Starfile / California

SAN DIEGO POST-ACUTE CENTER

1201 SOUTH ORANGE AVE., EL CAJON, CA 92020 · CCN 555659

Abuse icon

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$11,213

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (93)3 actual harm

1. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2026-01-23 · Health

   Potential for more than minimal harm

2. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-23 · Health

   Actual harm

3. DF0610Respond appropriately to all alleged violations.2026-01-23 · Health

   Potential for more than minimal harm

4. DF0742Provide 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.2026-01-23 · Health

   Potential for more than minimal harm

5. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2026-01-23 · Health

   Potential for more than minimal harm

6. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-23 · Health

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-02 · Health · corrected 2025-12-12

   Potential for more than minimal harm

8. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-02 · Health · corrected 2025-12-12

   Potential for more than minimal harm

9. DF0761Ensure 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.2025-09-18 · Health · corrected 2025-09-30

   Potential for more than minimal harm

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-14 · Health

    Potential for more than minimal harm

11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-14 · Health

    Potential for more than minimal harm

12. DF0880Provide and implement an infection prevention and control program.2025-06-03 · Health · corrected 2025-06-27

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-15 · Health · corrected 2025-06-09

    Potential for more than minimal harm

14. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-05-15 · Health · corrected 2025-06-09

    Potential for more than minimal harm

15. DF0610Respond appropriately to all alleged violations.2025-03-19 · Health · corrected 2025-04-16

    Potential for more than minimal harm

16. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

18. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

19. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

22. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

23. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

24. DF0758Implement 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.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

25. DF0760Ensure that residents are free from significant medication errors.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

26. EF0761Ensure 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.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

27. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

29. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

30. DF0880Provide and implement an infection prevention and control program.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

31. DF0908Keep all essential equipment working safely.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

32. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-24 · Health · corrected 2025-02-14

    Potential for more than minimal harm

33. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-05 · Health · corrected 2024-10-04

    Potential for more than minimal harm

34. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-17 · Health · corrected 2024-07-31

    Potential for more than minimal harm

35. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-17 · Health · corrected 2024-07-31

    Actual harm

36. DF0583Keep residents' personal and medical records private and confidential.2024-05-28 · Health · corrected 2024-06-26

    Potential for more than minimal harm

37. DF0761Ensure 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.2024-05-01 · Health · corrected 2024-05-31

    Potential for more than minimal harm

38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-20 · Health · corrected 2024-03-12

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-09 · Health · corrected 2024-02-22

    Potential for more than minimal harm

40. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-28 · Health · corrected 2024-01-15

    Potential for more than minimal harm

41. DF0610Respond appropriately to all alleged violations.2023-12-28 · Health · corrected 2024-01-15

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-30 · Health · corrected 2023-11-10

    Potential for more than minimal harm

43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-05 · Health · corrected 2023-10-23

    Potential for more than minimal harm

44. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-10-05 · Health · corrected 2023-10-23

    Potential for more than minimal harm

45. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-05 · Health · corrected 2023-10-23

    Potential for more than minimal harm

46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

47. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-10 · Health · corrected 2023-09-07

    Potential for more than minimal harm

48. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-10 · Health · corrected 2023-09-07

    Potential for more than minimal harm

49. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-10 · Health · corrected 2023-09-07

    Potential for more than minimal harm

50. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-10 · Health · corrected 2023-09-07

    Potential for more than minimal harm

51. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-10 · Health · corrected 2023-09-07

    Potential for more than minimal harm

52. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-06-30 · Health · corrected 2023-07-14

    Potential for more than minimal harm

53. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-27 · Health · corrected 2023-07-12

    Potential for more than minimal harm

54. DF0610Respond appropriately to all alleged violations.2023-03-16 · Health · corrected 2023-04-07

    Potential for more than minimal harm

55. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-16 · Health · corrected 2023-04-07

    Potential for more than minimal harm

56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-16 · Health · corrected 2023-04-07

    Potential for more than minimal harm

57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-16 · Health · corrected 2023-04-07

    Potential for more than minimal harm

58. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-14 · Health · corrected 2023-04-14

    Potential for more than minimal harm

59. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-14 · Health · corrected 2023-04-14

    Potential for more than minimal harm

60. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-14 · Health · corrected 2023-04-14

    Actual harm

61. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-14 · Health · corrected 2023-04-14

    Potential for more than minimal harm

62. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

63. DF0578Honor 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.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

64. DF0641Ensure each resident receives an accurate assessment.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

65. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

66. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

67. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

68. DF0693Ensure 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.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

69. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

70. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

71. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

72. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

73. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

74. EF0880Provide and implement an infection prevention and control program.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

75. DF0886Perform COVID19 testing on residents and staff.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

76. DF0887Educate 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.2022-06-16 · Health · corrected 2022-08-23

    Potential for more than minimal harm

77. DF0558Reasonably accommodate the needs and preferences of each resident.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

78. DF0578Honor 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.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

79. DF0584Honor 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.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

80. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

81. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

82. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

83. DF0688Provide 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.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

85. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

86. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

87. DF0761Ensure 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.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

88. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

89. EF0809Ensure 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.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

90. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

91. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

92. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

93. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2019-05-23 · Health · corrected 2019-06-23

    Potential for more than minimal harm

Ownership

Other facilities in EL CAJON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.