La Mesa, CA

Arbor Hills Nursing Center

3-star overall rating with 2-star inspections with $12,831 in total fines with 19 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

7800 Parkway Drive, La Mesa, CA

(619) 460-2330

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

86

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Generations Healthcare

Operator or chain grouping

Approved since

1978-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.24

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.31

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.77

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.79

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.62

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,010

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9909

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 17.75% · Performance 21.54% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.68

Baseline 10.40% · Performance 7.06% · Measure score 5.68 · Achievement 2.60 · Improvement 5.68

Total nurse turnover

6.34

Baseline 31.25% · Performance 37.76% · Measure score 6.34 · Achievement 6.34 · Improvement 0

Adjusted total nurse staffing

3.08

Baseline 3.86 hours · Performance 3.96 hours · Measure score 3.08 · Achievement 3.08 · Improvement 0.01

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.1%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 246 · Observed rate 8.54% · Lower 95% interval 7.41%
Discharge to community 62.49%
50.57%
11.9 pts better
Better than the National Rate · Eligible stays 261 · Observed rate 57.85% · Lower 95% interval 56.95%
Medicare spending per beneficiary 1.19
1.02
0.2 pts worse
Drug regimen review with follow-up 91.96%
95.27%
3.3 pts worse
Numerator 206 · Denominator 224
Falls with major injury 0.45%
0.77%
0.3 pts better
Numerator 1 · Denominator 224
Discharge self-care score 49.5%
53.69%
4.2 pts worse
Numerator 50 · Denominator 101
Discharge mobility score 58.42%
50.94%
7.5 pts better
Numerator 59 · Denominator 101
Pressure ulcers or injuries, new or worsened 0.45%
2.29%
1.8 pts better
Numerator 1 · Denominator 224 · Adjusted rate 0.46%
Healthcare-associated infections requiring hospitalization 7.06%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 171 · Observed rate 6.43% · Lower 95% interval 4.73%
Staff COVID-19 vaccination coverage 3.49%
8.2%
4.7 pts worse
Numerator 6 · Denominator 172
Staff flu vaccination coverage 37.08%
42%
4.9 pts worse
Numerator 66 · Denominator 178
Discharge function score 62.38%
56.45%
5.9 pts better
Numerator 63 · Denominator 101
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 101 · Denominator 101
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 102 · Denominator 102
Resident COVID-19 vaccinations up to date 32.23%
25.2%
7 pts better
Numerator 39 · Denominator 121

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.3
0.2 pts better
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.6
0.7 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 3.1%
1.6%
1.5 pts worse
3.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.2% · Q3 2.3% · Q4 2.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.9%
6.8%
3.9 pts better
11.4%
8.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 2.6% · Q4 4.7% · 4Q avg 2.9%
Percentage of long-stay residents who lose too much weight 6.7%
4.1%
2.6 pts worse
5.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 7.1% · Q3 5.7% · Q4 2.4% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.2%
13.7%
2.5 pts better
19.6%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 14.0% · Q3 10.8% · Q4 9.5% · 4Q avg 11.2%
Percentage of long-stay residents who received an antipsychotic medication 3.8%
14.2%
10.4 pts better
16.7%
12.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.0% · Q3 3.2% · Q4 3.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 17.8%
11.0%
6.8 pts worse
16.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.8%
10.7%
4.9 pts better
14.9%
9.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.0% · Q3 5.7% · Q4 2.6% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1%
1.0%
0.1 pts worse
1.0%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
1.2%
0.7 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.8%
10.9%
0.9 pts worse
19.8%
8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.1% · Q3 17.4% · Q4 14.3% · 4Q avg 11.8%
Percentage of long-stay residents with pressure ulcers 3.4%
4.7%
1.3 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.6% · Q3 3.9% · Q4 4.6% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.9%
94.0%
5.9 pts better
81.7%
18.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.7% · Q3 99.7% · Q4 100.0% · 4Q avg 99.9%
Percentage of short-stay residents who had an outpatient emergency department visit 11.5%
11.2%
0.3 pts worse
12.0%
0.5 pts better
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 10.9% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.2%
1.5%
1.3 pts better
1.6%
1.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.1%
93.2%
5.9 pts better
79.7%
19.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.2%
23.2%
1 pts worse
23.9%
0.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 21.9% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-01 · Fire 2024-11-01

19 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-04-15 · Fire 2022-04-15

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-12-05 · Fire 2019-12-05

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-07

F · Potential for more than minimal harm 2024-11-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-11-07

E · Potential for more than minimal harm 2024-11-01

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-11-07

E · Potential for more than minimal harm 2024-11-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-11-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-11-01

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-11-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-07

E · Potential for more than minimal harm 2022-04-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-26

D · Potential for more than minimal harm 2022-04-15

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-04-26

D · Potential for more than minimal harm 2022-04-15

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-04-26

D · Potential for more than minimal harm 2022-04-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-04-26

E · Potential for more than minimal harm 2019-12-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-27

E · Potential for more than minimal harm 2019-12-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-01-27

D · Potential for more than minimal harm 2019-12-05

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2020-01-27

D · Potential for more than minimal harm 2019-12-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2020-01-27

D · Potential for more than minimal harm 2019-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-01-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-10

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-03-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-18

G · Actual harm 2024-11-01

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-12-13

E · Potential for more than minimal harm 2024-11-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-12-13

E · Potential for more than minimal harm 2024-11-01

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-12-13

E · Potential for more than minimal harm 2024-11-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-13

B · Minimal harm 2024-11-01

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-08-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-06-20

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-04-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-09

E · Potential for more than minimal harm 2022-04-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-05-15

D · Potential for more than minimal harm 2022-04-15

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2022-05-15

D · Potential for more than minimal harm 2019-12-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-03

Penalties and ownership

What sits behind the stars

$12,831 2024-11-01

Fine

Fine · fine $12,831

Fine

Ownership

Smith, Fred

5% Or Greater Indirect Ownership Interest · Individual

13% 25 facilities 1998-02-01
Bmo Bank National Association

5% Or Greater Security Interest · Organization

0% 22 facilities 2023-09-20
Life Generations Healthcare, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 26 facilities 1998-02-01
Life Generations Healthcare, LLC

Operational/Managerial Control · Organization

0% 26 facilities 1998-02-01
Mastrocola, Lois

5% Or Greater Direct Ownership Interest · Individual

0% 26 facilities 1998-02-01
Mastrocola, Lois

Corporate Director · Individual

0% 26 facilities 1998-02-01
Mastrocola, Lois

Corporate Officer · Individual

0% 26 facilities 1998-02-01
Mastrocola, Lois

W-2 Managing Employee · Individual

0% 26 facilities 2023-09-20
Olds, Thomas

5% Or Greater Direct Ownership Interest · Individual

0% 26 facilities 1998-02-01
Olds, Thomas

Corporate Director · Individual

0% 26 facilities 1998-02-01
Olds, Thomas

Corporate Officer · Individual

0% 26 facilities 1998-02-01

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Health
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Staffing
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