Total staff
203
Employees
203
Contractors
0
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Vista Knoll Specialized Care
Nursing Home · Oceanside, CA
CMS overall rating
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.
Vista Knoll Specialized Care
Nursing Home · Oceanside, CA
CMS overall rating
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.
Vista Knoll Specialized Care accepts Medicare, Medicaid, and private pay.
Overview of Vista Knoll Specialized Care
Vista Knoll Specialized Care is a nursing home in Vista, CA, offering skilled nursing and rehabilitation. Promoting a supportive and welcoming environment, the community goes above and beyond to help older adults live comfortably in retirement. Excellent services, including 24-hour care, nutritious meals, and therapies, are also provided to improve residents’ living experiences. Through a collaborative effort with the residents, their families, and physicians, personalized care plans are provided to meet their needs and preferences.
Excursions, ice cream socials, and arts classes provide residents with more opportunities to learn and gain meaningful moments. Thoughtfully curated amenities and spacious common areas also ensure residents can rest and move around comfortably. The community is also easily accessible, as it is conveniently located in the serene residential area of Vista, near bus stops. This nursing home has exceptional standards of care dedicated to older adults’ well-being, making it a great choice for senior living in California.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 122nd 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.
This home is ranked 122nd 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.
4h 18m per day
Rank #122 / 346Nurse hours — State benchmarkedThis home is ranked 122nd out of 346 homes in California. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 346 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs California avg
+2%
Standout metric
Physical Therapist is +80% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 46m per day | ▲ 18% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 58m per day | ▼ 21% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
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 33m per day | ▼ 4% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
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 29m per day | ▼ 15% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 9m per day | ▲ 80% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 31m per day | ▲ 3% State avg: 30m per day · National avg: 29m per day |
Capacity and availability
This home is often near full
Occupancy rate
95.8%
Rank #169 / 1409Occupancy rate — State benchmarkedThis home is ranked 169th out of 1409 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1409. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
66 days
Walk Score: 48 / 100 Rank #1393 / 2093Walk Score — State benchmarkedThis home is ranked 1393rd out of 2093 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.74:1
0% compared with California average
Avg staff/day
91
Average shift
7.5 hours
0% compared with California average
Total staff hours (quarter)
63,073
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
All 25 RN Staff are full-time employees. No contractors work on this role.
25
All 25 RN Staff are full-time employees. No contractors work on this role.
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 35 LPN Staff are full-time employees. No contractors work on this role.
35
All 35 LPN Staff are full-time employees. No contractors work on this role.
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 77 CNA Staff are full-time employees. No contractors work on this role.
77
All 77 CNA Staff are full-time employees. No contractors work on this role.
77
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0% — all staff are direct employees this quarter
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 77 | 0 | 77 | 27,007 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 35 | 0 | 35 | 9,855 | 92 | 100% | 7.6 |
| Registered Nurse | 25 | 0 | 25 | 6,125 | 92 | 100% | 7.8 |
| Other Dietary Services Staff | 15 | 0 | 15 | 5,246 | 92 | 100% | 7.6 |
| Dental Services Staff | 6 | 0 | 6 | 2,293 | 92 | 100% | 7.7 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,778 | 81 | 88% | 7.1 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,566 | 80 | 87% | 7.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,340 | 77 | 84% | 7.2 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,281 | 69 | 75% | 7.1 |
| Qualified Social Worker | 6 | 0 | 6 | 1,264 | 66 | 72% | 7.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,191 | 66 | 72% | 8.7 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 980 | 64 | 70% | 8.1 |
| Nurse Aide in Training | 3 | 0 | 3 | 750 | 82 | 89% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 626 | 66 | 72% | 8.9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 518 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 222 | 28 | 30% | 7.6 |
77 Certified Nursing Assistant
% of Days
100%
35 Licensed Practical Nurse
% of Days
100%
25 Registered Nurse
% of Days
100%
15 Other Dietary Services Staff
% of Days
100%
6 Dental Services Staff
% of Days
100%
7 Respiratory Therapy Technician
% of Days
88%
8 Speech Language Pathologist
% of Days
87%
3 Physical Therapy Assistant
% of Days
84%
5 Physical Therapy Aide
% of Days
75%
6 Qualified Social Worker
% of Days
72%
4 Clinical Nurse Specialist
% of Days
72%
2 Therapeutic Recreation Specialist
% of Days
70%
3 Nurse Aide in Training
% of Days
89%
2 Nurse Practitioner
% of Days
72%
1 Administrator
% of Days
72%
1 Dietitian
% of Days
71%
1 Occupational Therapy Aide
% of Days
68%
2 RN Director of Nursing
% of Days
30%
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.0
40% better than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.4
8% better than California averageCalifornia average: 11.3
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
7.2%
Percent of long-stay residents whose need for help with daily activities has increased
7.2%
35% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.1%
Percent of long-stay residents whose ability to move independently worsened
8.1%
33% better than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.1%
42% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
45% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
52% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
70% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.3%
Percent of long-stay residents who have depressive symptoms
3.3%
51% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.4%
Percent of long-stay residents who received an antipsychotic medication
1.4%
87% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.25
Number of hospitalizations per 1,000 long-stay resident days.
