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Nursing homeFAID #13422

Stillwater Post-acute

510 E. WASHINGTON AVENUE, EL CAJON, CA, 92020
(619) 440-1211
256 licensed beds

CMS rates Stillwater Post-acute 2 out of 5 overall. Federal inspectors issued 86 citations across 20 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
256
CMS facility ID
555076
Care type
Nursing home
County
San Diego
Facility name
Stillwater Post-acute
Street address
510 E. WASHINGTON AVENUE
City / state / ZIP
El Cajon, CA 92020
Phone
(619) 440-1211

Stillwater Post-acute is a Medicare/Medicaid-certified skilled nursing facility in El Cajon, California. It is licensed for 256 beds — well above the median for skilled nursing facilities in California (98 beds).

It is one of 55 senior care facilities in El Cajon 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 Links Healthcare Group, a group of 32 facilities on this site.

Federal inspectors have cited Stillwater Post-acute 86 times across 20 inspections in the last three years, including 10 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.

What the public record shows.

Ownership & operator

Parent company
Links Healthcare Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Afshar, Pouya
Operational control · Additional disclosable party — since 2024
Asuncion, Maynelle
Operational control · Additional disclosable party — since 2024
Comrie, Mary
Operational control · Additional disclosable party — since 2024
Forbright Bank
Security-interest holder — since 2024
Frojelin, Antonette
Operational control · Additional disclosable party — since 2024
Links Healthcare Group Llc
Operational control · Additional disclosable party — since 2024
Links Support Services, Llc
Operational control · Additional disclosable party — since 2024
Rodriguez, Curtis
Officer · Operational control · Additional disclosable party — since 2024
Tilford, Toby
Officer · Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
1977-08-04
CMS overall rating
2 of 5 stars
Health deficiencies
23 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-04-18
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$454 per day (≈ $13,800/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
94% (fiscal year 2024)
Vs. state median
12% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
256
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 10 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-07Health inspectionComplaint-triggered2 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-08-26
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 2026-08-26
2026-03-19Health inspectionComplaint-triggered1 citation
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 2026-04-11
17 earlier / fire-safety inspections (83 citations)
2025-04-18Health inspection20 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 2025-05-11
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 2025-05-11
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-11
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-05-11
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 2025-05-11
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-11
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-05-11
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2025-05-11
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 2025-05-11
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 2025-05-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-11
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-05-11
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 2025-05-11
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 2025-05-11
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-11
F-0761
D · 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 2025-05-11
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-11
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 2025-05-11
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-05-11
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-05-11
2025-04-03Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-23
2025-01-29Health 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 2025-02-20
2025-01-02Health inspectionComplaint-triggered1 citation
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-03
2024-12-27Health inspectionComplaint-triggered1 citation
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-24
2024-10-28Health inspectionComplaint-triggered1 citation
F-0690
D · No harm foundFrom a complaint
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 2024-11-26
2024-07-03Health inspectionComplaint-triggered1 citation
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 2024-08-01
2024-04-26Health inspection17 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-17
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-17
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 2024-05-17
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-17
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-17
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 2024-05-17
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-17
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-17
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-17
F-0699
E · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-05-17
F-0802
F · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-05-17
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 2024-05-17
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-17
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 2024-05-17
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 2024-05-17
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 2024-05-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
2024-04-23Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-02
2024-03-20Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-27
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-27
2024-01-18Health 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 2024-02-17
2024-01-11Health inspectionComplaint-triggered1 citation
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 2024-01-25
2022-06-29Health inspection13 citations
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-07-18
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-07-18
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-18
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-07-18
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-07-18
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-07-18
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2022-07-18
F-0758
D · 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 2022-07-18
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-07-18
F-0809
D · 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 2022-07-18
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 2022-07-18
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-07-18
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2022-07-18
2026-02-10Fire-safety inspectionComplaint-triggered1 citation
K-0111
F · No harm foundFrom a complaint
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2026-02-16
2025-04-18Fire-safety inspection10 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-05
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-05-05
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-05
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-05
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-05
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-05-05
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-05
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-05
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-05-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-05
2024-04-26Fire-safety inspection4 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-10
K-0347
D · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-05-10
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-05-10
2022-06-29Fire-safety inspection7 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2022-07-18
K-0346
E · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-07-18
K-0354
E · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-07-18
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-07-18
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-07-18
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2022-07-18
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-18
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 555076.
How it compares in California.
Inspection citations, 3 years
86
More than 75% of nursing homes in the state
State median: 65
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
3.9
Higher than 17% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
43%
Higher than 72% of nursing homes in the state
State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 8 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased5.8%10.2%13.5%Better than state
Lose too much weight3.6%4.1%5.1%Better than state
With a catheter inserted and left in their bladder0.8%0.7%0.7%Worse than state
With a urinary tract infection0.5%1.2%1.5%Better than state
Have depressive symptoms7.0%7.6%13.5%Near state average
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury1.6%1.6%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine99.8%98.7%93.7%Near state average
Ability to walk independently worsened4.8%8.9%12.7%Better than state
Received an antianxiety or hypnotic medication28.1%13.7%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine99.6%97.9%95.3%Near state average
With pressure ulcers3.9%4.3%4.5%Near state average
With new or worsened bowel or bladder incontinence4.2%9.8%18.3%Better than state
Received an antipsychotic medication23.8%12.3%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.902.211.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.051.501.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.8%94.6%82.3%Near state average
Newly received an antipsychotic medication2.3%1.3%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine97.4%93.1%80.1%Near state average
Were rehospitalized after a nursing home admission22.4%22.6%23.4%Near state average
Had an outpatient emergency department visit14.2%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-0656 5 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-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0804 3 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • K-0363 3 inspections. Install corridor and hallway doors that block smoke.
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

  • Grossmont Hospital, about 2.9 miles. CMS rating 4 of 5.
  • Kaiser Foundation Hospital - San Diego, about 7.9 miles. CMS rating 4 of 5.
  • Paradise Valley Hospital, about 10 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.73 ratings on Google
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 86 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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