STILLWATER POST-ACUTE
STILLWATER POST-ACUTE, in EL CAJON, California, holds 256 certified beds and has been certified for Medicare and Medicaid since 1977-08-04, averaging 246.1 residents a day.
Has STILLWATER POST-ACUTE been cited for violations?
CMS lists 62 health-inspection deficiencies for STILLWATER POST-ACUTE since 2022-06-29, 49 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-03-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-19 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-04-18 | F0656, F0725, F0804, F0812 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. | E |
| 2025-04-18 | F0550, F0584, F0644, F0655, F0657, F0679, F0687, F0688, F0689, F0692, F0694, F0755, F0757, F0761, F0881, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate foot care. / 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 food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Implement a program that monitors antibiotic use. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-04-03 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-01-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-01-02 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-12-27 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2024-10-28 | F0690 | 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 |
| 2024-07-03 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-04-26 | F0802, F0812 | 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. | F |
| 2024-04-26 | F0558, F0656, F0677, F0695, F0699, F0803, F0804, F0880 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2024-04-26 | F0609, F0685, F0689, F0697, F0698, F0806, F0842 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-04-23 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-03-20 | F0684, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | D |
| 2024-01-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-01-11 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2022-06-29 | F0812, F0880 | 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. | E |
| 2022-06-29 | F0636, F0658, F0684, F0692, F0697, F0698, F0732, F0758, F0804, F0809, F0881 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / 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. / Post nurse staffing information every day. / 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure 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. / Implement a program that monitors antibiotic use. | D |
How is STILLWATER POST-ACUTE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.98185 | 4.51570 |
| Total nursing staff turnover (%) | 44.0 | 36.7 |
| Average number of residents per day | 246.1 | 87.9 |
Who owns STILLWATER POST-ACUTE, and what chain is it in?
STILLWATER POST-ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name SAN DIEGO BAY HOLDINGS LLC and belongs to the LINKS HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER SECURITY INTEREST | FORBRIGHT BANK | since 02/01/2024 |
| CORPORATE OFFICER | RODRIGUEZ, CURTIS, TILFORD, TOBY | since 02/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | LINKS HEALTHCARE GROUP LLC, LINKS SUPPORT SERVICES, LLC, AFSHAR, POUYA, ASUNCION, MAYNELLE, COMRIE, MARY, FROJELIN, ANTONETTE, RODRIGUEZ, CURTIS, TILFORD, TOBY | since 02/01/2024 |
| ADP OF THE SNF | LINKS HEALTHCARE GROUP LLC, LINKS SUPPORT SERVICES, LLC, AFSHAR, POUYA, ASUNCION, MAYNELLE, COMRIE, MARY, FROJELIN, ANTONETTE, RODRIGUEZ, CURTIS, TILFORD, TOBY | since 02/01/2024 |
Were you or a family member harmed at STILLWATER POST-ACUTE?