Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

September 4, 2025 Complaint Investigation

Fines and Penalties by Year

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Health Violations by Year

2025 1 violations

Tag 0760 D May 2, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: May 18, 2025

2024 1 violations

Tag 0689 E Jun 20, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 20, 2024

2023 16 violations

Tag 0583 D Apr 7, 2023

Keep residents' personal and medical records private and confidential.

✓ Corrected: May 5, 2023
Tag 0584 D Apr 7, 2023

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.

✓ Corrected: May 5, 2023
Tag 0656 E Apr 7, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 5, 2023
Tag 0676 D Apr 7, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: May 5, 2023
Tag 0684 D Apr 7, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 5, 2023
Tag 0689 D Apr 7, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 5, 2023
Tag 0695 D Apr 7, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 5, 2023
Tag 0699 D Apr 7, 2023

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: May 5, 2023
Tag 0741 E Apr 7, 2023

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

✓ Corrected: May 5, 2023
Tag 0758 E Apr 7, 2023

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.

✓ Corrected: May 5, 2023
Tag 0759 D Apr 7, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 5, 2023
Tag 0812 D Apr 7, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 5, 2023
Tag 0838 E Apr 7, 2023

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: May 5, 2023
Tag 0867 E Apr 7, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: May 5, 2023
Tag 0880 E Apr 7, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: May 5, 2023
Tag 0684 D Mar 7, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 23, 2023

2022 1 violations

Tag 0880 D May 10, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 1, 2022

2021 2 violations

Tag 0684 E Nov 12, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 21, 2021
Tag 0657 D Jul 6, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 2, 2021

2019 12 violations

Tag 0607 D Apr 2, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Apr 30, 2019
Tag 0609 D Apr 2, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 30, 2019
Tag 0552 D Mar 29, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: May 17, 2019
Tag 0686 D Mar 29, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 17, 2019
Tag 0725 D Mar 29, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: May 17, 2019
Tag 0755 D Mar 29, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 17, 2019
Tag 0759 D Mar 29, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 17, 2019
Tag 0761 D Mar 29, 2019

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.

✓ Corrected: May 17, 2019
Tag 0800 D Mar 29, 2019

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

✓ Corrected: May 17, 2019
Tag 0812 D Mar 29, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 17, 2019
Tag 0880 D Mar 29, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: May 17, 2019
Tag 0883 D Mar 29, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: May 17, 2019

2018 15 violations

Tag 0689 D Jul 30, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 2, 2018
Tag 0655 D Jul 23, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Aug 2, 2018
Tag 0689 D Jul 23, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 2, 2018
Tag 0550 D Apr 19, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 17, 2018
Tag 0635 D Apr 19, 2018

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

✓ Corrected: May 17, 2018
Tag 0655 D Apr 19, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 17, 2018
Tag 0657 D Apr 19, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 17, 2018
Tag 0688 D Apr 19, 2018

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.

✓ Corrected: May 17, 2018
Tag 0755 D Apr 19, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 17, 2018
Tag 0758 D Apr 19, 2018

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.

✓ Corrected: May 17, 2018
Tag 0761 D Apr 19, 2018

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.

✓ Corrected: May 17, 2018
Tag 0806 D Apr 19, 2018

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: May 17, 2018
Tag 0808 D Apr 19, 2018

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: May 17, 2018
Tag 0812 D Apr 19, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 17, 2018
Tag 0849 D Apr 19, 2018

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.

✓ Corrected: May 17, 2018

2017 9 violations

Tag 0157 D Apr 5, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 26, 2017
Tag 0279 D Apr 5, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 25, 2017
Tag 0281 D Apr 5, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 26, 2017
Tag 0274 D Jan 23, 2017

Review or revise the resident's care plan after any major change in physical or mental health.

✓ Corrected: Feb 15, 2017
Tag 0278 D Jan 23, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Feb 15, 2017
Tag 0279 D Jan 23, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 15, 2017
Tag 0371 F Jan 23, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Feb 15, 2017
Tag 0431 D Jan 23, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Feb 15, 2017
Tag 0441 D Jan 23, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Feb 15, 2017
🏥 Facility Summary

ST. PAULS HEALTH CARE CENTER is a 2-star nursing home in SAN DIEGO, CA with 59 beds.

Most recent inspection: Data not available. No current violations on record.

📞 6192398687
📍 235 NUTMEG STREET, SAN DIEGO, CA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About ST. PAULS HEALTH CARE CENTER

What violations has ST. PAULS HEALTH CARE CENTER received?
ST. PAULS HEALTH CARE CENTER has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of ST. PAULS HEALTH CARE CENTER?
ST. PAULS HEALTH CARE CENTER has a 2-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was ST. PAULS HEALTH CARE CENTER last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is ST. PAULS HEALTH CARE CENTER safe?
Safety at ST. PAULS HEALTH CARE CENTER should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact ST. PAULS HEALTH CARE CENTER?
Phone: 6192398687. Address: 235 NUTMEG STREET, SAN DIEGO, CA. For visiting hours and admission information, call the facility directly.
What services does ST. PAULS HEALTH CARE CENTER offer?
ST. PAULS HEALTH CARE CENTER is a skilled nursing facility with 59 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near SAN DIEGO, CA?
Compare ST. PAULS HEALTH CARE CENTER with other nursing homes in SAN DIEGO, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.