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Carlsbad By The Sea Care Center
Nursing Home & Skilled Nursing · Carlsbad, CA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Carlsbad By The Sea Care Center

Nursing Home & Skilled Nursing · Carlsbad, CA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2855 Carlsbad Blvd, Carlsbad, CA 92008 View map Calculator: See prices in your area
Carlsbad By The Sea Care Center accepts Medicaid, Medicare, and private pay.
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Carlsbad By The Sea Care Center accepts Medicaid, Medicare, and private pay.

Overview of Carlsbad by the Sea Care Center

Between the serene sea and the charm of Carlsbad Village, Carlsbad by the Sea Care Center offers a distinctive care experience, specializing in rehabilitation and skilled nursing services. The center provides 33 accommodations, some featuring captivating ocean views, consistently earning recognition from My InnerView and the National Research Corporation as one of the top 10 percent of skilled nursing centers nationwide. With a dedicated and welcoming staff committed to recuperation and rehabilitation, this San Diego County location ensures residents’ peace of mind.

As an integral part of the award-winning oceanfront Carlsbad By The Sea, this care center prioritizes resident needs, emphasizing personal attention and fostering a genuine sense of family. Round-the-clock professional nursing ensures the well-being of residents, complemented by rehabilitative physical, occupational, and speech therapies for comprehensive medical care. Carlsbad by the Sea Care Center encourages exploration, questions, and personalized guided tours, extending an invitation for individuals, friends, or loved ones. Accepting Medicare A and B along with private payments, the center offers flexible solutions tailored to each individual. The resident-centric approach allows individuals to live on their terms, with gourmet dining choices, complimentary Wi-Fi, and more. A level of care and human connection unfolds best through firsthand experience.

Facility Direct Line (760) 509-8404
Facility Direct Line (760) 509-8404

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 58.8% Above CA avg. ▲ 58.8% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 78.8% Above CA avg. ▲ 78.8% Above CA avg.CA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 59.3% Above CA avg. ▲ 59.3% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 22.4% Above CA avg. ▲ 22.4% Above CA avg.CA average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs California averages

Rank #34 / 288Nurse hours — State benchmarkedThis home is ranked 34th out of 288 homes we track in California for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 288 California facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 34th out of 288 homes we track in California for nurse hours. 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.

5h 5m

21% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
43m
+10% State avg: 39m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 36m
+32% State avg: 1h 13m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 46m
+5% State avg: 2h 39m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
4h 30m
+10% State avg: 4h 5m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
19m
+276% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
29m
−3% State avg: 30m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: Physical Therapist is +276% above California average

Capacity and availability

Residents per day
190
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
31 days
Bed community size
224-bed community Rank #115 / 1645Bed count — State benchmarkedThis home is ranked 115th out of 1,645 homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
31 years in operation Rank #118 / 1505Years in operation — State benchmarkedThis home is ranked 118th out of 1,505 homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 96 / 100 Rank #43 / 2057Walk Score — State benchmarkedThis home is ranked 43rd out of 2,057 homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
85%
Rank #466 / 1452Occupancy rate — State benchmarkedThis home is ranked 466th out of 1,452 homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1452. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the California average: 72.8%
Occupied beds
190 / 224
Average occupied beds in California homes 87 beds

License Details

Facility TypeRCFE-Continuing Care Retirement Community
StatusFounder
IssuanceApril 8, 1999
CountySan Diego
License Number374600799
Inspection Rating5-Star Medicare Rating

Ownership & Operating Entity

Carlsbad By The Sea Care Center is legally operated by Front Porch Communities And Services, and administered by Paula Digerness.

Safety & Compliance

Emergency SystemsResident call response system.

Staffing

Key information about the people who lead and staff this community.

Languages Spoken

english spanish tagalog

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Staffing(Specialized Dementia)

Specialized Dementia Live-in Staff
Specialized Dementia Separate Housekeeping Staff

Facility Details(Specialized Dementia)

Bathrooms: 160
No Admission Fee

Other On-site Services(Specialized Dementia)

Religious Services
Beautician
Mobile Physician
Facility Van Or Car Used To Transport Residents

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Scheduled Transportation
Ocean Views
Healthy Snacks
Activities
Touring HoursMo, Tu, We, Th, Fr, Sa, Su, 09:00-17:00

Contact Carlsbad By The Sea Care Center

Inspection History

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.

Since 2021 · 5 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 1 citation 8 total visits 3 complaint visits 4 official inspections 2 complaint investigations
Inspection Score Info 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.This is a proprietary Assisted Living Magazine score.

13 points above the California average for nursing homes (81/100)

Rank #213 / 1474 in California Inspection Score — State benchmarked This home is ranked 213th out of 1,474 homes we track in California for inspection score. Shows this facility's inspection score compared to the California average among 1474 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. This is a proprietary Assisted Living Magazine score. Inspection score: 94 out of 100. Letter grade A. 13 points above the California average for nursing homes (81/100)

Inspection Scorecard Info 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.

