Cycle 1
Health 2024-11-21 · Fire 2024-11-21
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
National City, CA
Paradise Valley Health Care
5-star overall rating with 4-star inspections with $10,036 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2575 E. Eighth St., National City, CA
(619) 470-6700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
86
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1973-01-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 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
0.78
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.50
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.03
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.28
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.41
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.31
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
2.18
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,191
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9988
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.98
Baseline 16.41% · Performance 18.20% · Measure score 6.98 · Achievement 6.98 · Improvement 0
Healthcare-associated infections
0
Baseline 6.88% · Performance 8.07% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 38.32% · Performance 24.77% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.25
Baseline 4.13 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.36% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 790 · Observed rate 8.86% · Lower 95% interval 7.67% |
| Discharge to community | 69.45% |
50.57%
18.9 pts better
|
Better than the National Rate · Eligible stays 785 · Observed rate 60.76% · Lower 95% interval 66.42% |
| Medicare spending per beneficiary | 1.33 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.21% |
95.27%
3.9 pts better
|
Numerator 624 · Denominator 629 |
| Falls with major injury | 0.16% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 629 |
| Discharge self-care score | 73.58% |
53.69%
19.9 pts better
|
Numerator 312 · Denominator 424 |
| Discharge mobility score | 72.88% |
50.94%
21.9 pts better
|
Numerator 309 · Denominator 424 |
| Pressure ulcers or injuries, new or worsened | 1.75% |
2.29%
0.5 pts better
|
Numerator 11 · Denominator 629 · Adjusted rate 1.55% |
| Healthcare-associated infections requiring hospitalization | 8.07% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 515 · Observed rate 8.35% · Lower 95% interval 6.22% |
| Staff COVID-19 vaccination coverage | 5.42% |
8.2%
2.8 pts worse
|
Numerator 11 · Denominator 203 |
| Staff flu vaccination coverage | 65.92% |
42%
23.9 pts better
|
Numerator 147 · Denominator 223 |
| Discharge function score | 75.24% |
56.45%
18.8 pts better
|
Numerator 319 · Denominator 424 |
| Transfer of health information to provider | 99.73% |
95.95%
3.8 pts better
|
Numerator 370 · Denominator 371 |
| Transfer of health information to patient | 89.08% |
96.28%
7.2 pts worse
|
Numerator 212 · Denominator 238 |
| Resident COVID-19 vaccinations up to date | 36.53% |
25.2%
11.3 pts better
|
Numerator 118 · Denominator 323 |
Quality measures
Resident outcomes and process scores
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
1.6%
5.3 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 78.6% |
6.8%
71.8 pts worse
|
11.4%
67.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 78.6% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
4.1%
3 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.9% |
13.7%
6.8 pts better
|
19.6%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.6% |
10.7%
7.1 pts better
|
14.9%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
1.0%
3 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.4% |
10.9%
6.5 pts better
|
19.8%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.4% |
| Percentage of long-stay residents with pressure ulcers | 12.5% |
4.7%
7.8 pts worse
|
5.1%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.0%
5.8 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.7% · Q4 99.5% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
11.2%
3.7 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.0% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.5% · Q3 0.7% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
93.2%
6.3 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
23.2%
6.6 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 16.7% · Expected 24.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-21 · Fire 2023-12-21
5 health deficiencies
Top issue: Infection Control (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2021-05-07 · Fire 2021-05-07
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-11-21
K321 · Smoke Deficiencies
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 2024-12-12
D · Potential for more than minimal harm
2024-11-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-26
C · Minimal harm
2024-11-21
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-11-27
C · Minimal harm
2024-11-21
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-12-09
J · Immediate jeopardy
2023-12-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-12
F · Potential for more than minimal harm
2023-12-21
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-02-12
E · Potential for more than minimal harm
2023-12-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-12
D · Potential for more than minimal harm
2023-12-21
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-02-12
D · Potential for more than minimal harm
2023-12-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-12
D · Potential for more than minimal harm
2023-12-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-12
D · Potential for more than minimal harm
2023-12-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-12
D · Potential for more than minimal harm
2023-12-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-12
C · Minimal harm
2023-12-21
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-02-12
C · Minimal harm
2023-12-21
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-02-12
C · Minimal harm
2023-12-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-12
D · Potential for more than minimal harm
2021-05-07
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-07
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-08
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 2026-02-06
D · Potential for more than minimal harm
2026-01-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-06
D · Potential for more than minimal harm
2024-11-21
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-11-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-11-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-11-21
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-11-21
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 2024-12-20
D · Potential for more than minimal harm
2024-11-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-04-16
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 2024-05-15
D · Potential for more than minimal harm
2024-04-16
F726 · Nursing and Physician Services Deficiencies
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 2024-05-15
F · Potential for more than minimal harm
2023-12-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-19
E · Potential for more than minimal harm
2023-12-21
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 2024-01-19
D · Potential for more than minimal harm
2023-12-21
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 2024-01-19
E · Potential for more than minimal harm
2021-05-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-04
D · Potential for more than minimal harm
2021-05-07
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2021-06-04
D · Potential for more than minimal harm
2021-05-07
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 2021-06-04
D · Potential for more than minimal harm
2021-05-07
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2021-06-04
D · Potential for more than minimal harm
2021-05-07
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 2021-06-04
D · Potential for more than minimal harm
2021-05-07
F803 · Nutrition and Dietary Deficiencies
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 2021-06-04
D · Potential for more than minimal harm
2021-05-07
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 2021-06-04
B · Minimal harm
2021-05-07
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Not marked corrected
Penalties and ownership
What sits behind the stars
$10,036
2024-01-24
Fine
Fine · fine $10,036
Fine
Ownership
Providence Group Nh, LLC
5% Or Greater Direct Ownership Interest · Organization
Burrup, Andrew
Corporate Director · Individual
Burrup, Andrew
Corporate Officer · Individual
Burrup, Patrick
Operational/Managerial Control · Individual
Burrup, Patrick
W-2 Managing Employee · Individual
Hancock, Mark
5% Or Greater Indirect Ownership Interest · Individual
Hancock, Mark
Corporate Officer · Individual
Murray, Jason
5% Or Greater Indirect Ownership Interest · Individual
Niguidula, Troy
Contracted Managing Employee · Individual
Pacs Group, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Pacs Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Friendship Manor Nursing & Rehab Center
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
#2
Castle Manor Nursing & Rehabilitation Center
National City, CA
5-star overall rating with 4-star inspections with $10,188 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Reo Vista Healthcare Center
San Diego, CA
4-star overall rating with 3-star inspections with $11,391 in total fines with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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