Nursing HomeInspections

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
49
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 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 12, 2026. CMS lists 59 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 7, 2023 to Aug 12, 2026): 17 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.

InspectionCitationSeverity
Aug 12, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide 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
Aug 12, 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
D
Potential for more than minimal harm, isolated
Aug 12, 2026Develop 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 12, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 12, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Aug 12, 2026Post nurse staffing information every day.
Nursing and Physician Services
F
Potential for more than minimal harm, widespread
Aug 12, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
May 11, 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

Showing the 12 most recent of 59. 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 Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $29,179 in the last three years.

May 11, 2026Fine: $29,179

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

Staffing

Total nurse staffing per resident per day
5.16 hours
Registered nurse (RN) time per resident per day
1.13 hours
Nurse aide time per resident per day
3.07 hours
Total nurse staffing on weekends
4.50 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
50%

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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