Golden Hill Post Acute
1201 34th St. · San Diego, CA · 92102 · 6192322946
99 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 6, 2026 · Resident Rights
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Potential for harm · D April 22, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 6, 2026 · Resident Assessment and Care Planning
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Actual harm · G April 2, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D April 2, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · D February 19, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 13, 2026 · Pharmacy Service
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Potential for harm · D August 28, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 27, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide activities to meet all resident's needs.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure 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.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · E August 28, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 27, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 27, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 27, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 27, 2025 · Nutrition and Dietary
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Potential for harm · D August 28, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 2, 2023 · found via complaint
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.
Corrected June 30, 2023 · Administration
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Potential for harm · D October 21, 2021
Honor 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.
Corrected November 19, 2021 · Resident Rights
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Potential for harm · D October 21, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2021 · Resident Assessment and Care Planning
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Potential for harm · D October 21, 2021
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 November 19, 2021 · Quality of Life and Care
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Potential for harm · D October 21, 2021
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.
Corrected November 19, 2021 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 19, 2026 | Payment Denial | 5 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056182 · certified since August 22, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.