San Diego Post-Acute Center
Nursing home in El Cajon, CA
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 1201 South Orange Ave., El Cajon, CA 92020
- Phone
- (619) 441-1988
- Listed under
- For-profit
- Medicare CCN
- 555659
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 240
- Average residents per day
- 228
- Ownership
- For-profit, limited Liability company
- Legal business name
- Pepperbush Holdings LLC
- Chain
- Pacs Group (274 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Mar 19, 1996
- 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
Inspection record
Most recent standard health inspection: Feb 27, 2025. CMS lists 95 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 23, 2019 to Jun 16, 2026): 47 from complaint inspections, 5 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. 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 |
|---|---|---|
| Jun 16, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| Jun 16, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Jun 16, 2026 | Respond appropriately to all alleged violations. | D |
| Jun 16, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| Jun 4, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jun 4, 2026 | Conduct 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… | D |
| Jun 4, 2026 | Provide and implement an infection prevention and control program. | E |
| Jun 4, 2026 | 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. | J |
| May 20, 2026 | 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. | J |
| Apr 16, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Mar 10, 2026 | Ensure that residents are free from significant medication errors. | D |
| Mar 4, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
Fines and payment denials
CMS records 2 fines totalling $46,495 and 1 denial of Medicare payment for new admissions in the last three years.
| Jan 23, 2026 | Fine: $35,282 |
| Jan 23, 2026 | Payment denial for 5 days from Feb 17, 2026 |
| Jul 17, 2024 | Fine: $11,213 |
Staffing
- Total nurse staffing per resident per day
- 4.16 hours
- Registered nurse (RN) time per resident per day
- 0.58 hours
- Nurse aide time per resident per day
- 2.50 hours
- Total nurse staffing on weekends
- 3.92 hours
- Nursing staff turnover (yearly)
- 37%
- RN turnover (yearly)
- 40%
- Administrators who left in the past year
- 1
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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