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Nursing homeFAID #13466

St. Pauls Health Care Center

235 NUTMEG STREET, SAN DIEGO, CA, 92103

(619) 239-8687

59 licensed beds

CMS rates St. Pauls Health Care Center 2 out of 5 overall. Federal inspectors issued 77 citations across 15 inspections in the last three years, with $29,179 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

235 Nutmeg Street

San Diego, CA 92103

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

555144

Care type

Nursing home

County

San Diego

Facility name

St. Pauls Health Care Center

Street address

235 NUTMEG STREET

City / state / ZIP

San Diego, CA 92103

Phone

(619) 239-8687

About this facility — St. Pauls Health Care Center

St. Pauls Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in San Diego, California. It is licensed for 59 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.

Federal inspectors have cited St. Pauls Health Care Center 77 times across 15 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $29,179 in fines. 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

Ownership type

Non profit - Corporation

Registered owners & officers

St Paul's Episcopal Home Inc

Direct owner · Additional disclosable party — 100% stake — since 1980

Dekieffer, Kitty

Director · Trustee — since 2025

Edd, Patrick

Director · Trustee — since 2025

Ellenich, Ronald

Officer · Operational control · Additional disclosable party — since 2025

Greiner, Philip

Director · Trustee — since 2025

Gross, Dan

Director · Trustee — since 2025

Keller, Mary

Director · Trustee — since 2025

Lukas, Sophia

Governing body · Officer · Operational control · Additional disclosable party — since 2023

Marusiak, David

Director · Trustee — since 2025

Mchale, Michael

Officer · Operational control · Additional disclosable party — since 2022

Rajper, Saleem

Officer · Operational control · Additional disclosable party — since 2026

Sutton, Jacob

Director · Trustee — since 2025

Vieu, George

Officer · Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since

1991-09-25

CMS overall rating

2 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$29,179 total

Last standard inspection

2026-08-12

Nurse staffing

5.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$568 per day (≈ $17,270/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

6% Medicaid · 7% Medicare · 87% private/other

Occupancy

83% (fiscal year 2024)

Vs. state median

11% 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 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-12Health inspectionComplaint-triggered11 citations

F-0552

D · No harm found

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

Corrected 2026-09-21

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 2026-09-21

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 2026-09-21

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 2026-09-21

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 2026-09-21

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 2026-09-21

F-0695

D · No harm found

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

Corrected 2026-09-21

F-0732

F · No harm found

Post nurse staffing information every day.

Corrected 2026-09-21

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 2026-09-21

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 2026-09-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-09-21

2026-05-11Health inspectionComplaint-triggered3 citations

F-0600

G · Actual harmFrom a complaint

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

Corrected 2026-06-09

F-0656

D · No harm foundFrom a complaint

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

Corrected 2026-06-09

F-0684

D · No harm foundFrom a complaint

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

Corrected 2026-06-09

12 earlier / fire-safety inspections (63 citations)

2026-02-07Health 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 2026-03-06

