STILLWATER POST-ACUTE
510 E. WASHINGTON AVENUE, EL CAJON, CA 92020 · CCN 555076
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 256
- Avg residents/day
- 244.0
- Phone
- 6194401211
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 | 2025-04-18 | 21 | 15.6 | 9.5 | +5.4 worse |
| 2 | 2024-04-26 | 25 | 17.4 | 9.8 | +7.6 worse |
| 3 | 2022-06-29 | 17 | 17.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.83 | 48.4% |
| RN staffing (reported) | 0.57 | 45.0% |
| Total nurse staffing (adjusted) | 3.44 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- LINKS HEALTHCARE GROUP
- Facilities in chain
- 31
- Chain avg overall
- 2.80 / 5
Inspection citations (63)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-18 · Health · corrected 2025-05-11
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.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-18 · Health · corrected 2025-05-11
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.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2025-04-18 · Health · corrected 2025-05-11
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.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-18 · Health · corrected 2025-05-11
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.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-18 · Health · corrected 2025-05-11
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.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-18 · Health · corrected 2025-05-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-29 · Health · corrected 2025-02-20
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-02 · Health · corrected 2025-01-03
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-27 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-28 · Health · corrected 2024-11-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-03 · Health · corrected 2024-08-01
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-26 · Health · corrected 2024-05-17
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.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0699Provide care or services that was trauma informed and/or culturally competent.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0803Ensure 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.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-04-26 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-23 · Health · corrected 2024-05-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-20 · Health · corrected 2024-03-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-20 · Health · corrected 2024-03-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-18 · Health · corrected 2024-02-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-11 · Health · corrected 2024-01-25
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.2023-05-26 · Health · corrected 2023-06-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-25 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- 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.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0809Ensure 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.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LINKS HEALTHCARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-01 |
| RODRIGUEZ, CURTIS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47% | 2024-02-01 |
| TILFORD, TOBY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47% | 2024-02-01 |
| LINKS HEALTHCARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| LINKS SUPPORT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| RODRIGUEZ, CURTIS | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| TILFORD, TOBY | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| FORBRIGHT BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2024-02-01 |
Other facilities in EL CAJON
| Name | Overall | Beds |
|---|---|---|
| BRADLEY COURT | ★★★★★ | 56 |
| PARKSIDE HEALTH AND WELLNESS CENTER | ★★★★★ | 52 |
| VICTORIA POST ACUTE CARE | ★★★★☆ | 120 |
| THE ROYAL HOME | ★★★★☆ | 19 |
| MAGNOLIA POST ACUTE CARE | ★★★☆☆ | 99 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.