Vi at La Jolla Village

Nursing Home · San Diego, CA

CMS overall rating 5/5 For profit - Limited Liability company

CMS certification number555793

Contact & location

4171 Las Palmas Square
San Diego, CA 92122
San Diego County
Phone
(858) 646-3400
ZIP code
92122 – all care providers

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Facility details

Certified beds
60
Residents per day
55.5 (93% occupied)
Ownership
For profit - Limited Liability company
Legal name
CCW La Jolla, LLC
Chain
Vi Living (9 facilities, avg 4.4★)
Medicare certified since
June 26, 2002
Participates in
Medicare
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.2
Health inspections★★★★★ 5/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.24 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
1.08 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.90 (state 1.20 · U.S. 0.86)
Nurse aides
3.26 (state 2.65 · U.S. 2.32)
Weekend total
4.81 (state 4.09 · U.S. 3.42)
Nursing staff turnover
25.6 (state 36.7 · U.S. 45.8)%
RN turnover
23.1 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 28, 2025
Health deficiencies (last cycle)
7.0 (state 15.7 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
15 health · 18 fire safety
DateCitationSeverityStatus
2025-08-28 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-10
2025-08-28 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-10
2025-08-28 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-10
2025-08-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-10
2025-08-28 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-10
2025-08-28 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-10
2025-08-12 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-27
2025-05-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-25
2023-10-19 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-20
2023-09-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-06
2023-09-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-09-01 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-09-01 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-09-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2019-11-08 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
CC La Jolla LLC (organization)5%+ Direct Ownership Interest · 100%
CC Development Group II LLC (organization)5%+ Indirect Ownership Interest
CC Living Holding Company LLC (organization)5%+ Indirect Ownership Interest
Blys, Ellen (individual)Administrator · NOT APPLICABLE
Boudreau, Stephanie (individual)Administrator · NOT APPLICABLE
Classic Residence Management Limited Partnership (organization)Administrator · NOT APPLICABLE
Cope, Tara (individual)Administrator · NOT APPLICABLE
Evraets, Melissa (individual)Administrator · NOT APPLICABLE
Koszylko, Tomek (individual)Administrator · NOT APPLICABLE
Maslow, Cary (individual)Administrator · NOT APPLICABLE
Muszynski, Thomas (individual)Administrator · NOT APPLICABLE
Patterson, Amy (individual)Administrator · NOT APPLICABLE
Rawi, Taib (individual)Administrator · NOT APPLICABLE
Smith, Gary (individual)Administrator · NOT APPLICABLE
White, Kelly (individual)Administrator · NOT APPLICABLE
Williams, Bridget (individual)Administrator · NOT APPLICABLE
Cope, Tara (individual)Corporate Officer · NOT APPLICABLE
Blys, Ellen (individual)Operational/managerial Control · NOT APPLICABLE
Boudreau, Stephanie (individual)Operational/managerial Control · NOT APPLICABLE
Classic Residence Management Limited Partnership (organization)Operational/managerial Control · NOT APPLICABLE
Evraets, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Koszylko, Tomek (individual)Operational/managerial Control · NOT APPLICABLE
Maslow, Cary (individual)Operational/managerial Control · NOT APPLICABLE
Muszynski, Thomas (individual)Operational/managerial Control · NOT APPLICABLE
Patterson, Amy (individual)Operational/managerial Control · NOT APPLICABLE
Rawi, Taib (individual)Operational/managerial Control · NOT APPLICABLE
Smith, Gary (individual)Operational/managerial Control · NOT APPLICABLE
White, Kelly (individual)Operational/managerial Control · NOT APPLICABLE
Williams, Bridget (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Vi at La Jolla Village?

Vi at La Jolla Village has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Vi at La Jolla Village have?

It has 60 certified beds and cares for about 56 residents per day.

Has Vi at La Jolla Village been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Vi at La Jolla Village?

It is part of Vi Living and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Vi at La Jolla Village?

(858) 646-3400. The facility is located at 4171 Las Palmas Square, San Diego, CA 92122.

Other nursing homes in San Diego

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.