San Diego Post-Acute Center
1201 South Orange Ave. · El Cajon, CA · 92020 · 6194411988
240 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $46,495 in fines in the last 24 months.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.89 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 2 · $46,495 |
Inspection citations (88 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
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 May 16, 2026 · Quality of Life and Care
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Potential for harm · D March 10, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 2, 2026 · Pharmacy Service
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Potential for harm · D March 4, 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 20, 2026 · Pharmacy Service
-
Actual harm · G January 23, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2026 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 22, 2026 · Resident Rights
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Potential for harm · D January 23, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2026 · found via complaint
Provide 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.
Corrected February 22, 2026 · Quality of Life and Care
-
Potential for harm · D January 23, 2026 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected February 22, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 22, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 2, 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 December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 2, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 18, 2025 · found via complaint
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.
Corrected September 30, 2025 · Pharmacy Service
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Potential for harm · D July 14, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D July 14, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D June 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 27, 2025 · Infection Control
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Potential for harm · F May 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · F May 15, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 9, 2025 · Environmental
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Potential for harm · D March 19, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2025
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected March 27, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
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 March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 27, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 23, 2026 | Fine | $35,282 |
| January 23, 2026 | Payment Denial | 5 days |
| July 17, 2024 | Fine | $11,213 |
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 555659 · certified since March 19, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.