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Nursing homeFAID #805

Arroyo Vista Nursing Center

3022 45TH STREET, SAN DIEGO, CA, 92105

(619) 283-5855

53 licensed beds

CMS rates Arroyo Vista Nursing Center 5 out of 5 overall. Federal inspectors issued 39 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

3022 45th Street

San Diego, CA 92105

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

055505

Care type

Nursing home

County

San Diego

Facility name

Arroyo Vista Nursing Center

Street address

3022 45TH STREET

City / state / ZIP

San Diego, CA 92105

Phone

(619) 283-5855

Website

ensignservices.net

About this facility — Arroyo Vista Nursing Center

Arroyo Vista Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in San Diego, California. It is licensed for 53 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 256 senior care facilities in San Diego and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Arroyo Vista Nursing Center 39 times across 7 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Afshar, Pouya

Governing body · Operational control · Additional disclosable party — since 2016

Burnam, Soon

Officer — since 2006

Ensign Services Inc

Additional disclosable party — since 2003

Flagstone Healthcare South Llc

Direct owner — since 2006

Keetch, Chad

Officer — since 2011

Moore, Ome

Governing body · Operational control · Additional disclosable party — since 2017

Ohi Asset (ca), Llc

Additional disclosable party — since 2003

Port, Barry

Owner of a disclosable party — since 2025

The Ensign Group Inc

Indirect owner — since 2006

Vitawerks Inc

Operational control — since 2003

Willits, Adam

Director — since 2019

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1967-01-01

CMS overall rating

5 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-29

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$600 per day (≈ $18,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

28% Medicaid · 32% Medicare · 40% private/other

Occupancy

90% (fiscal year 2023)

Vs. state median

17% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-29Health inspection4 citations

F-0628

D · No harm found

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

Corrected 2026-01-31

F-0656

D · No harm found

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

Corrected 2026-01-31

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-31

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-31

2025-04-11Health inspectionComplaint-triggered3 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2025-05-02

F-0553

D · No harm foundFrom a complaint

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-05-02

F-0657

D · No harm foundFrom a complaint

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

Corrected 2025-05-02

5 earlier / fire-safety inspections (32 citations)

2024-10-10Health inspection10 citations

F-0656

D · No harm found

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

Corrected 2024-11-08

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-11-08

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-11-08

F-0740

D · No harm found

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-11-08

F-0755

D · No harm found

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

Corrected 2024-11-08

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-08

F-0812

E · No harm foundFood safety

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

Corrected 2024-11-08

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-08

F-0883

E · No harm found

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

Corrected 2024-11-08

F-0887

E · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-11-08

2023-04-13Health inspection8 citations

F-0677

D · No harm found

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

Corrected 2023-05-05

F-0684

D · No harm found

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

Corrected 2023-05-05

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-05-05

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-05

F-0803

E · No harm foundFood safety

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.

Corrected 2023-05-05

F-0812

E · No harm foundFood safety

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

Corrected 2023-05-05

F-0813

D · No harm foundFood safety

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

Corrected 2023-05-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-05-05

2026-01-29Fire-safety inspection3 citations

K-0232

E · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2026-03-10

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-03-10

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-03-10

2024-10-10Fire-safety inspection4 citations

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2024-10-18

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-10-18

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-18

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-10-18

2023-04-13Fire-safety inspection7 citations

E-0006

D · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-05-10

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2023-05-10

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-10

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-10

K-0700

E · No harm found

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2023-05-10

K-0753

D · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2023-05-10

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-10

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055505.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 14% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

4.2

Higher than 48% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

56%

Higher than 95% of nursing homes in the state

State median: 36%

Resident outcomes

On 19 federal quality measures, this facility does better than the California average on 8 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	1.3%	10.2%	13.5%	Better than state
Lose too much weight	1.2%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	1.5%	0.7%	0.7%	Worse than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	24.6%	7.6%	13.5%	Worse than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	3.5%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	12.1%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	4.7%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	4.9%	4.3%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	9.8%	9.8%	18.3%	Near state average
Received an antipsychotic medication	0.0%	12.3%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.5%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	98.9%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	17.9%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	13.6%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K-0712 2 inspections. Have simulated fire drills held at unexpected times.
K-0920 2 inspections. Ensure proper usage of power strips and extension cords.
F-0698 2 inspections. Provide safe, appropriate dialysis care/services for a resident who requires such services.
F-0759 2 inspections. Ensure medication error rates are not 5 percent or greater.

What its owners also hold

The Ensign Group Inc has an ownership stake on file at 135 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
Flagstone Healthcare South Llc has an ownership stake on file at 6 nursing homes, averaging 3.5 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Nmc San Diego, about 2.7 miles.
Paradise Valley Hospital, about 3.7 miles. CMS rating 3 of 5.
Scripps Mercy Hospital, about 3.7 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Jacob Health Care Assisted Living, San Diego, about 1.2 miles. 2 state visits on record.
University Care Center, San Diego, about 1.4 miles. CMS rating 5 of 5.
Jacob Healthcare Center, San Diego, about 1.5 miles. CMS rating 4 of 5.
Brighton Place San Diego, San Diego, about 1.7 miles. CMS rating 3 of 5.
Golden Hill Post Acute, San Diego, about 1.8 miles. CMS rating 3 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered