Nursing HomeInspections

Stillwater Post-Acute

Nursing home in El Cajon, CA

Medicare & Medicaid certified2★ overall (CMS)

Call (619) 440-1211Send a messageMap ↗

Public-record details

Address
510 E. Washington Avenue, El Cajon, CA 92020
Phone
(619) 440-1211
Listed under
For-profit, No fines in 3 years
Medicare CCN
555076
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
256
Average residents per day
246
Ownership
For-profit, limited Liability company
Legal business name
San Diego Bay Holdings LLC
Chain
Links Healthcare Group (32 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 4, 1977
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555076. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 18, 2025. CMS lists 62 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2022 to Mar 19, 2026): 12 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 18, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 18, 2025Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 18, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 18, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 18, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 18, 2025Provide activities to meet all resident's needs.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2025Provide appropriate foot care.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2025Provide 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 62. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.98 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
3.79 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in El Cajon

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