Since 2021 vs. California state average
Overall vs. CA average 0 Worse No metrics in this bucket. 4 Better Metrics better than California average:
• Total citations (90% below)
• Serious citations (Type A) (100% below)
• Moderate citations (Type B) (75% below)
• Citations per inspection (97% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 110 This facility has 90% fewer total citations than a typical California nursing home (1 vs. CA avg 10).↓ 90% better
Serious citations (Type A) Info Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 03 This facility has 100% fewer serious citations (type a) than a typical California nursing home (0 vs. CA avg 3).↓ 100% better
Moderate citations (Type B) Info Citations that do not pose an immediate risk but still represent a departure from required care or operational standards. 14 This facility has 75% fewer moderate citations (type b) than a typical California nursing home (1 vs. CA avg 4).↓ 75% better
Citations per inspection Info Average citations per inspection. 0.13.3 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 Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total inspections Info Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes. 816 This facility has had 50% fewer total inspections than the California average (8 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 313 This facility has had 77% fewer complaint visits than the California average (3 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 77% fewer
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 17 This facility has had 86% fewer other visits than the California average (1 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 86% fewer
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 44 This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg
Complaint investigations Info On-site investigations triggered by complaints filed with California regulators. 210 This facility has had 80% fewer complaint investigations than the California average (2 vs. CA avg 10). More inspections can mean more regulatory scrutiny rather than worse care.↓ 80% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 3

California average 12.5

Last Health inspection on Dec 2024

Total health citations
12 Rank #8 / 290Health citations — State benchmarkedThis home is ranked 8th out of 290 homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 290 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

California average 50.2

Citations per inspection
4 Rank #140 / 290Citations per inspection — State benchmarkedThis home is ranked 140th out of 290 homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 290 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

California average 4.65

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 12 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than California average

California average: 0.4

Serious health citations
0
100% better than California average

California average: 1

0 critical citations California average: 0.4
0 serious citations California average: 1
12 moderate citations California average: 47.2
0 minor citations California average: 1.5
Citations history (last 3 years)
Nutrition moderate citation Dec 05, 2024
Corrected
Pharmacy moderate citation Dec 05, 2024
Corrected
Quality of Care moderate citation Dec 05, 2024
Corrected
Care Planning moderate citation Dec 05, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 79
Employees 42
Contractors 37
Staff to resident ratio 2.82 : 1
56% more staff per resident than California average
California average ratio: 1.81 : 1 California average ratio: 1.81 : 1See full California ranking
Avg staff/day 24
Average shift 7.8 hours
0% compared with California average
California average: 7.7 hours California average shift: 7.7 hoursSee full California ranking
Total staff hours (quarter) 17,138

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 7 total: 3 full-time employees and 4 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 13 total: 10 full-time employees and 3 contractors. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 29 total: 23 full-time employees and 6 contractors. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

19.1%

3,278 contractor hours this quarter

Respiratory Therapy Technician: 7 Certified Nursing Assistant: 6 Registered Nurse: 4 Physical Therapy Assistant: 4 Licensed Practical Nurse: 3 Speech Language Pathologist: 3 Occupational Therapy Assistant: 3 Qualified Social Worker: 2 Physical Therapy Aide: 1 RN Director of Nursing: 1 Administrator: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant236297,30592100%8
Licensed Practical Nurse103133,38292100%8.8
RN Director of Nursing3141,1926773%8.5
Registered Nurse3479779098%8.2
Respiratory Therapy Technician0777188693%5.2
Administrator0115046368%8
Physical Therapy Aide0114936773%7.4
Nurse Practitioner1014886166%8
Other Dietary Services Staff1014856166%8
Mental Health Service Worker1014806065%8
Physical Therapy Assistant0444776773%6.2
Speech Language Pathologist0334276773%6
Occupational Therapy Aide011811415%5.8
Occupational Therapy Assistant0336378%9
Qualified Social Worker022381820%2.1
Medical Director011302224%1.4
29 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
4 RN Director of Nursing
% of Days 73%
7 Registered Nurse
% of Days 98%
View All Staffing Data in Carlsbad

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.3
20% better than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.2
149% worse than California average

California average: 11.3

Long-stay resident measures
Significantly above average California avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.2%
92% worse than California average

California average: 11.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.1%
211% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.3%
48% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with California average

California average: 98.5%

Short-stay resident measures
Significantly above average California avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.7%
In line with California average

California average: 93.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.5%
16% better than California average

California average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.2%
18% better than California average

California average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.7%
In line with California average

California average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 86.9%
62% better than California average

California average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 66.0%
31% better than California average

California average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

78% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

21% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 28
Medicare
20
71.4% of residents
Medicaid
8
28.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$14.2M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.3M Rank #245 / 259Net patient revenue — State benchmarkedThis home is ranked 245th out of 259 homes we track in California. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$14.2M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$17.8M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #137 / 259Payroll costs — State benchmarkedThis home is ranked 137th out of 259 homes we track in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$8.0M 128.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #7 / 259Payroll % of net patient revenue — State benchmarkedThis home is ranked 7th out of 259 homes we track in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$12.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$20.5M
How we calculate these figures

This home is administered by Paula Digerness.

This home is owned by Paula Digerness

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 56496

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (78% of admissions), and a typical Medicare stay runs around 26 days.

