PlainNursing
CMS Nursing Home Compare · August 2026

St. Pauls Health Care Center

235 Nutmeg Street, San Diego, CA 92103

St. Pauls Health Care Center, a 59-bed non profit - corporation nursing facility in San Diego, CA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #837 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6192398687

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2 / 5
Below average · CMS overall · nat'l 3.0
#837 of 1,154
In-state rank among rated CA homes
4.78
Well above average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 1 serious

The verdict

St. Pauls Health Care Center, a 59-bed non profit - corporation nursing facility in San Diego, CA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #837 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#837 of 1,154
In-state rank among rated CA homes
4.78
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,165 CA nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

5/5

Facility Information

Provider Number
555144
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
59
Residents
53
In Hospital
No
County
San Diego
Last Inspection
Jun 26, 2025
Abuse citation on record

Staffing Data

How the 4.78 total nursing hours per resident-day are staffed:

RN Hours
0.93 (nat'l avg: 0.69)
LPN Hours
0.89
CNA Hours
2.96
Total Nursing Hours
4.78 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
62.5%
RN Turnover
40.0%

What the CMS Record Reveals About St. Pauls Health Care Center

According to CMS Nursing Home Compare, St. Pauls Health Care Center ranks #837 of 1,154 rated nursing homes in CA on overall stars (tie-broken by health+staffing+quality, then fewer fines). St. Pauls Health Care Center operates 59 certified beds in San Diego, CA with approximately 53 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 3★).

The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $45K against this provider. Reported nurse staffing runs 4.78 total hours per resident day (national average 3.86); RN hours specifically are 0.93 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, St. Pauls Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 62.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm May 11, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2026

D - Isolated - Minimal harm May 11, 2026 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: Jun 9, 2026

G - Isolated - Actual harm May 11, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 9, 2026

D - Isolated - Minimal harm Feb 7, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 7, 2026 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Mar 6, 2026

E - Pattern - Minimal harm Feb 7, 2026 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 19, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 4, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 4, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 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: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 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: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0659

Provide care by qualified persons according to each resident's written plan of care.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0552

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

Category: Resident Rights Deficiencies

Corrected: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 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: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 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: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 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: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 26, 2025

E - Pattern - Minimal harm Jun 26, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jul 26, 2025

D - Isolated - Minimal harm Jun 10, 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: Jul 3, 2025

E - Pattern - Minimal harm Jun 10, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 3, 2025

D - Isolated - Minimal harm Jun 3, 2025 Tag: 0836

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.

Category: Administration Deficiencies

Corrected: Jul 3, 2025

D - Isolated - Minimal harm Jun 3, 2025 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jul 3, 2025

D - Isolated - Minimal harm May 2, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 18, 2025

E - Pattern - Minimal harm Jun 20, 2024 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: Jul 20, 2024

D - Isolated - Minimal harm Apr 7, 2023 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: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0699

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

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 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: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0676

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

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 7, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 5, 2023

E - Pattern - Minimal harm Apr 7, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 5, 2023

E - Pattern - Minimal harm Apr 7, 2023 Tag: 0867

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

Category: Administration Deficiencies

Corrected: May 5, 2023

E - Pattern - Minimal harm Apr 7, 2023 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: May 5, 2023

E - Pattern - Minimal harm Apr 7, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: May 5, 2023

E - Pattern - Minimal harm Apr 7, 2023 Tag: 0741

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

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

E - Pattern - Minimal harm Apr 7, 2023 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: May 5, 2023

D - Isolated - Minimal harm Mar 29, 2019 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: May 17, 2019

D - Isolated - Minimal harm Mar 29, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 17, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 1.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 8.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 94.8% No

Penalty History 1 penalties totaling $45K

Date Type Amount
May 11, 2026 Fine $45K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for St. Pauls Health Care Center, both outside CA so the neighborhoods are not the same-state geography list below.

What the CMS records show for St. Pauls Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The CA registry aggregates state averages and the highest-rated homes in this cohort. View CA registry
  • Peer homes near 59 beds show how CMS stars vary at a similar scale in CA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for St. Pauls Health Care Center?
St. Pauls Health Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
Where does St. Pauls Health Care Center rank among nursing homes in CA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), St. Pauls Health Care Center ranks 837th among 1,154 rated nursing homes in CA (#837 of 1,154). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at St. Pauls Health Care Center?
St. Pauls Health Care Center reports 4.78 total nursing hours per resident day (national average: 3.86). RN hours are 0.93 per resident day (national average: 0.69). Nursing staff turnover is 62.5%.
How many beds does St. Pauls Health Care Center have?
St. Pauls Health Care Center has 59 certified beds with approximately 53 residents. The facility is located at 235 Nutmeg Street, San Diego, CA 92103.
Does St. Pauls Health Care Center have any deficiencies on record?
Yes, St. Pauls Health Care Center has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has St. Pauls Health Care Center received any fines or penalties?
Yes, St. Pauls Health Care Center has received 1 penalties totaling $45K.
Who owns St. Pauls Health Care Center?
St. Pauls Health Care Center is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was St. Pauls Health Care Center last inspected?
The most recent health inspection for St. Pauls Health Care Center was on Jun 26, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for St. Pauls Health Care Center?
St. Pauls Health Care Center 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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