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Balboa Nursing & Rehabilitation Center
3520 Fourth Avenue, San Diego, CA 92103
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Balboa Nursing & Rehabilitation Center, in San Diego, California, is certified for 194 beds under for-profit, limited liability company ownership and belongs to the Pacs Group chain.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (14, 20, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 22.7 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 37.2%.
Compared with county, state and nation
| Measure | This facility | San Diego Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 44 | 35 | 44 | 28.7 |
| Citations per 100 beds | 22.7 | 34.2 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 37.2% | 37.5% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (83 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2025, 25 Aug 2022.
Severity mix: G ×1 D ×36 E ×6 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 May 2026 |
| 5 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 3 Apr 2026 |
| 5 Mar 2026 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 3 Apr 2026 |
| 27 Jan 2026 | F0583 | Keep residents' personal and medical records private and confidential. | F | Complaint investigation | 24 Feb 2026 |
| 27 Jan 2026 | F0584 | 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. | E | Complaint investigation | 24 Feb 2026 |
| 12 Dec 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 9 Jan 2026 |
| 9 Sep 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 3 Oct 2025 |
| 19 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Sep 2025 |
| 23 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 23 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Sep 2025 |
| 23 Jul 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 6 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Jul 2025 |
| 15 May 2025 | F0803 | 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. | E | Standard survey | 15 Jun 2025 |
| 15 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Jun 2025 |
| 15 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Jun 2025 |
| 15 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Jun 2025 |
| 15 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Jun 2025 |
| 15 May 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 15 Jun 2025 |
| 20 Mar 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 4 Apr 2025 |
| 20 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 4 Apr 2025 |
| 5 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Aug 2024 |
| 27 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 26 Jul 2024 |
| 27 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Jul 2024 |
| 27 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 26 Jul 2024 |
| 4 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 Jul 2024 |
| 25 Aug 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0758 | 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. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Sep 2022 |
| 25 Aug 2022 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 19 Sep 2022 |
| 18 Jan 2019 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 17 Feb 2019 |
| 18 Jan 2019 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Feb 2019 |
| 18 Jan 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 Feb 2019 |
| 18 Jan 2019 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 17 Feb 2019 |
| 18 Jan 2019 | F0849 | 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. | D | Standard survey | 17 Feb 2019 |
| 18 Jan 2019 | F0926 | Have policies on smoking. | D | Standard survey | 17 Feb 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 37.2%, RNs 43.5%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.4% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Balboa Healthcare, Inc.. Chain: Pacs Group (274 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Diego County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Arbor Hills Nursing Center | La Mesa | 100 | 5 | 4 | 3 | 37 | 37.0 | $13K | 12 Feb 2026 |
| Arroyo Vista Nursing Center | San Diego | 53 | 5 | 4 | 3 | 26 | 49.1 | — | 29 Jan 2026 |
| Bayshire Torrey Pines Post-Acute | San Diego | 45 | 5 | 4 | 3 | 50 | 111.1 | $87K | 25 Mar 2026 |
| Bradley Court | El Cajon | 56 | 5 | 5 | 5 | 19 | 33.9 | — | 13 Mar 2025 |
| Carlsbad By the Sea | Carlsbad | 33 | 5 | 5 | 5 | 8 | 24.2 | — | 25 Mar 2026 |
| Escondido Post Acute | Escondido | 180 | 5 | 4 | 3 | 42 | 23.3 | — | 1 Apr 2026 |
| Friendship Manor Nursing & Rehab Center | National City | 104 | 5 | 5 | 4 | 29 | 27.9 | $297K | 24 Jul 2025 |
| Glenbrook | Carlsbad | 94 | 5 | 4 | 5 | 24 | 25.5 | $9K | 19 Sep 2025 |
All 83 facilities in San Diego County
Questions and answers
How many deficiencies has Balboa Nursing & Rehabilitation Center been cited for?
44 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Balboa Nursing & Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Balboa Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Balboa Nursing & Rehabilitation Center?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Balboa Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 15 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.