UNIVERSITY CARE CENTER

CCN 055328 · BIRCH HOLDINGS LLC · San Diego · CA · For profit - Corporation · PACS GROUP chain · 87 certified beds


UNIVERSITY CARE CENTER, in SAN DIEGO, California, holds 87 certified beds and has been certified for Medicare and Medicaid since 1967-01-10, averaging 79.5 residents a day.

Has UNIVERSITY CARE CENTER been cited for violations?

CMS lists 42 health-inspection deficiencies for UNIVERSITY CARE CENTER since 2019-08-23, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-08-04.

Survey dateTagDeficiencySeverity
2025-08-04F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-05-07F0812, F0842, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-05-07F0658, F0686, F0693Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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.D
2025-05-07F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2025-01-28F0656, F0755Develop 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.D
2024-11-13F0726, F0880Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide and implement an infection prevention and control program.D
2024-07-01F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-06-19F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-03-19F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2023-12-04F0656, F0697Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate pain management for a resident who requires such services.D
2023-10-25F0656, F0695Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed.D
2023-09-11F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2023-08-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-02-17F0656, F0755, F0812, F0867Develop 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2023-02-17F0622, F0623, F0657, F0661, F0679, F0685, F0695, F0757, F0758, F0761, F0841, F0842, F0880Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / 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 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. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2023-02-17F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2019-08-23F0550, F0812Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2019-08-23F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B

How is UNIVERSITY CARE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.042774.51570
Total nursing staff turnover (%)36.436.7
Average number of residents per day79.587.9

Who owns UNIVERSITY CARE CENTER, and what chain is it in?

UNIVERSITY CARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name BIRCH HOLDINGS LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
CONTRACTED MANAGING EMPLOYEEAFSHAR, POUYAsince 11/30/2023
W-2 MANAGING EMPLOYEEDAY, MATTHEWsince 06/24/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at UNIVERSITY CARE CENTER?