St. Pauls Health Care Center

Nursing home in San Diego, CA

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

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Public-record details

Address: 235 Nutmeg Street, San Diego, CA 92103
Phone: (619) 239-8687
Listed under: Nonprofit
Medicare CCN: 555144
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 4 of 5
Quality measures rating: 3 of 5
Certified beds: 59
Average residents per day: 53
Ownership: Nonprofit, corporation
Legal business name: St Paul's Episcopal Home INC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Sep 25, 1991
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 555144. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 26, 2025. CMS lists 58 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 29, 2019 to May 11, 2026): 15 from complaint inspections, 1 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
May 11, 2026	Develop 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
May 11, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
May 11, 2026	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	G Actual harm, isolated
Feb 7, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Feb 7, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Feb 7, 2026	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
Dec 9, 2025	Honor 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 · complaint inspection	D Potential for more than minimal harm, isolated
Sep 4, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Sep 4, 2025	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services · complaint inspection	D Potential for more than minimal harm, isolated
Jun 26, 2025	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights	D Potential for more than minimal harm, isolated
Jun 26, 2025	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights	D Potential for more than minimal harm, isolated
Jun 26, 2025	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 58. 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 1 fine totalling $44,890 in the last three years.

May 11, 2026

Fine: $44,890

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: 4.78 hours
Registered nurse (RN) time per resident per day: 0.93 hours
Nurse aide time per resident per day: 2.96 hours
Total nurse staffing on weekends: 4.34 hours
Nursing staff turnover (yearly): 63%
RN turnover (yearly): 40%

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.

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