Elder Care Record

California › San Diego County › El Cajon

San Diego Post-Acute Center

1201 South Orange Ave., El Cajon, CA 92020

CCN 555659 · For-profit, limited liability company · 240 certified beds · chain Pacs Group

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

San Diego Post-Acute Center is a For-profit, limited liability company nursing home in El Cajon, California, certified for 240 beds and caring for about 228 residents a day.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.

Inspectors recorded 95 health deficiencies across the three most recent survey cycles (37, 23, 35 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 39.6 per 100 beds, fewer than the state median of 51.1.

CMS lists 3 penalties in the period covered: fines totalling $46K and 1 payment denial.

Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 36.5%.

CMS flags that the facility carries the CMS abuse icon.

95health deficiencies, 3 survey cycles5 at actual harm or worse
$46Kfines listed by CMS3 penalties in period
4.2nurse hours per resident per daystate median 4.2
95%occupancy (residents ÷ beds)228 residents a day

Compared with county, state and nation

MeasureThis facilitySan Diego Co. medianCalifornia medianUS average
Overall star rating1433.0
Health citations, 3 cycles95354428.7
Citations per 100 beds39.634.251.126.8
Total nurse hours per resident day4.24.24.23.9
RN hours per resident day0.60.60.50.7
Nursing staff turnover36.5%37.5%36.4%45.8%
Fines listed$46,495$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

Cycle 1 (latest)37
Cycle 223
Cycle 335

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2025, 16 Jun 2022.

Severity mix: J ×2 G ×3 D ×79 E ×9 F ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation7 Jul 2026
16 Jun 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation7 Jul 2026
16 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation7 Jul 2026
16 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation7 Jul 2026
4 Jun 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint investigation3 Jul 2026
4 Jun 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation3 Jul 2026
4 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Jul 2026
4 Jun 2026F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DComplaint investigation3 Jul 2026
20 May 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint investigation19 Jun 2026
16 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation16 May 2026
10 Mar 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation2 Apr 2026
4 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Mar 2026
23 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation22 Feb 2026
23 Jan 2026F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint investigation22 Feb 2026
23 Jan 2026F0610Respond appropriately to all alleged violations.DComplaint investigation22 Feb 2026
23 Jan 2026F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint investigation22 Feb 2026
23 Jan 2026F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation22 Feb 2026
23 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation22 Feb 2026
2 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation12 Dec 2025
2 Dec 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation12 Dec 2025
18 Sep 2025F0761Ensure 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.DComplaint investigation30 Sep 2025
14 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigationDeficient, Provider has no plan of correction
14 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigationDeficient, Provider has no plan of correction
3 Jun 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation27 Jun 2025
15 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation9 Jun 2025
15 May 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation9 Jun 2025
19 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 Apr 2025
27 Feb 2025F0761Ensure 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.EStandard survey27 Mar 2025
27 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey27 Mar 2025
27 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Mar 2025
27 Feb 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard survey27 Mar 2025
27 Feb 2025F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey27 Mar 2025
27 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 Mar 2025
27 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey27 Mar 2025
27 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey27 Mar 2025
27 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey27 Mar 2025
27 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey27 Mar 2025
27 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey27 Mar 2025
27 Feb 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey27 Mar 2025
27 Feb 2025F0758Implement 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.DStandard survey27 Mar 2025
27 Feb 2025F0760Ensure that residents are free from significant medication errors.DStandard survey27 Mar 2025
27 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey27 Mar 2025
27 Feb 2025F0908Keep all essential equipment working safely.DStandard survey27 Mar 2025
24 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation14 Feb 2025
5 Sep 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation4 Oct 2024
17 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation31 Jul 2024
17 Jul 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation31 Jul 2024
28 May 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation26 Jun 2024
1 May 2024F0761Ensure 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.DComplaint investigation31 May 2024
20 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Mar 2024
9 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 Feb 2024
28 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Jan 2024
28 Dec 2023F0610Respond appropriately to all alleged violations.DComplaint investigation15 Jan 2024
30 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Nov 2023
5 Oct 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation23 Oct 2023
5 Oct 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation23 Oct 2023
5 Oct 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation23 Oct 2023
28 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation11 Sep 2023
10 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation7 Sep 2023
10 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation7 Sep 2023
10 Aug 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation7 Sep 2023
10 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation7 Sep 2023
10 Aug 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint investigation7 Sep 2023
16 Jun 2022F0880Provide and implement an infection prevention and control program.EStandard survey23 Aug 2022
16 Jun 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 Aug 2022
16 Jun 2022F0578Honor 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.DStandard survey23 Aug 2022
16 Jun 2022F0641Ensure each resident receives an accurate assessment.DStandard survey23 Aug 2022
16 Jun 2022F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey23 Aug 2022
16 Jun 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey23 Aug 2022
16 Jun 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey23 Aug 2022
16 Jun 2022F0693Ensure 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.DStandard survey23 Aug 2022
16 Jun 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey23 Aug 2022
16 Jun 2022F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey23 Aug 2022
16 Jun 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey23 Aug 2022
16 Jun 2022F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard survey23 Aug 2022
16 Jun 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey23 Aug 2022
16 Jun 2022F0886Perform COVID19 testing on residents and staff.DStandard survey23 Aug 2022
16 Jun 2022F0887Educate 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.DStandard survey23 Aug 2022
23 May 2019F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey23 Jun 2019
23 May 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Jun 2019
23 May 2019F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey23 Jun 2019
23 May 2019F0578Honor 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.DStandard survey23 Jun 2019
23 May 2019F0584Honor 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.DStandard survey23 Jun 2019
23 May 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 Jun 2019
23 May 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey23 Jun 2019
23 May 2019F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey23 Jun 2019
23 May 2019F0688Provide 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.DStandard survey23 Jun 2019
23 May 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey23 Jun 2019
23 May 2019F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey23 Jun 2019
23 May 2019F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey23 Jun 2019
23 May 2019F0761Ensure 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.DStandard survey23 Jun 2019
23 May 2019F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard survey23 Jun 2019
23 May 2019F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey23 Jun 2019
23 May 2019F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey23 Jun 2019
23 May 2019F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey23 Jun 2019

