nursing home in San Diego, CA

Balboa Nursing & Rehabilitation Center

3520 Fourth Avenue, San Diego, CA 92103 · (619) 291-5270

★★★★★4
Above average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★2
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Balboa Nursing & Rehabilitation Center at a glance

Balboa Nursing & Rehabilitation Center is a 194-bed for-profit nursing home in San Diego, California (San Diego County).

CMS gives it 4 out of 5 stars on its overall star rating, better than the California average of 3.2.

Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (May 15, 2025) found 13 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 37.2% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
194
Certified for
Medicare and Medicaid
Chain / affiliated entity
Pacs Group
Medicare-certified since
October 10, 1969
Resident/family council
Resident
County
San Diego County
CMS Certification Number
056105

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)4 / 53.2 / 53 / 5Better
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 53.3 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)5 / 54.1 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)5 / 53.6 / 53.3 / 5Better

Staffing

This facility3.79 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.79 hrs4.52 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.60 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.18 hrs2.65 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.46 hrs4.09 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)37.2%36.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)43.5%38.1%42.9%Average
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility13California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)13169Worse
Citations from complaint investigations (latest cycle) (lower is better)743Worse
Weighted health inspection score ⓘ (lower is better)90105.880.6Worse

Penalties

This facility0California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds19499107
Average residents per day1828886
Occupancy93.7%88.4%80.9%

Long-stay residents

This facility2.1%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.1%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.9%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)5.4%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.4%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.3%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)4.8%10.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)5.8%9.8%14.1%Better
Long-stay residents who lose too much weight (lower is better)3.5%4%5.2%Better
Long-stay residents with depressive symptoms (lower is better)22.8%7.3%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)9.4%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)8.8%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)99.3%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0.5%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.5%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)99.7%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)100%94.4%82%Better

Inspection citations

State inspectors cited this home for 44 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
April 23, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 16, 2026
March 5, 2026
Complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
E
Potential harm, pattern
Corrected April 3, 2026
March 5, 2026
Complaint
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
E
Potential harm, pattern
Corrected April 3, 2026
January 27, 2026
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
F
Potential harm, widespread
Corrected February 24, 2026
January 27, 2026
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected February 24, 2026
December 12, 2025
Complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
D
Potential harm, isolated
Corrected January 9, 2026
September 9, 2025
Complaint
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected October 3, 2025
August 19, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 18, 2025
July 23, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Deficient, Provider has no plan of correction
July 23, 2025
Complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
D
Potential harm, isolated
Deficient, Provider has no plan of correction
July 23, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 5, 2025
June 6, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 3, 2025
May 15, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
F
Potential harm, widespread
Corrected May 25, 2025
May 15, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected May 23, 2025
May 15, 2025
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected May 30, 2025
May 15, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected June 15, 2025
May 15, 2025
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected May 30, 2025
May 15, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected May 27, 2025
May 15, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
E
Potential harm, pattern
Corrected May 23, 2025
May 15, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 27, 2025
May 15, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected May 23, 2025
May 15, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected May 22, 2025
May 15, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected June 1, 2025
May 15, 2025
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected June 15, 2025
May 15, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 15, 2025
May 15, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected June 15, 2025
May 15, 2025
Standard
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Tag F0687
D
Potential harm, isolated
Corrected June 15, 2025
May 15, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 15, 2025
May 15, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 15, 2025
March 20, 2025
Complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
G
Actual harm, isolated
Corrected April 4, 2025
March 20, 2025
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected April 4, 2025
August 5, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected August 30, 2024
June 27, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected July 26, 2024
June 27, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected July 26, 2024
June 27, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 26, 2024
June 4, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected July 3, 2024
August 25, 2022
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected September 26, 2022
August 25, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected September 26, 2022
August 25, 2022
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected September 26, 2022
August 25, 2022
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected September 26, 2022
August 25, 2022
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected September 26, 2022
August 25, 2022
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
D
Potential harm, isolated
Corrected September 26, 2022
August 25, 2022
Fire safety
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies · Tag K0347
D
Potential harm, isolated
Corrected September 26, 2022
August 25, 2022
Fire safety
Install properly constructed and protected linen or trash chutes.
Services Deficiencies · Tag K0541
D
Potential harm, isolated
Corrected September 26, 2022
August 25, 2022
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected September 26, 2022
August 25, 2022
Standard
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.
Quality of Life and Care Deficiencies · Tag F0688
E
Potential harm, pattern
Corrected September 19, 2022
August 25, 2022
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected September 19, 2022
August 25, 2022
Standard
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
D
Potential harm, isolated
Corrected September 19, 2022
January 18, 2019
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected April 8, 2019
January 18, 2019
Fire safety
Ensure gas cylinders are properly stored.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0906
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Fire safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies · Tag K0343
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Fire safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Egress Deficiencies · Tag K0227
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Fire safety
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies · Tag E0032
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected April 8, 2019
January 18, 2019
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected February 17, 2019
January 18, 2019
Standard
Have policies on smoking.
Environmental Deficiencies · Tag F0926
D
Potential harm, isolated
Corrected February 17, 2019
January 18, 2019
Standard
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Tag F0808
D
Potential harm, isolated
Corrected February 17, 2019
January 18, 2019
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected February 17, 2019
January 18, 2019
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected February 17, 2019
January 18, 2019
Standard
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected February 17, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
RAJPER, SALEEM
Individual
contracted managing employeeNOT APPLICABLE04/01/2019
APT, FREDERICK
Individual
corporate officerNOT APPLICABLE01/01/2024
HANCOCK, MARK
Individual
corporate officerNOT APPLICABLE01/01/2024
JERGENSEN, JOSHUA
Individual
corporate officerNOT APPLICABLE01/01/2024
MITCHELL, JOHN
Individual
corporate officerNOT APPLICABLE01/01/2024
CHRISTENSEN, SPENCER
Individual
operational/managerial controlNOT APPLICABLE09/01/2021
CHRISTENSEN, SPENCER
Individual
w-2 managing employeeNOT APPLICABLE09/01/2021

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Frequently asked questions

What is Balboa Nursing & Rehabilitation Center's rating?

Balboa Nursing & Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Balboa Nursing & Rehabilitation Center receive?

Its most recent standard health inspection found 13 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Balboa Nursing & Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Balboa Nursing & Rehabilitation Center?

It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Balboa Nursing & Rehabilitation Center and how do I contact it?

Balboa Nursing & Rehabilitation Center is at 3520 Fourth Avenue, San Diego, CA 92103. Phone: (619) 291-5270.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.