St. Pauls Health Care Center
St. Pauls Health Care Center is a 59-bed nursing home in SAN DIEGO, California. CMS has certified it for Medicare and Medicaid since 1991-09-25. It averages 53.4 residents a day.
What harm was found in the violations cited at St. Pauls Health Care Center?
CMS lists 58 health-inspection deficiencies for St. Pauls Health Care Center since 2019-03-29, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-11 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2026-05-11 | F0656, F0684 | 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. | D |
| 2026-02-07 | F0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2026-02-07 | F0550, F0677 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-12-09 | F0584 | 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. | D |
| 2025-09-04 | F0600, F0726 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. | D |
| 2025-06-26 | F0565, F0605, F0656, F0755, F0756, F0757, F0761, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 and implement an infection prevention and control program. | E |
| 2025-06-26 | F0552, F0557, F0628, F0659, F0686, F0688, F0689, F0759, F0812, F0865 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide care by qualified persons according to each resident's written plan of care. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. | D |
| 2025-06-10 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-06-10 | F0761 | 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. | D |
| 2025-06-03 | F0580, F0836 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D |
| 2025-05-02 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2024-06-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-04-07 | F0656, F0741, F0758, F0838, F0867, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / 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. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | E |
| 2023-04-07 | F0583, F0584, F0676, F0684, F0689, F0695, F0699, F0759, F0812 | Keep residents' personal and medical records private and confidential. / 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. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2019-03-29 | F0552, F0686, F0725, F0755, F0759, F0761, F0800, F0812, F0880, F0883 | Ensure that residents are fully informed and understand their health status, care and treatments. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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 each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was St. Pauls Health Care Center fined?
| Date | Type | Amount |
|---|---|---|
| 2026-05-11 | Fine | $44,890 |
How is St. Pauls Health Care Center staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.77721 | 4.51570 |
| Total nursing staff turnover (%) | 62.5 | 36.7 |
| Average number of residents per day | 53.4 | 87.9 |
Who owns St. Pauls Health Care Center?
St. Pauls Health Care Center is registered with CMS as Non profit - Corporation, operates under the legal business name ST PAUL'S EPISCOPAL HOME INC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | ST PAUL'S EPISCOPAL HOME INC | since 01/01/1980 |
| MANAGING CONTROL - GOVERNING BODY | LUKAS, SOPHIA | since 02/20/2023 |
| CORPORATE DIRECTOR | DEKIEFFER, KITTY, EDD, PATRICK, GREINER, PHILIP, GROSS, DAN, KELLER, MARY, MARUSIAK, DAVID, SUTTON, JACOB | since 06/23/2025 |
| CORPORATE OFFICER | ELLENICH, RONALD, LUKAS, SOPHIA, MCHALE, MICHAEL, RAJPER, SALEEM, VIEU, GEORGE | since 01/26/2026 |
| OPERATIONAL/MANAGERIAL CONTROL | ELLENICH, RONALD, LUKAS, SOPHIA, MCHALE, MICHAEL, RAJPER, SALEEM, VIEU, GEORGE | since 01/26/2026 |
| TRUSTEE OF THE SNF | DEKIEFFER, KITTY, EDD, PATRICK, GREINER, PHILIP, GROSS, DAN, KELLER, MARY, MARUSIAK, DAVID, SUTTON, JACOB | since 06/23/2025 |
| ADP OF THE SNF | ST PAUL'S EPISCOPAL HOME INC, ELLENICH, RONALD, LUKAS, SOPHIA, MCHALE, MICHAEL, RAJPER, SALEEM, VIEU, GEORGE | since 01/01/1980 |
Were you or a family member harmed at St. Pauls Health Care Center?