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EDGEMOOR HOSPITAL

Open-data reference.

EDGEMOOR HOSPITAL is a government - county facility in SANTEE, CA with 192 certified beds and a 5-star overall CMS rating. The facility has 21 deficiency records on file.

655 PARK CENTER DRIVE, SANTEE, CA 92071

Phone: 6195965500

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055008
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
192
Residents
152
In Hospital
Yes
County
San Diego
Last Inspection
Dec 4, 2025

Staffing Data

RN Hours
1.69 (nat'l avg: 0.68)
LPN Hours
0.43
CNA Hours
4.32
Total Nursing Hours
6.44 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
18.9%
RN Turnover
16.7%

What the CMS Record Reveals About EDGEMOOR HOSPITAL

EDGEMOOR HOSPITAL operates 192 certified beds in SANTEE, CA with approximately 152 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 21 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 6.44 total nursing hours per resident day (national average 3.89), with RN coverage at 1.69 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, EDGEMOOR HOSPITAL falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 18.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (21 most recent)

D — Isolated - Minimal harm Dec 4, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 9, 2026

D — Isolated - Minimal harm Dec 4, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 9, 2026

E — Pattern - Minimal harm Dec 4, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 9, 2026

D — Isolated - Minimal harm Dec 4, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 9, 2026

D — Isolated - Minimal harm Feb 5, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2025

D — Isolated - Minimal harm Sep 6, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 18, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Oct 22, 2021 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Dec 2, 2021

E — Pattern - Minimal harm Oct 22, 2021 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 2, 2021

E — Pattern - Minimal harm Oct 22, 2021 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 2, 2021

D — Isolated - Minimal harm Oct 22, 2021 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Dec 2, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 2.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 7.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 37.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for EDGEMOOR HOSPITAL?
EDGEMOOR HOSPITAL has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at EDGEMOOR HOSPITAL?
EDGEMOOR HOSPITAL reports 6.44 total nursing hours per resident day (national average: 3.89). RN hours are 1.69 per resident day (national average: 0.68). Nursing staff turnover is 18.9%.
How many beds does EDGEMOOR HOSPITAL have?
EDGEMOOR HOSPITAL has 192 certified beds with approximately 152 residents. The facility is located at 655 PARK CENTER DRIVE, SANTEE, CA 92071.
Does EDGEMOOR HOSPITAL have any deficiencies on record?
Yes, EDGEMOOR HOSPITAL has 21 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has EDGEMOOR HOSPITAL received any fines or penalties?
No, EDGEMOOR HOSPITAL has no fines or penalties on record.
Who owns EDGEMOOR HOSPITAL?
EDGEMOOR HOSPITAL is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was EDGEMOOR HOSPITAL last inspected?
The most recent health inspection for EDGEMOOR HOSPITAL was on Dec 4, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for EDGEMOOR HOSPITAL?
EDGEMOOR HOSPITAL is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial