Home›Browse›California›San Diego›Mission Hills Post Acute Care

Nursing homeFAID #1181

Mission Hills Post Acute Care

3680 REYNARD WAY, SAN DIEGO, CA, 92103

(619) 297-4484

75 licensed beds

CMS rates Mission Hills Post Acute Care 4 out of 5 overall. Federal inspectors issued 57 citations across 13 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

3680 Reynard Way

San Diego, CA 92103

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

056401

Care type

Nursing home

County

San Diego

Facility name

Mission Hills Post Acute Care

Street address

3680 REYNARD WAY

City / state / ZIP

San Diego, CA 92103

Phone

(619) 297-4484

Website

ensignservices.net

About this facility — Mission Hills Post Acute Care

Mission Hills Post Acute Care is a Medicare/Medicaid-certified skilled nursing facility in San Diego, California. It is licensed for 75 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 Mission Hills Post Acute Care 57 times across 13 inspections in the last three years, including 8 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 - Corporation

Registered owners & officers

Afshar, Pouya

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

Burnam, Soon

Officer — since 2014

Ensign Services Inc

Additional disclosable party — since 2025

Keetch, Chad

Officer — since 2011

Oh, Katherine

Director — since 2025

Port, Barry

Owner of a disclosable party — since 2025

Rapp, Damien

Governing body · Operational control · Additional disclosable party — since 2014

Sato, Ami

Director — since 2024

Twomagnets Llc

Operational control · Additional disclosable party — since 2025

Willits, Adam

Director — since 2018

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

1973-07-01

CMS overall rating

4 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-08-13

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$588 per day (≈ $17,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

52% Medicaid · 16% Medicare · 32% private/other

Occupancy

96% (fiscal year 2023)

Vs. state median

14% 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 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-13Health inspection10 citations

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-09-14

F-0584

E · No harm found

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 2026-09-14

F-0656

E · 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 2026-09-14

F-0695

D · No harm found

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

Corrected 2026-09-14

F-0698

D · No harm found

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

Corrected 2026-09-14

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 2026-09-14

F-0812

D · 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 2026-09-14

F-0842

D · No harm found

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

Corrected 2026-09-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-09-14

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2026-09-14

2026-06-18Health inspectionComplaint-triggered1 citation

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-07-17

11 earlier / fire-safety inspections (46 citations)

2025-06-19Health inspection13 citations

F-0550

D · No harm found

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

Corrected 2025-07-18

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-07-18

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 2025-07-18

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2025-07-18

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-07-18

F-0692

D · No harm found

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

Corrected 2025-07-18

F-0725

E · No harm found

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

Corrected 2025-07-18

F-0726

E · No harm found

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.

Corrected 2025-07-18

F-0741

D · No harm found

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

Corrected 2025-07-18

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-18

F-0761

E · No harm found

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 2025-07-18

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 2025-07-18

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-18

2025-03-04Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

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

Corrected 2025-04-01

2025-01-28Health inspectionComplaint-triggered1 citation

F-0655

D · No harm foundFrom a complaint

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

Corrected 2025-02-28

2024-10-08Health inspectionComplaint-triggered2 citations

F-0550

E · 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 2024-10-31

F-0725

E · No harm foundFrom a complaint

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

Corrected 2024-10-31

2024-07-02Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2024-07-26

2024-04-17Health inspectionComplaint-triggered2 citations

F-0695

E · No harm foundFrom a complaint

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

Corrected 2024-04-30

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-04-30

2024-03-14Health inspectionComplaint-triggered4 citations

F-0554

D · No harm foundFrom a complaint

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-03-21

F-0689

D · No harm foundFrom a complaint

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

Corrected 2024-03-21

F-0761

D · No harm foundFrom a complaint

Corrected 2024-03-21

F-0842

D · No harm foundFrom a complaint

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

Corrected 2024-03-21

2022-01-27Health inspection13 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-02-24

F-0584

D · No harm found

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 2022-02-24

F-0684

D · No harm found

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

Corrected 2022-02-24

F-0688

E · No harm found

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 2022-02-24

F-0692

G · Actual harm

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

Corrected 2022-02-24

F-0693

D · No harm found

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.

Corrected 2022-02-24

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-02-24

F-0800

F · No harm foundFood safety

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

Corrected 2022-02-24

F-0802

E · No harm foundFood safety

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

Corrected 2022-02-24

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 2022-02-24

F-0806

D · No harm foundFood safety

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

Corrected 2022-02-24

F-0809

F · No harm foundFood safety

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2022-02-24

F-0812

F · 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 2022-02-24

2026-08-13Fire-safety inspection3 citations

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-08-19

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-19

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-08-19

2025-06-19Fire-safety inspection1 citation

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-07-01

2022-01-27Fire-safety inspection5 citations

K-0271

D · No harm found

Have exits that are accessible at all times.

Corrected 2022-02-10

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-02-10

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-02-10

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-02-10

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-02-10

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 056401.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 38% 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 44% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

46%

Higher than 80% 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 10 and worse on 4. 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	8.8%	10.2%	13.5%	Better than state
Lose too much weight	1.6%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	8.7%	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	2.2%	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	15.8%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	7.6%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	97.6%	97.9%	95.3%	Near state average
With pressure ulcers	3.6%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	9.2%	9.8%	18.3%	Near state average
Received an antipsychotic medication	6.8%	12.3%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.1%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.8%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	97.1%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	13.7%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	22.7%	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-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0578 2 inspections. Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F-0584 2 inspections. 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.
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.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.

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

Uc San Diego Health Hillcrest - Hillcrest Med Ctr, about 0.7 miles. CMS rating 5 of 5.
Scripps Mercy Hospital, about 0.7 miles. CMS rating 4 of 5.
Nmc San Diego, about 2.0 miles.

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

Nearby facilities with inspection records

Hillcrest Heights Healthcare Center, San Diego, about 0.3 miles. CMS rating 5 of 5.
Balboa Nursing & Rehabilitation Center, San Diego, about 0.6 miles. CMS rating 4 of 5.
St Paul's Manor, San Diego, about 0.9 miles. 7 state visits on record.
Merrill Gardens At Bankers Hill, San Diego, about 1.0 miles. 10 state visits on record.
St. Pauls Health Care Center, San Diego, about 1.0 miles. CMS rating 2 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 57 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