14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
National City, CA
4-star overall rating with 3-star inspections with $15,652 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
220 East 24th Street, National City, CA
(619) 474-6741
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Windsor
Operator or chain grouping
Approved since
1968-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
19 facilities
Chain averages 2 overall / 2 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
0.59
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.79
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,934
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9950
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.97
Baseline 17.61% · Performance 17.74% · Measure score 7.97 · Achievement 7.97 · Improvement 0
Healthcare-associated infections
2.48
Baseline 6.81% · Performance 7.09% · Measure score 2.48 · Achievement 2.48 · Improvement 0
Total nurse turnover
5.56
Baseline 40.51% · Performance 40.96% · Measure score 5.56 · Achievement 5.56 · Improvement 0
Adjusted total nurse staffing
0.83
Baseline 3.62 hours · Performance 3.31 hours · Measure score 0.83 · Achievement 0.83 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.34% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 165 · Observed rate 8.48% · Lower 95% interval 7.1% |
| Discharge to community | 55.87% |
50.57%
5.3 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 48.98% · Lower 95% interval 48.21% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 88.29% |
95.27%
7 pts worse
|
Numerator 98 · Denominator 111 |
| Falls with major injury | 0.9% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 111 |
| Discharge self-care score | 73.75% |
53.69%
20.1 pts better
|
Numerator 59 · Denominator 80 |
| Discharge mobility score | 35% |
50.94%
15.9 pts worse
|
Numerator 28 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 3.6% |
2.29%
1.3 pts worse
|
Numerator 4 · Denominator 111 · Adjusted rate 2.55% |
| Healthcare-associated infections requiring hospitalization | 7.09% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 79 · Observed rate 6.33% · Lower 95% interval 4.3% |
| Staff COVID-19 vaccination coverage | 19.85% |
8.2%
11.7 pts better
|
Numerator 27 · Denominator 136 |
| Staff flu vaccination coverage | 70% |
42%
28 pts better
|
Numerator 98 · Denominator 140 |
| Discharge function score | 67.5% |
56.45%
11 pts better
|
Numerator 54 · Denominator 80 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 86.15% |
96.28%
10.1 pts worse
|
Numerator 56 · Denominator 65 |
| Resident COVID-19 vaccinations up to date | 53.03% |
25.2%
27.8 pts better
|
Numerator 35 · Denominator 66 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.3
0.3 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · 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 | 1.1% |
1.6%
0.5 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.4% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
6.8%
4.3 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 0.0% · Q4 6.9% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 0.8% |
4.1%
3.3 pts better
|
5.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.2% |
13.7%
5.5 pts better
|
19.6%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 11.1% · Q3 9.0% · Q4 6.5% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.0% |
14.2%
4.2 pts better
|
16.7%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.0% · Q3 11.5% · Q4 8.5% · 4Q avg 10.0% · 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 | 11.6% |
11.0%
0.6 pts worse
|
16.3%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.9% |
10.7%
3.8 pts better
|
14.9%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.3% · Q3 13.3% · Q4 5.4% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · 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 · 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 with new or worsened bowel or bladder incontinence | 10.5% |
10.9%
0.4 pts better
|
19.8%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 7.3% · Q3 16.7% · Q4 7.9% · 4Q avg 10.5% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
4.7%
0.3 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.7% · Q3 6.5% · Q4 1.0% · 4Q avg 4.4% · 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 | 11.9% |
11.2%
0.7 pts worse
|
12.0%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 11.9% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.9% · Q3 0.9% · Q4 0.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
93.2%
2.5 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.5% |
23.2%
0.3 pts worse
|
23.9%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 22.6% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-10-17
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-10-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-10-17
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-10-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-11-19
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 2019-11-19
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2019-11-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-01-07
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2019-01-07
Fire Safety
Develop a communication plan.
Corrected 2019-01-07
Fire Safety
Establish emergency prep training and testing.
Corrected 2019-01-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-01-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-01-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-01-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-01-07
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-12-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Not marked corrected
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 2025-05-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-05-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-25
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-01-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-22
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 2022-10-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-22
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-10-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-22
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 2022-10-22
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2019-11-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-11-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-01
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 2019-11-01
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 2019-11-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-11-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-11-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-11-01
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 2019-11-01
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 2018-11-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2018-11-17
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2018-11-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-11-17
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 2018-11-17
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2018-11-17
Health
Provide activities to meet all resident's needs.
Corrected 2018-11-17
Health
Provide appropriate foot care.
Corrected 2018-11-17
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 2018-11-17
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 2018-11-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-11-17
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-17
Health
Implement a program that monitors antibiotic use.
Corrected 2018-11-17
Penalties and ownership
Fine · fine $15,652
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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National City, CA
5-star overall rating with 5-star inspections with $297,367 in total fines with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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