3 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
San Diego, CA
5-star overall rating with 5-star inspections with $4,893 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
7675 Family Circle Drive, San Diego, CA
(858) 278-8121
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
98
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Generations Healthcare
Operator or chain grouping
Approved since
1977-09-01
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
RN hours / resident day
0.75
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.31
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.49
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.97
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.64
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.74
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,119
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.29
Baseline 18.75% · Performance 19.44% · Measure score 4.29 · Achievement 4.29 · Improvement 0
Healthcare-associated infections
0
Baseline 6.56% · Performance 8.72% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.75
Baseline 48.35% · Performance 52.43% · Measure score 2.75 · Achievement 2.75 · Improvement 0
Adjusted total nurse staffing
4.05
Baseline 4.28 hours · Performance 4.23 hours · Measure score 4.05 · Achievement 4.05 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 428 · Observed rate 9.35% · Lower 95% interval 8.05% |
| Discharge to community | 67.99% |
50.57%
17.4 pts better
|
Better than the National Rate · Eligible stays 454 · Observed rate 62.33% · Lower 95% interval 63.14% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 327 · Denominator 327 |
| Falls with major injury | 0.31% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 327 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 104 · Denominator 182 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 91 · Denominator 182 |
| Pressure ulcers or injuries, new or worsened | 0.31% |
2.29%
2 pts better
|
Numerator 1 · Denominator 327 · Adjusted rate 0.36% |
| Healthcare-associated infections requiring hospitalization | 8.72% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 291 · Observed rate 8.93% · Lower 95% interval 6.46% |
| Staff COVID-19 vaccination coverage | 8.02% |
8.2%
0.2 pts worse
|
Numerator 17 · Denominator 212 |
| Staff flu vaccination coverage | 34.85% |
42%
7.1 pts worse
|
Numerator 84 · Denominator 241 |
| Discharge function score | 63.19% |
56.45%
6.7 pts better
|
Numerator 115 · Denominator 182 |
| Transfer of health information to provider | 99.6% |
95.95%
3.6 pts better
|
Numerator 249 · Denominator 250 |
| Transfer of health information to patient | 97.01% |
96.28%
0.7 pts better
|
Numerator 65 · Denominator 67 |
| Resident COVID-19 vaccinations up to date | 2.86% |
25.2%
22.3 pts worse
|
Numerator 5 · Denominator 175 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
1.6%
1.3 pts worse
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.5% |
6.8%
11.7 pts worse
|
11.4%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 33.3% · 4Q avg 18.5% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
4.1%
2.4 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% |
13.7%
2.4 pts better
|
19.6%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.5% |
14.2%
7.7 pts better
|
16.7%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · 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 · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.5% |
11.0%
8.5 pts better
|
16.3%
13.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.2% |
10.7%
5.5 pts better
|
14.9%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
1.0%
1.6 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.1% |
10.9%
3.8 pts better
|
19.8%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% |
| Percentage of long-stay residents with pressure ulcers | 1.3% |
4.7%
3.4 pts better
|
5.1%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
94.0%
3.9 pts better
|
81.7%
16.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 97.3% · Q3 97.6% · Q4 99.4% · 4Q avg 97.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
11.2%
1.3 pts worse
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 11.2% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.9% · Q3 0.7% · Q4 0.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.0% |
93.2%
9.2 pts worse
|
79.7%
4.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
23.2%
0.7 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 20.9% · Expected 20.8% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-05-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-13
Fire Safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2025-05-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-04-08
Fire Safety
Use approved construction type or materials.
Corrected 2019-12-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-02
Inspection history
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 2025-06-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-04-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-04-26
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-20
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-10-20
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 2019-10-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-10-20
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-10-20
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 2019-10-20
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2019-10-20
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-20
Penalties and ownership
Fine · fine $1,748
Fine
Fine · fine $3,145
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Security Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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3-star overall rating with 3-star inspections with $6,351 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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