1.25
44% better than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.63
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.63
60% better than California averageCalifornia average: 1.59
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
5% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
32% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
In line with California averageCalifornia average: 93.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.9%
20% worse than California averageCalifornia average: 23.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
19% better than California averageCalifornia average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
81% worse than California averageCalifornia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
58.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
58.0%
8% better than California averageCalifornia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
65.8%
Rate of successful return to home or community from a skilled nursing facility.
65.8%
30% better than California averageCalifornia 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
36% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
60% of new residents, often for short stays.
Typical stay
23 days
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
3 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117
Medicare
16
13.7% of residents
Medicaid
74
63.2% of residents
Private pay or other
27
23.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
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.
Financial Trends
Historical financial and operational data for Vista Knoll Specialized Care based on CMS SNF Cost Reports.
Occupancy Rate
95.8%
↑ 1.6pp vs 2022
Net Income
$4.8M
↑ ~$287.3K vs 2022
Total Payroll
$11.4M
↑ ~$1.1M vs 2022
Profit Margin
20.4%
↓ 1.2pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$23.4M
Profit
$4.8M
Privately-owned community
Operated by a business corporation.
Home revenue
$23.4M Rank #102 / 346Revenue — State benchmarkedThis home is ranked 102nd out of 346 homes in California. Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$4.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 346Payroll — State benchmarkedThis home is ranked 85th 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.
$11.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 346Payroll — State benchmarkedThis home is ranked 85th 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.6M
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Housekeeping Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Vista Knoll Specialized Care
3.3 miles from city center
Estimated distance in miles from Vista's city center to Vista Knoll Specialized Care's address, calculated via Google Maps.
Calculate Travel Distance to Vista Knoll Specialized Care
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Financial Assistance for
Nursing Home in California
Vista Knoll Specialized Care is located in Vista, California.
Here are the financial assistance programs available to residents in California.
Compare Nursing Home around Oceanside
The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| La Paloma Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Oceanside (Tri-City) | 93
Facility
93
CA AVG
103
Rank
#831 / 1658 | 91.9% | +9% | 3.56 | -18% | -16% | $0 | 32 | 4.6 | 1 | 89 |
59
Facility
59
CA AVG
57
Rank
#1089 / 2093 | Jonathan Duerden | $20.6M | $9.2M | 44.7% | 55335 | ||||
| Vista Knoll Specialized Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Vista | 119
Facility
119
CA AVG
103
Rank
#599 / 1658 | - | - | 4.30 | +38% | +2% | $0 | 30 | 5.0 | - | 116 |
48
Facility
48
CA AVG
57
Rank
#1393 / 2093 | Clayton Gardner | $23.4M | $11.4M | 48.8% | 555425 |
Frequently Asked Questions about Vista Knoll Specialized Care
Is Vista Knoll Specialized Care in a walkable area?
Vista Knoll Specialized Care has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the best email address for Vista Knoll Specialized Care?
The team at Vista Knoll Specialized Care can be reached at [email protected].
Are there photos of Vista Knoll Specialized Care?
Yes — there are 7 photos of Vista Knoll Specialized Care in the photo gallery on this page.
What is the address of Vista Knoll Specialized Care?
Vista Knoll Specialized Care is located at 2000 Westwood Rd, Vista, CA 92083.
What is the phone number of Vista Knoll Specialized Care?
(760) 630-2273 will put you in contact with the team at Vista Knoll Specialized Care.
Is Vista Knoll Specialized Care Medicare or Medicaid certified?
Yes — Vista Knoll Specialized Care is a CMS-certified provider of Medicare and Medicaid.
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