ST. PAULS HEALTH CARE CENTER
235 NUTMEG STREET, SAN DIEGO, CA 92103 · CCN 555144
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 59
- Avg residents/day
- 54.5
- Phone
- 6192398687
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-26 | 26 | 15.6 | 9.5 | +10.4 worse |
| 2 | 2023-04-07 | 16 | 17.4 | 9.8 | -1.4 better |
| 3 | 2019-03-29 | 11 | 17.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 6 |
| Nutrition and dietary | 1 |
| Pharmacy service | 8 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.11 | 56.0% |
| RN staffing (reported) | 0.74 | 38.5% |
| Total nurse staffing (adjusted) | 4.36 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (53)
- 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.2025-12-09 · Health · corrected 2025-12-19
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-04 · Health · corrected 2025-10-04
Potential for more than minimal harm
- 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.2025-09-04 · Health · corrected 2025-10-04
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0659Provide care by qualified persons according to each resident's written plan of care.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- 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.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- 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.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-26 · Health · corrected 2025-07-26
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-06-10 · Health · corrected 2025-07-03
Potential for more than minimal harm
- 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.2025-06-10 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-03 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0836Ensure 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.2025-06-03 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-05-02 · Health · corrected 2025-05-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- 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.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0758Implement 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.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0838Conduct 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.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-04-07 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-07 · Health · corrected 2023-03-23
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- 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.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ST PAUL'S EPISCOPAL HOME INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1980-01-01 |
| EDD, PATRICK | Individual | CORPORATE DIRECTOR | — | 2014-03-24 |
| JAMES, GLORIA | Individual | CORPORATE DIRECTOR | — | 2015-11-16 |
| TRUAX, RANDALL | Individual | CORPORATE DIRECTOR | — | 2018-03-12 |
| EDD, PATRICK | Individual | CORPORATE OFFICER | — | 2018-03-12 |
| JAMES, GLORIA | Individual | CORPORATE OFFICER | — | 2018-03-12 |
| SANNER, RANDALL | Individual | CORPORATE OFFICER | — | 2019-09-01 |
| SCHMEDING, ELLEN | Individual | CORPORATE OFFICER | — | 2017-02-14 |
| TRUAX, RANDALL | Individual | CORPORATE OFFICER | — | 2018-03-12 |
| WILSON, CHERYL | Individual | CORPORATE OFFICER | — | 2008-03-26 |
| MEPPEN, SCOTT | Individual | W-2 MANAGING EMPLOYEE | — | 2019-08-19 |
| WILSON, CHERYL | Individual | W-2 MANAGING EMPLOYEE | — | 2008-03-26 |
Other facilities in SAN DIEGO
| Name | Overall | Beds |
|---|---|---|
| KEARNY MESA CONVALESCENT AND NURSING HOME | ★★★★★ | 98 |
| UNIVERSITY CARE CENTER | ★★★★★ | 87 |
| ARROYO VISTA NURSING CENTER | ★★★★★ | 53 |
| JACOB HEALTHCARE CENTER | ★★★★★ | 128 |
| HELEN BERNARDY CENTER D/P SNF | ★★★★★ | 43 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.