Penalties

DateTypeAmountDetail
23 Jan 2026Payment denial—5 days
23 Jan 2026Fine$35,282
17 Jul 2024Fine$11,213

Staffing

Total nursing4.16 h
Nurse aides2.5 h
LPN1.08 h
RN0.58 h
Weekend total3.92 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 36.5%, RNs 40.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.5%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.5%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.7%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.2%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.3%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.3%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: Pepperbush Holdings Llc. 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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Arbor Hills Nursing CenterLa Mesa1005433737.0$13K12 Feb 2026
Arroyo Vista Nursing CenterSan Diego535432649.1—29 Jan 2026
Bayshire Torrey Pines Post-AcuteSan Diego4554350111.1$87K25 Mar 2026
Bradley CourtEl Cajon565551933.9—13 Mar 2025
Carlsbad By the SeaCarlsbad33555824.2—25 Mar 2026
Escondido Post AcuteEscondido1805434223.3—1 Apr 2026
Friendship Manor Nursing & Rehab CenterNational City1045542927.9$297K24 Jul 2025
GlenbrookCarlsbad945452425.5$9K19 Sep 2025

All 83 facilities in San Diego County

Questions and answers

How many deficiencies has San Diego Post-Acute Center been cited for?

95 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has San Diego Post-Acute Center been fined?

Yes. CMS lists fines totalling $46K in the period covered, plus 1 payment denial.

How does staffing at San Diego Post-Acute Center compare?

Reported total nurse staffing is 4.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates San Diego Post-Acute 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 San Diego Post-Acute Center last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 27 Feb 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.