Starfile / California

THE PAVILION AT OCEAN POINT

3202 DUKE STREET, SAN DIEGO, CA 92110 · CCN 055322

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

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

PACIFIC HEALTHCARE HOLDINGS

Facilities in chain

15

Chain avg overall

2.30 / 5

Inspection citations (86)

1. DF0641Ensure each resident receives an accurate assessment.2025-09-17 · Health · corrected 2025-10-08

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-31 · Health · corrected 2025-08-29

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-31 · Health · corrected 2025-08-29

   Potential for more than minimal harm

5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-24 · Health · corrected 2025-07-17

   Potential for more than minimal harm

6. DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-24 · Health · corrected 2025-07-17

   Potential for more than minimal harm

7. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-15 · Health · corrected 2025-04-20

   Potential for more than minimal harm

8. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-24 · Health · corrected 2024-11-21

   Potential for more than minimal harm

9. 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.2024-10-24 · Health · corrected 2024-11-21

   Potential for more than minimal harm

10. 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.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

11. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

12. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

13. DF0641Ensure each resident receives an accurate assessment.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

14. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

18. 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.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

19. DF0759Ensure medication error rates are not 5 percent or greater.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

20. 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.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

21. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

22. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

23. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

24. EF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

25. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-10-24 · Health · corrected 2024-11-21

    Potential for more than minimal harm

26. DF0880Provide and implement an infection prevention and control program.2024-10-10 · Health · corrected 2024-10-29

    Potential for more than minimal harm

27. EF0584Honor 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.2024-09-24 · Health · corrected 2024-10-03

    Potential for more than minimal harm

28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-24 · Health · corrected 2024-10-03

    Potential for more than minimal harm

29. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-24 · Health · corrected 2024-10-03

    Potential for more than minimal harm

30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-24 · Health · corrected 2024-10-03

    Potential for more than minimal harm

31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-24 · Health · corrected 2024-10-03

    Potential for more than minimal harm

32. 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.2024-09-24 · Health · corrected 2024-10-03

    Potential for more than minimal harm

33. DF0583Keep residents' personal and medical records private and confidential.2024-09-04 · Health · corrected 2024-09-26

    Potential for more than minimal harm

34. DF0760Ensure that residents are free from significant medication errors.2024-08-02 · Health · corrected 2024-09-05

    Potential for more than minimal harm

35. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-17 · Health · corrected 2024-07-15

    Potential for more than minimal harm

36. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-05-21 · Health · corrected 2024-06-18

    Potential for more than minimal harm

37. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-18 · Health · corrected 2024-05-15

    Potential for more than minimal harm

38. DF0760Ensure that residents are free from significant medication errors.2024-01-25 · Health · corrected 2024-02-23

    Potential for more than minimal harm

39. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-21 · Health · corrected 2024-01-12

    Potential for more than minimal harm

40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-21 · Health · corrected 2024-01-12

    Potential for more than minimal harm

41. DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-26 · Health · corrected 2023-12-05

    Potential for more than minimal harm

42. 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.2023-10-26 · Health · corrected 2023-12-05

    Potential for more than minimal harm

43. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-26 · Health · corrected 2023-12-05

    Potential for more than minimal harm

44. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-10-26 · Health · corrected 2023-12-05

    Potential for more than minimal harm

45. 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.2023-10-26 · Health · corrected 2023-12-05

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2023-10-26 · Health · corrected 2023-12-05

    Potential for more than minimal harm

47. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-02 · Health · corrected 2023-10-22

    Potential for more than minimal harm

48. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-24 · Health · corrected 2023-10-11

    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.2023-09-24 · Health · corrected 2023-10-11

    Potential for more than minimal harm

50. EF0880Provide and implement an infection prevention and control program.2023-09-24 · Health · corrected 2023-10-11

    Potential for more than minimal harm

51. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-09-18 · Health · corrected 2023-10-09

    Potential for more than minimal harm

52. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-09-14 · Health · corrected 2023-10-11

    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.2023-09-14 · Health · corrected 2023-10-11

    Potential for more than minimal harm

54. 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.2023-09-14 · Health · corrected 2023-10-11

    Potential for more than minimal harm

55. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-08-04 · Health · corrected 2023-08-21

    Potential for more than minimal harm

56. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-03 · Health · corrected 2023-08-31

    Potential for more than minimal harm

57. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-01 · Health · corrected 2023-08-31

    Potential for more than minimal harm

58. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-19 · Health · corrected 2023-07-19

    Potential for more than minimal harm

59. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-19 · Health · corrected 2023-07-19

    Potential for more than minimal harm

60. DF0880Provide and implement an infection prevention and control program.2023-06-19 · Health · corrected 2023-07-19

    Potential for more than minimal harm

61. 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.2023-04-21 · Health · corrected 2023-05-16

    Potential for more than minimal harm

62. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-12 · Health · corrected 2023-04-30

    Potential for more than minimal harm

63. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-22 · Health · corrected 2023-03-28

    Potential for more than minimal harm

64. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

65. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

66. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

67. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

68. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

69. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

70. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

71. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

72. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

73. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

74. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

75. 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.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

76. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

77. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

78. DF0732Post nurse staffing information every day.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

79. EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

80. 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.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

81. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

82. 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.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

83. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

84. DF0838Conduct 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.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

85. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

86. DF0908Keep all essential equipment working safely.2022-10-19 · Health · corrected 2022-11-19

    Potential for more than minimal harm

Ownership

Other facilities in SAN DIEGO

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