and no deficiencies were cited during this visit.

Report Facts
Capacity: 224 Census: 189

Employees mentioned
NameTitleContext
Paula DigernessExecutive DirectorMet with Licensing Program Analyst and discussed the purpose of the visit
Amy DomingoLicensing Program AnalystConducted the unannounced Case Management - Incident visit
Tamara MovsisyanRNFiled the initial incident report regarding Resident 1's fall

Inspection Report

Annual Inspection
Census: 199 Capacity: 224 Deficiencies: 0 Date: May 29, 2024

Visit Reason
The inspection was an unannounced annual visit conducted to assess compliance with safety, maintenance, and operational requirements at the facility.

Findings
The inspection found the facility to be in compliance with all licensing requirements, with no violations observed. Safety features, medication management, emergency preparedness, and staff training were all satisfactory.

Report Facts
Hospice residents allowed: 5 Hospice residents present: 1 Fire extinguisher service date: 2024 Emergency drills frequency: 4 Fire drills frequency: 12

Employees mentioned
NameTitleContext
Paula DigernessExecutive DirectorMet with Licensing Program Analyst and participated in exit interview.
Marisela Garcia-CentenoLicensing Program AnalystConducted the unannounced annual inspection.
Jennifer LottLicensing Program ManagerNamed as Licensing Program Manager on the report.
Page KerrExecutive AssistantAssisted in touring the facility pool area during inspection.

Inspection Report

Complaint Investigation
Census: 201 Capacity: 224 Deficiencies: 1 Date: Apr 29, 2024

Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee did not timely refund advance fees after a resident's death.

Complaint Details
The complaint was substantiated. The allegation was that the licensee did not timely refund advance fees after Resident #1 passed away. Investigation confirmed the refund was not issued within the required timeframe.
Findings
The investigation found that the licensee failed to refund prepaid rent fees to the deceased resident's estate within 15 days of the room being vacated, as required by regulation. One deficiency was cited related to this violation.

Deficiencies (1)
Licensee did not refund fees paid in advance covering the time after the resident's personal property was removed from the facility to the resident's estate within 15 days, violating California Health and Safety Code 1569.652.
Report Facts
Deficiencies cited: 1 Refund amount: 7626.25 Capacity: 224 Census: 201

Employees mentioned
NameTitleContext
Dang NguyenLicensing Program AnalystConducted the complaint investigation
Paula DigernessExecutive DirectorFacility representative involved in investigation and exit interview
Paige KerrExecutive AssistantFacility representative involved in investigation and exit interview
Lizzette TellezLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Census: 190 Capacity: 224 Deficiencies: 0 Date: Jan 30, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of lack of care and supervision resulting in injuries to a resident and failure to report an incident as required.

Complaint Details
The complaint involved allegations that lack of care and supervision resulted in injuries to Resident 1 between March and May 2020, and that the licensee did not report an incident as required. The investigation included interviews with staff, the resident, and review of facility records. The incident on March 22, 2020, involving a skin tear to Resident 1 was documented and reported to the resident's PCP and responsible party. Despite some concerns about timeliness of notification, the evidence did not substantiate the allegations.
Findings
The investigation found that although the allegation of lack of care and supervision resulting in injuries may have happened or is valid, there was not a preponderance of evidence to prove the violation occurred. The allegation that the facility failed to report incidents as required was also unsubstantiated.

Report Facts
Complaint control number: 8 Capacity: 224 Census: 190

Employees mentioned
NameTitleContext
John RanteLicensing Program AnalystConducted the complaint investigation and authored the report
Icela EstradaLicensing Program ManagerOversaw the complaint investigation
Paula DigernessExecutive DirectorFacility representative met during the investigation
Joan E. JohnsonAdministratorFacility administrator named in the report

Inspection Report

Annual Inspection
Census: 168 Capacity: 224 Deficiencies: 0 Date: Aug 1, 2022

Visit Reason
Licensing Program Analyst Daniela Huerta visited the facility to conduct an annual required licensing inspection.

Findings
The inspection verified compliance with infection control practices including universal entry screening, symptom screening, visitor sign-in policy, face coverings, hand hygiene stations, and cleaning supplies. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Susan RendlerRegistered Nurse, Director of Health ServicesMet with Licensing Program Analyst during inspection and participated in exit interview.

Inspection Report

Annual Inspection
Census: 180 Capacity: 224 Deficiencies: 0 Date: Oct 25, 2021

Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.

Findings
No deficiencies were cited or observed during the inspection. The facility was found to have current criminal record clearances for all staff and was implementing infection control measures including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

Employees mentioned
NameTitleContext
Joan E. JohnsonExecutive DirectorMet with during the inspection and discussed the purpose of the visit.
John RanteLicensing Program ManagerConducted the inspection and provided technical assistance.
Iby StrongLicensing Program AnalystConducted the inspection and provided technical assistance.
Icela EstradaLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Census: 174 Capacity: 224 Deficiencies: 0 Date: Jan 29, 2021

Visit Reason
The visit was a Tele-Virtual Case Management visit conducted to deliver amended reports to the facility due to COVID-19.

Findings
No deficiencies were cited or observed during this virtual visit. The amended reports were sent via email to the Executive Director.

Employees mentioned
NameTitleContext
Joan JohnsonExecutive DirectorMet with during the visit and recipient of amended reports.
John RanteLicensing Program ManagerConducted the Tele-Virtual Visit.
Icela EstradaLicensing Program ManagerNamed in the report as Licensing Program Manager.

Report

December 5, 2024

Report

February 13, 2024

Report

December 14, 2023

Report

January 27, 2023

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