California › San Diego County › El Cajon
Stillwater Post-Acute
510 E. Washington Avenue, El Cajon, CA 92020
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.
Stillwater Post-Acute, in El Cajon, California, is certified for 256 beds under for-profit, limited liability company ownership and belongs to the Links Healthcare Group chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 62 health deficiencies across the three most recent survey cycles (21, 22, 19 by cycle, most recent first), none at the actual-harm level. That is 24.2 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 4.0 hours per resident per day (0.7 RN), close to the California median of 4.2; nursing staff turnover is 44.0%.
Compared with county, state and nation
| Measure | This facility | San Diego Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 62 | 35 | 44 | 28.7 |
| Citations per 100 beds | 24.2 | 34.2 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 44.0% | 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: 18 Apr 2025, 26 Apr 2024.
Severity mix: D ×46 E ×14 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 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 | 11 Apr 2026 |
| 18 Apr 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 | 11 May 2025 |
| 18 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 May 2025 |
| 18 Apr 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 | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 11 May 2025 |
| 18 Apr 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 | 11 May 2025 |
| 18 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 11 May 2025 |
| 18 Apr 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 | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 11 May 2025 |
| 18 Apr 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 11 May 2025 |
| 3 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Apr 2025 |
| 29 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Feb 2025 |
| 2 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 3 Jan 2025 |
| 27 Dec 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 24 Jan 2025 |
| 28 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 26 Nov 2024 |
| 3 Jul 2024 | 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 | 1 Aug 2024 |
| 26 Apr 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 17 May 2024 |
| 26 Apr 2024 | 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 | 17 May 2024 |
| 26 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 17 May 2024 |
| 26 Apr 2024 | 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 | 17 May 2024 |
| 26 Apr 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 17 May 2024 |
| 26 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 May 2024 |
| 23 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 May 2024 |
| 20 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Mar 2024 |
| 20 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 Mar 2024 |
| 18 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Feb 2024 |
| 11 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 25 Jan 2024 |
| 29 Jun 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0732 | Post nurse staffing information every day. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 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 | 18 Jul 2022 |
| 29 Jun 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0809 | Ensure 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. | D | Standard survey | 18 Jul 2022 |
| 29 Jun 2022 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 18 Jul 2022 |
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 44.0%, RNs 40.0%; 0 administrators 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 | 5.5% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 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: San Diego Bay Holdings Llc. Chain: Links Healthcare Group (32 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Forbright Bank | 5% or greater security interest | NOT APPLICABLE | 02/01/2024 |
| Links Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| Links Support Services, LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| Links Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 06/17/2025 |
| Links Support Services, LLC | Adp of the snf | NOT APPLICABLE | 06/17/2025 |
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 Stillwater Post-Acute been cited for?
62 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Stillwater Post-Acute been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Stillwater Post-Acute compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Stillwater Post-Acute?
It is part of the Links Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Links Healthcare Group LLC and Links Support Services, LLC. Individual owners and managers are not listed on this site.
When was Stillwater Post-Acute last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 18 Apr 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.