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ICF/DD-N (Nursing)License activeMedi-Cal certified

MOUNTAIN SHADOWS COMMUNITY HOMES - JACARANDA

ICF/DD-N (Nursing) · 6 licensed beds · Escondido, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

MOUNTAIN SHADOWS COMMUNITY HOMES - JACARANDA2067 W EL NORTE PKWYEscondido, CA 92026 · San Diego County

Phone: (760) 743-3714

Last 3 years: 11 federal inspections (5 found problems), 0 State citations or penalties. Last federal inspection: Aug 4, 2026.

  • Complaints aren't shown here; see this home on CalHealthFind ↗, CDPH's own site.
  • Federal inspections after March 19, 2026 may be missing: CMS says its data since then may be incomplete.

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
MOUNTAIN SHADOWS SUPPORT GROUP · Nonprofit (state label: Nonprofit Corp)
Administrator
GUERRA, SANDRA M
IDs
CDPH facility ID 090000281 · License #090000262 · Federal ID (CCN) 05G486
First licensed
January 1, 1987
Current license
Dec 9, 2025 to Dec 8, 2026
CDPH district office
San Diego

Federal certification (CMS)

CMS Provider of Services file
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (state label: T19)
Participating since
March 1, 1991
Last certification inspection
April 16, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
6
Staffing reported to CMS (full-time equivalents)
RN 0.22 · LVN/LPN 1.4 · direct care 5.6 · all employees 7.58Staff hours counted as full-time jobs: 1 is one full-time job; 0.25 is about 10 hours a week.

State citations and penalties (CDPH)

CDPH's citations come in three classes: AA (a substantial factor in a resident's death), A (imminent danger or a substantial probability of death or serious harm) and B (a direct relationship to residents' health, safety or security). Care homes licensed by Social Services use Type A/B instead: a different agency and scale. State citations explained

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

Federal inspections

32 inspections since 2018 · CMS data through Oct 12, 2026

CDPH inspects Medi-Cal certified ICFs for CMS (the federal agency calls these "surveys"). Each finding has a code: W for a care or rights rule, E for emergency preparedness, K for fire safety. A "condition-level" finding is the most serious kind: a whole area of care failed. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Routine inspection (recertification)

    no problems found · Inspection ID 2AA7E8-L1

    Official federal report ↗
  2. · Routine inspection (recertification)

    5 problems found · Inspection ID 2AA7E8-H1

  3. · Complaint inspection

    no problems found · Inspection ID 22C2AD-H1

    Official federal report ↗
  4. · Complaint inspection

    1 problem found · Inspection ID 46QF11

  5. · Complaint inspection

    no problems found · Inspection ID LT3H11

    Official federal report ↗
  6. · Routine inspection (recertification)

    1 problem found · Inspection ID 0Y0G21

  7. · Routine inspection (recertification)

    no problems found · Inspection ID 524S21

    Official federal report ↗
  8. · Routine inspection (recertification)

    5 problems found · Inspection ID 524S11

  9. · Complaint inspection

    no problems found · Inspection ID TXBP11

    Official federal report ↗
  10. · Complaint inspection

    no problems found · Inspection ID NZ5D11

    Official federal report ↗
  11. · Complaint inspection

    no problems found · Inspection ID 593I11

    Official federal report ↗

From CMS's inspection data, saved Oct 26, 2026; data after March 19, 2026 may be incomplete while CMS's systems migrate. Plans of correction and State-only (licensing) findings aren't in CMS's file; the official federal reports (form CMS-2567) on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing findings and ownership details.

Federal inspections that came from a complaint or an incident report do appear above, marked "Complaint inspection".

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

33 events (32 reports, 1 other change), newest first

Dates are the agencies' own (license, federal inspection and citation dates), except changes marked "detected": those we spotted in CDPH's monthly list ourselves, tracked since Oct 26, 2026.

  1. ReportRoutine federal inspection: no problems found

    See this inspection →
  2. ReportRoutine federal inspection: 5 problems found

    See this inspection →
  3. ReportFederal complaint inspection: no problems found

    See this inspection →
  4. ReportFederal complaint inspection: 1 problem found

    See this inspection →
  5. ReportFederal complaint inspection: no problems found

    See this inspection →
  6. ReportRoutine federal inspection: 1 problem found

    See this inspection →
  7. ReportRoutine federal inspection: 8 problems found

    See this inspection →
  8. ReportRoutine federal inspection: no problems found

    See this inspection →
  9. ReportRoutine federal inspection: 5 problems found

    See this inspection →
  10. ReportFederal complaint inspection: no problems found

    See this inspection →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID inspection (CMS-2567) and Provider of Services files. Always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.