St. Pauls Health Care CenterCMS ratings, inspections and fines
- Address
- 235 Nutmeg Street, San Diego, CA 92103
- CCN
- 555144
- Ownership type
- Non-profit, corporation
- Certified beds
- 59
- Chain
- None in the CMS record
- Residents per day
- 53
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives St. Pauls Health Care Center an overall rating of 2 of 5 stars. The last standard survey was on 26 Jun 2025. The latest survey cycle has 27 health citations. The median for nursing homes in California is 14. CMS lists 1 fine of $44,890 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | San Diego County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 83 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Jun 2025 | 27 | 14 |
| Cycle 2 | 7 Apr 2023 | 20 | 14 |
| Cycle 3 | No date | 11 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 27 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 9 Jun 2026 |
| 11 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 9 Jun 2026 |
| 11 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jun 2026 |
| 7 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Mar 2026 |
| 7 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Mar 2026 |
| 7 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 6 Mar 2026 |
| 9 Dec 2025 | 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. | D | Complaint investigation | 19 Dec 2025 |
| 4 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 4 Oct 2025 |
| 4 Sep 2025 | F0726 | 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. | D | Complaint investigation | 4 Oct 2025 |
| 26 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | 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. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0761 | 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. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Jul 2025 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 3 Jul 2025 |
| 10 Jun 2025 | F0761 | 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. | D | Complaint investigation | 3 Jul 2025 |
| 3 Jun 2025 | 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 | 3 Jul 2025 |
| 3 Jun 2025 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Complaint investigation | 3 Jul 2025 |
| 2 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 18 May 2025 |
| 7 Apr 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | 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. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Standard survey | 5 May 2023 |
| 7 Apr 2023 | 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. | E | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0838 | Conduct 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. | E | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 5 May 2023 |
| 7 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 May 2023 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 20 Jul 2024 |
| 29 Mar 2019 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 17 May 2019 |
| 29 Mar 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 May 2019 |
| 29 Mar 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0761 | 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. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 May 2019 |
| 29 Mar 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 May 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 11 May 2026 | Fine | $44,890 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 4.78 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.93 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 0.89 | 1.20 | |
| Nurse aides | 2.96 | 2.65 | |
| All nurse staff, weekends | 4.34 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 62.5%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 40.0%
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.6% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- St Paul's Episcopal Home Inc
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| St Paul's Episcopal Home Inc | 5% or greater direct ownership interest | 100% | 1 Jan 1980 |
| St Paul's Episcopal Home Inc | Adp of the snf | 1 Jan 1980 |
The site shows organisations only. It does not show the names of persons.
Other homes in San Diego County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Balboa Nursing & Rehabilitation Center | San Diego | 4 of 5 | 14 | $0 | 15 May 2025 | |
| Mission Hills Post Acute Care | San Diego | 4 of 5 | 14 | $0 | 19 Jun 2025 | |
| Hillcrest Heights Healthcare Center | San Diego | 5 of 5 | 8 | $0 | 9 Jan 2025 | |
| Golden Hill Post Acute | San Diego | 3 of 5 | 20 | $0 | 28 Aug 2025 | |
| Villa Coronado D/P SNF | Coronado | 5 of 5 | 6 | $0 | 2 May 2025 | |
| Arroyo Vista Nursing Center | San Diego | 5 of 5 | 4 | $0 | 29 Jan 2026 | |
| The Pavilion at Ocean Point | San Diego | 2 of 5 | 14 | $0 | 2 Mar 2026 | |
| The Shores Post-Acute | San Diego | 3 of 5 | 20 | $0 | 5 Dec 2024 | |
| Helen Bernardy Center D/P SNF | San Diego | 5 of 5 | 3 | $0 | 11 Mar 2026 | |
| Kearny Mesa Convalescent and Nursing Home | San Diego | 5 of 5 | 5 | $0 | 8 May 2025 | |
| Brighton Place San Diego | San Diego | 1 of 5 | 20 | $0 | 15 Jan 2025 | |
| University Care Center | San Diego | 5 of 5 | 8 | $0 | 7 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of St. Pauls Health Care Center (CCN 555144). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/st-pauls-health-care-center-san-diego-ca-555144/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was St. Pauls Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 11 May 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 7 Apr 2023.
- Who operates St. Pauls Health Care Center?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is St. Pauls Health Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.