13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
San Diego, CA
5-star overall rating with 4-star inspections with 13 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
4075 54th St., San Diego, CA
(619) 582-5168
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
128
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Links Healthcare Group
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
31 facilities
Chain averages 3 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
RN hours / resident day
1.04
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.32
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.78
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.37
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.54
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.94
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
3.21
CMS adjusted total nurse staffing hours
Case-mix index
2.04
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,134
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9991
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.30
Baseline 23.17% · Performance 18.99% · Measure score 6.30 · Achievement 5.27 · Improvement 6.30
Healthcare-associated infections
6.78
Baseline 9.20% · Performance 6.14% · Measure score 6.78 · Achievement 5.67 · Improvement 6.78
Total nurse turnover
5.25
Baseline 49.68% · Performance 42.21% · Measure score 5.25 · Achievement 5.25 · Improvement 2.51
Adjusted total nurse staffing
0
Baseline 3.66 hours · Performance 3.11 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.03% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 200 · Observed rate 16.5% · Lower 95% interval 10.15% |
| Discharge to community | 55.23% |
50.57%
4.7 pts better
|
No Different than the National Rate · Eligible stays 190 · Observed rate 45.26% · Lower 95% interval 48.31% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 167 · Denominator 167 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 167 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 50 · Denominator 75 |
| Discharge mobility score | 52% |
50.94%
1.1 pts better
|
Numerator 39 · Denominator 75 |
| Pressure ulcers or injuries, new or worsened | 0.6% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 167 · Adjusted rate 0.49% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 6.02% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 22.33% |
8.2%
14.1 pts better
|
Numerator 69 · Denominator 309 |
| Staff flu vaccination coverage | 50.73% |
42%
8.7 pts better
|
Numerator 208 · Denominator 410 |
| Discharge function score | 68% |
56.45%
11.5 pts better
|
Numerator 51 · Denominator 75 |
| Transfer of health information to provider | 94.55% |
95.95%
1.4 pts worse
|
Numerator 52 · Denominator 55 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 75 · Denominator 75 |
| Resident COVID-19 vaccinations up to date | 28.21% |
25.2%
3 pts better
|
Numerator 22 · Denominator 78 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.3
0.4 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 3.5 · Expected 3.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.6
1 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.2 · Expected 2.1 · 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 | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
6.8%
3.2 pts better
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 3.5% · Q4 7.4% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
4.1%
0.5 pts worse
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 1.1% · Q3 2.3% · Q4 6.1% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.2% |
13.7%
8.5 pts worse
|
19.6%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 17.4% · Q3 25.0% · Q4 23.5% · 4Q avg 22.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.6% |
14.2%
8.6 pts better
|
16.7%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 10.5% · Q3 5.4% · Q4 0.0% · 4Q avg 5.6% · 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 | 13.0% |
11.0%
2 pts worse
|
16.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.5% |
10.7%
6.2 pts better
|
14.9%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 8.0% · Q3 3.9% · Q4 4.0% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.2%
0.9 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.5% |
10.9%
9.4 pts better
|
19.8%
18.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 3.0% · Q4 1.5% · 4Q avg 1.5% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
4.7%
0.5 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.2% · Q3 3.2% · Q4 2.6% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
11.2%
2.6 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.9% · Q4 2.9% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% |
23.2%
4.4 pts better
|
23.9%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 20.5% · Expected 26.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-30
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-09-30
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-09-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-09-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-09-30
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-09-30
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-09-30
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-09-30
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-09-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-30
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-10-13
Fire Safety
Use approved construction type or materials.
Corrected 2021-07-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-07-07
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-07-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-07
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-07-07
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2019-11-19
Fire Safety
Provide emergency officials' contact information.
Corrected 2019-11-19
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2019-11-19
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2019-11-19
Fire Safety
Use approved construction type or materials.
Corrected 2019-11-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-11-19
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2019-11-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-11-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-11-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-11-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-11-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-19
Inspection history
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 2024-12-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-04
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-10-04
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-04
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-04
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 2024-10-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-04
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-10-04
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 2024-10-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-04
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-10-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-21
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-02-21
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-08-07
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-08-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-07-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-07-10
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-07-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-07-10
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2021-07-10
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-10
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-07-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-10-18
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-18
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-10-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-10-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-10-18
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
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