Nursing HomeInspections

San Diego Post-Acute Center

Nursing home in El Cajon, CA

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (619) 441-1988Send a messageMap ↗

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

CMS certification number 555659. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Jun 16, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 16, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 16, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 16, 2026Protect 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
Jun 4, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 4, 2026Conduct 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…
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 4, 2026Ensure 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
J
Immediate jeopardy, isolated
May 20, 2026Ensure 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
J
Immediate jeopardy, isolated
Apr 16, 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 10, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 4, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 95. 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 2 fines totalling $46,495 and 1 denial of Medicare payment for new admissions in the last three years.

Jan 23, 2026Fine: $35,282
Jan 23, 2026Payment denial for 5 days from Feb 17, 2026
Jul 17, 2024Fine: $11,213

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
4.16 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

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

Bradley Court675 E Bradley · El Cajon, CA 92021 · (619) 448-6633 · For-profit19 health citations in 3 inspection cycles · last standard inspection Mar 13, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Parkside Health and Wellness Center444 W Lexington · El Cajon, CA 92020 · (619) 442-7744 · For-profit12 health citations in 3 inspection cycles · last standard inspection May 30, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Victoria Post Acute Care654 S. Anza · El Cajon, CA 92020 · (619) 440-5005 · For-profit41 health citations in 3 inspection cycles · last standard inspection Jan 29, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)The Royal Home12436 Royal Road · El Cajon, CA 92021 · (619) 443-3886 · For-profit31 health citations in 3 inspection cycles · last standard inspection Dec 3, 2025 · no CMS fines in 3 yrsMedicaid-certified4★ overall (CMS)Cottonwood Canyon Healthcare Center1391 Madison Avenue · El Cajon, CA 92021 · (619) 444-1107 · For-profit58 health citations in 3 inspection cycles · last standard inspection Dec 12, 2024 · $9,110 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Magnolia Post Acute Care635 S Magnolia Ave · El Cajon, CA 92020 · (619) 442-8826 · For-profit33 health citations in 3 inspection cycles · last standard inspection Aug 29, 2025 · $117,475 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)CMS abuse iconSomerset Post Acute Care151 Claydelle Ave · El Cajon, CA 92020 · (619) 442-0245 · For-profit43 health citations in 3 inspection cycles · last standard inspection Mar 13, 2025 · $26,728 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Villa Las Palmas Healthcare Center622 South Anza Street · El Cajon, CA 92020 · (619) 442-0544 · For-profit46 health citations in 3 inspection cycles · last standard inspection May 8, 2025 · $33,732 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 12 in El Cajon →