11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
San Diego, CA
4-star overall rating with 4-star inspections with $33,238 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
9825 Glen Center Drive, San Diego, CA
(858) 293-3900
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
45
Certified beds
Average residents
31
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Continuing Life
Operator or chain grouping
Approved since
2023-07-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 5 overall / 4 health / 5 staffing / 5 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
2.09
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.42
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.56
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.50
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
5.06
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.85
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.23
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.77
CMS adjusted RN staffing hours
Adjusted total hours
4.70
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,257
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.34
Composite VBP score used to determine payment impact.
Payment multiplier
1.0135
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.63
Performance 19.29% · Measure score 4.63 · Achievement 4.63 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
7.04
Performance 5.73% · Measure score 7.04 · Achievement 7.04 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.25% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 135 · Observed rate 11.11% · Lower 95% interval 7.61% |
| Discharge to community | 70.94% |
50.57%
20.4 pts better
|
Better than the National Rate · Eligible stays 136 · Observed rate 68.38% · Lower 95% interval 62.57% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 200 · Denominator 200 |
| Falls with major injury | 1% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 200 |
| Discharge self-care score | 28.85% |
53.69%
24.8 pts worse
|
Numerator 45 · Denominator 156 |
| Discharge mobility score | 37.18% |
50.94%
13.8 pts worse
|
Numerator 58 · Denominator 156 |
| Pressure ulcers or injuries, new or worsened | 0.5% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 200 · Adjusted rate 0.52% |
| Healthcare-associated infections requiring hospitalization | 5.73% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 4.08% · Lower 95% interval 3.37% |
| Staff COVID-19 vaccination coverage | 32.84% |
8.2%
24.6 pts better
|
Numerator 22 · Denominator 67 |
| Staff flu vaccination coverage | 64.71% |
42%
22.7 pts better
|
Numerator 55 · Denominator 85 |
| Discharge function score | 35.26% |
56.45%
21.2 pts worse
|
Numerator 55 · Denominator 156 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 53 · Denominator 53 |
| Transfer of health information to patient | 99.24% |
96.28%
3 pts better
|
Numerator 131 · Denominator 132 |
| Resident COVID-19 vaccinations up to date | 40.38% |
25.2%
15.2 pts better
|
Numerator 42 · Denominator 104 |
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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
1.6%
1.4 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
6.8%
3.4 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% |
| 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 with a catheter inserted and left in their bladder | 6.3% |
1.0%
5.3 pts worse
|
1.0%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.3% · 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 | 16.7% |
10.9%
5.8 pts worse
|
19.8%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
4.7%
2.6 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
94.0%
5.4 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 99.2% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.9% |
11.2%
1.7 pts worse
|
12.0%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 11.7% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7% |
93.2%
4.5 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.4% |
23.2%
3.2 pts worse
|
23.9%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.4% · Observed 22.8% · Expected 20.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-06-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-23
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2025-06-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-20
Fire Safety
Use approved construction type or materials.
Corrected 2023-07-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-14
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-13
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 2025-12-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-12
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 2025-07-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-12
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-07-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-30
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-05-30
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 2024-05-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-03
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-07-17
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 2023-07-17
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 2023-07-17
Penalties and ownership
Fine · fine $4,938
Fine
Fine · fine $12,534
Fine
Fine · fine $3,418
Fine
Fine · fine $2,823
Fine
Fine · fine $6,351
Fine
Fine · fine $3,174
Fine
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
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