F-0677

D · No harm foundFrom a complaint

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

Corrected 2026-03-06

F-0692

E · No harm foundFrom a complaint

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

Corrected 2026-03-06

2025-12-09Health inspectionComplaint-triggered1 citation

F-0584

D · No harm foundFrom a complaint

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 2025-12-19

2025-09-04Health inspectionComplaint-triggered2 citations

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 2025-10-04

F-0726

D · No harm foundFrom a complaint

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 2025-10-04

2025-06-26Health inspection18 citations

F-0552

D · No harm found

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

Corrected 2025-07-26

F-0557

D · No harm found

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

Corrected 2025-07-26

F-0565

E · No harm found

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

Corrected 2025-07-26

F-0605

E · No harm found

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

Corrected 2025-07-26

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 2025-07-26

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 2025-07-26

F-0659

D · No harm found

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

Corrected 2025-07-26

F-0686

D · No harm found

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

Corrected 2025-07-26

F-0688

D · 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 2025-07-26

F-0689

D · No harm found

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

Corrected 2025-07-26

F-0755

E · No harm found

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

Corrected 2025-07-26

F-0756

E · No harm found

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

Corrected 2025-07-26

F-0757

E · No harm found

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

Corrected 2025-07-26

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-26

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 2025-07-26

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 2025-07-26

F-0865

D · No harm found

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

Corrected 2025-07-26

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-26

2025-06-10Health inspectionComplaint-triggered2 citations

F-0760

E · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-07-03

F-0761

D · No harm foundFrom a complaint

Corrected 2025-07-03

2025-06-03Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

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

Corrected 2025-07-03

F-0836

D · No harm foundFrom a complaint

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.

Corrected 2025-07-03

2025-05-02Health inspectionComplaint-triggered1 citation

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-05-18

2024-06-20Health inspectionComplaint-triggered1 citation

F-0689

E · No harm foundFrom a complaint

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

Corrected 2024-07-20

2023-04-07Health inspection15 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-05-05

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 2023-05-05

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 2023-05-05

F-0676

D · No harm found

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

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-0689

D · No harm found

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

Corrected 2023-05-05

F-0695

D · No harm found

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

Corrected 2023-05-05

F-0699

D · No harm found

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

Corrected 2023-05-05

F-0741

E · 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 2023-05-05

F-0758

E · No harm found

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 2023-05-05

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-05

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 2023-05-05

F-0838

E · No harm found

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.

Corrected 2023-05-05

F-0867

E · No harm found

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

Corrected 2023-05-05

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-05-05

2026-08-12Fire-safety inspection7 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2026-09-03

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-09-03

K-0345

F · No harm found

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

Corrected 2026-09-03

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-09-03

K-0355

D · No harm found

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

Corrected 2026-09-03

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-09-03

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-09-03

2025-06-26Fire-safety inspection1 citation

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-18

2023-04-07Fire-safety inspection10 citations

K-0111

E · No harm found

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2023-05-16

K-0343

E · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2023-05-16

K-0346

D · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-05-16

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-16

K-0354

D · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-05-16

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-05-16

K-0700

D · 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 2023-05-16

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2023-05-16

K-0771

E · No harm found

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

Corrected 2023-05-16

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-16

Federal penalties

2026-05-11Fine$29,179

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 555144.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 67% of nursing homes in the state

State median: 65

Federal fines, 3 years

$29,179

More than 78% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

5.2

Higher than 86% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

55%

Higher than 93% of nursing homes in the state

State median: 36%

Resident outcomes

On 17 federal quality measures, this facility does better than the California average on 9 and worse on 3. 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	8.2%	10.2%	13.5%	Better than state
Lose too much weight	0.8%	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	5.6%	1.2%	1.5%	Worse than state
Have depressive symptoms	0.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	8.6%	8.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	3.0%	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	3.4%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	7.6%	9.8%	18.3%	Better than state
Received an antipsychotic medication	17.0%	12.3%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.5%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	5.3%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	95.7%	93.1%	80.1%	Near state average

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-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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-0552 2 inspections. Ensure that residents are fully informed and understand their health status, care and treatments.
F-0628 2 inspections. Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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 1.1 miles.
Scripps Mercy Hospital, about 1.2 miles. CMS rating 4 of 5.
Uc San Diego Health Hillcrest - Hillcrest Med Ctr, about 1.4 miles. CMS rating 5 of 5.

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

Nearby facilities with inspection records

St Paul's Manor, San Diego, about 0.2 miles. 7 state visits on record.
Merrill Gardens At Bankers Hill, San Diego, about 0.2 miles. 10 state visits on record.
St. Paul's Villa, San Diego, about 0.3 miles. 14 state visits on record.
Harborview Senior Assisted Living, San Diego, about 0.4 miles. 13 state visits on record.
Balboa Nursing & Rehabilitation Center, San Diego, about 0.6 miles. CMS rating 4 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 77 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