Admissions
314 total

Coverage residents most often arrive under.

Medicare 78%
Private pay 21%
Medicaid 1%
Discharges
314 total

Coverage residents most often leave under.

Medicare 71%
Private pay 28%
Medicaid 1%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Carlsbad By The Sea Care Center

Address 0.7 miles from city center Info Estimated distance in miles from Carlsbad's city center to Carlsbad By The Sea Care Center's address, calculated via Google Maps. — 4.02 miles to nearest hospital (Tri-City Medical Center)

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Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better. This is a proprietary Assisted Living Magazine score.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Carlsbad By The Sea Care Center ★ ★ ★ ★ ★
NH
SNF
Carlsbad (Carlsbad Village)
224
Facility 224
CA AVG 103
Rank #115 / 1,645
84.8%
Facility 84.8%
CA AVG 75.9
Rank #466 / 1,452
+12%
5.09
Facility 5.09
CA AVG 4.22
Rank #34 / 288
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 0%+21%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 293
94
Facility 94
CA AVG 81
Rank #213 / 1,474
12
Facility 12
CA AVG 50.2
Rank #8 / 290
4.0
Facility 4.0
CA AVG 4.6
Rank #140 / 290
-190A+
96
Facility 96
CA AVG 59
Rank #43 / 2,057
Paula Digerness
$6.3MFiscal year ending 03/2024
Facility $6.3MFiscal year ending 03/2024
CA AVG $15.7M
Rank #245 / 259
$8.0MFiscal year ending 03/2024
Facility $8.0MFiscal year ending 03/2024
CA AVG $9.0M
Rank #137 / 259
128.1%Fiscal year ending 03/2024
Facility 128.1%Fiscal year ending 03/2024
CA AVG 61.2%
Rank #7 / 259
56496
GlenBrook Health Center ★ ★ ★ ★ ★
NH
AL
MC
SNF
Carlsbad
95
Facility 95
CA AVG 103
Rank #808 / 1,645
64.2%
Facility 64.2%
CA AVG 75.9
Rank #1,106 / 1,452
-15%
5.38
Facility 5.38
CA AVG 4.22
Rank #21 / 288
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +10%+28%
$9.3k
Facility $9.3k
CA AVG $56.5k
Rank #197 / 293
95
Facility 95
CA AVG 81
Rank #124 / 1,474
26
Facility 26
CA AVG 50.2
Rank #71 / 290
5.2
Facility 5.2
CA AVG 4.6
Rank #212 / 290
161- 57 Elwood Justin Wilson, III And Julie Frances Wilson, Trustee Of The J
$23.5MFiscal year ending 12/2023
Facility $23.5MFiscal year ending 12/2023
CA AVG $15.7M
Rank #37 / 259
$11.6MFiscal year ending 12/2023
Facility $11.6MFiscal year ending 12/2023
CA AVG $9.0M
Rank #54 / 259
49.3%Fiscal year ending 12/2023
Facility 49.3%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #196 / 259
555806
Bayshire Carlsbad ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
Carlsbad (Palamai)
125
Facility 125
CA AVG 103
Rank #524 / 1,645
93.6%
Facility 93.6%
CA AVG 75.9
Rank #252 / 1,452
+23%
3.52
Facility 3.52
CA AVG 4.22
Rank #257 / 288
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +54%-17%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 293
79
Facility 79
CA AVG 81
Rank #871 / 1,474
26
Facility 26
CA AVG 50.2
Rank #71 / 290
4.3
Facility 4.3
CA AVG 4.6
Rank #163 / 290
-117A+ 59 Skilled Camino LLC
$12.9MFiscal year ending 12/2023
Facility $12.9MFiscal year ending 12/2023
CA AVG $15.7M
Rank #149 / 259
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
CA AVG $9.0M
Rank #217 / 259
39.7%Fiscal year ending 12/2023
Facility 39.7%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #251 / 259
555745
Nursing Home Explorer

Financial Assistance for
Nursing Home in California

Carlsbad By The Sea Care Center is located in Carlsbad, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Frequently Asked Questions about Carlsbad By The Sea Care Center

What neighborhood is Carlsbad By The Sea Care Center in?

Carlsbad By The Sea Care Center is in the Carlsbad Village neighborhood of Carlsbad.

Who is the owner of Carlsbad By The Sea Care Center?

Carlsbad By The Sea Care Center is legally operated by Front Porch Communities And Services, and administered by Paula Digerness.

Is Carlsbad By The Sea Care Center in a walkable area?

Carlsbad By The Sea Care Center has a walk score of 96. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the license number of Carlsbad By The Sea Care Center?

According to CA state health department records, Carlsbad By The Sea Care Center's license number is 374600799.

What is the occupancy rate at Carlsbad By The Sea Care Center?

Carlsbad By The Sea Care Center's occupancy is 85%.

How long has Carlsbad By The Sea Care Center been in business?

Carlsbad By The Sea Care Center has been operating for approximately 31 years, based on available licensing and registration records.

Are pets allowed at Carlsbad By The Sea Care Center?

No, Carlsbad By The Sea Care Center has a no-pet policy.

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