MOUNTAIN SHADOWS COMMUNITY HOMES - PALM
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 - PALM2067 W EL NORTE PKWYEscondido, CA 92026 · San Diego CountyPhone: (760) 743-3714
State penalties
2
Class 2 B
Federal surveys
25
since 2018 · 10 with deficiencies
Federal deficiencies
19
none condition-level
Last federal survey
Sep 14, 2026
survey date
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 6
- Licensee
- MOUNTAIN SHADOWS SUPPORT GROUP · Nonprofit Corp
- Administrator
- GUERRA, SANDRA M
- CDPH facility ID
- 090000282
- License number
- 090000263
- First licensed
- January 27, 1986
- Current license
- Dec 9, 2025 to Dec 8, 2026
- CDPH district office
- San Diego
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G206
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- February 20, 1986
- Last certification survey
- June 19, 2025
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Recertification
- Ownership change (CMS)
- October 1, 2002
- Ownership type (CMS)
- Private (non-profit)
- Certified beds (CMS)
- 6
- Staffing reported to CMS
- RN 0.22 · LVN/LPN 1.4 · direct care 5.6 · all employees 7.58
State citations and penalties (CDPH)
CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained
Class BPatient Rights
Citation B (HSC 1424) · Violation Jun 16, 2002 · Penalty #090002808
Status: Closed · Not appealed
$3,000
initially $1,000
Class BPatient Care
Citation B (HSC 1424) · Violation Dec 21, 2001 · Penalty #090002787
Status: Closed · Not appealed
$950
Federal inspections (CMS-2567)
CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. 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").
· Recertification
Event 343B75-L1 · no deficiencies cited
· Complaint
Event 3BRL11 · no deficiencies cited
· Complaint
Event YHI111 · no deficiencies cited
· Complaint
Event R2R511 · no deficiencies cited
· Complaint
Event TI9111 · no deficiencies cited
· Complaint
Event 7R3V11 · no deficiencies cited
· Recertification
Event 1D4621 · no deficiencies cited
· Complaint
Event PSZ511 · no deficiencies cited
From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents 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 deficiencies and ownership details.
Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.
Open this facility on CalHealthFind ↗How to file a complaint with CDPH
Change history
28 events, newest first
Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.
ReportFederal survey (recertification): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (recertification): 1 deficiency(state record)
See this survey →ReportFederal survey (recertification): 5 deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (recertification): no deficiencies(state record)
See this survey →ReportFederal survey (recertification): 2 deficiencies(state record)
See this survey →
Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.