SAN DIEGO POST-ACUTE CENTER

CMS abuse icon · San Diego · CA · For profit - Limited Liability company · PACS GROUP chain · 240 certified beds · CCN 555659 · PEPPERBUSH HOLDINGS LLC


SAN DIEGO POST-ACUTE CENTER operates 240 certified beds in EL CAJON, California. Its Medicare and Medicaid certification dates to 1996-03-19. It averages 228.3 residents a day.

What harm was found in the violations cited at SAN DIEGO POST-ACUTE CENTER?

CMS lists 95 health-inspection deficiencies for SAN DIEGO POST-ACUTE CENTER since 2019-05-23, 63 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-16.

Survey dateTagDeficiencySeverity
2026-06-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2026-06-16F0607, F0609, F0610Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2026-06-04F0726Ensure 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
2026-06-04F0880Provide and implement an infection prevention and control program.E
2026-06-04F0755, F0838Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 and weekends) and emergencies.D
2026-05-20F0726Ensure 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
2026-04-16F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-03-10F0760Ensure that residents are free from significant medication errors.D
2026-03-04F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-01-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2026-01-23F0559, F0610, F0742, F0744, F0842Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Respond appropriately to all alleged violations. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-12-02F0656, F0657Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-09-18F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2025-07-14F0677, F0686Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-06-03F0880Provide and implement an infection prevention and control program.D
2025-05-15F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-03-19F0610Respond appropriately to all alleged violations.D
2025-02-27F0761, F0804, F0812, F0865Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2025-02-27F0622, F0656, F0658, F0677, F0689, F0690, F0695, F0757, F0758, F0760, F0880, F0908Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.D
2025-01-24F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-09-05F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2024-07-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-07-17F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2024-05-28F0583Keep residents' personal and medical records private and confidential.D
2024-05-01F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2024-02-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-02-09F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-12-28F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2023-10-30F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-10-05F0657, F0710, F0755Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-08-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-08-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-08-10F0600, F0607, F0842, F0867Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D
2022-06-16F0880Provide and implement an infection prevention and control program.E
2022-06-16F0550, F0578, F0641, F0676, F0677, F0689, F0693, F0695, F0697, F0698, F0802, F0812, F0886, F0887Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure each resident receives an accurate assessment. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Perform COVID19 testing on residents and staff. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2019-05-23F0809, F0812Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2019-05-23F0558, F0578, F0584, F0656, F0684, F0686, F0688, F0689, F0725, F0744, F0761, F0802, F0813, F0849, F0919Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Make sure that a working call system is available in each resident's bathroom and bathing area.D

Why was SAN DIEGO POST-ACUTE CENTER fined 2 times?

DateTypeAmount
2026-01-23Fine$35,282
2024-07-17Fine$11,213

Has SAN DIEGO POST-ACUTE CENTER had payment denied by Medicare?

Payment denial startLength in days
2026-02-175

How is SAN DIEGO POST-ACUTE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.163434.51570
Total nursing staff turnover (%)36.536.7
Average number of residents per day228.387.9

Who owns SAN DIEGO POST-ACUTE CENTER, and what chain is it in?

SAN DIEGO POST-ACUTE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name PEPPERBUSH HOLDINGS LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
CONTRACTED MANAGING EMPLOYEEMICHLIN, BERNARDsince 12/01/2022
W-2 MANAGING EMPLOYEEJENKINS, WILLIAMsince 01/15/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at SAN DIEGO POST-ACUTE CENTER?