nursing home in San Diego, CA

Mission Hills Post Acute Care

3680 Reynard Way, San Diego, CA 92103 · (619) 297-4484

★★★★★4

Above average
CMS overall star rating

Health inspections★★★★★3
Staffing★★★★★3
Quality measures★★★★★5

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

Mission Hills Post Acute Care at a glance

Mission Hills Post Acute Care is a 75-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 4.3 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 4.5 hours.

Its most recent standard health inspection (June 19, 2025) found 14 health citations. The California average is 15.5.

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

Nursing staff turnover is 55.1% per year (state average 36.7%).

Facility details

Type: Nursing home
Ownership: For Profit - Corporation
Beds: 75
Certified for: Medicare and Medicaid
Chain / affiliated entity: The Ensign Group
Medicare-certified since: July 1, 1973
Resident/family council: Resident
County: San Diego County
CMS Certification Number: 056401

Ratings

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Overall star rating ⓘ (higher is better)	4 / 5	3.2 / 5	3 / 5	Better
Health inspection rating ⓘ (higher is better)	3 / 5	2.8 / 5	2.8 / 5	Average
Staffing rating ⓘ (higher is better)	3 / 5	3.3 / 5	2.9 / 5	Average
Quality measures rating ⓘ (higher is better)	5 / 5	4.1 / 5	3.6 / 5	Better
Long-stay quality rating (higher is better)	5 / 5	4.4 / 5	3.8 / 5	Better
Short-stay (rehab) quality rating (higher is better)	5 / 5	3.6 / 5	3.3 / 5	Better

Staffing

Total nurse staff hours per resident per day: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)	4.32 hrs	4.52 hrs	3.86 hrs	Better
Registered nurse hours per resident per day (higher is better)	0.57 hrs	0.67 hrs	0.69 hrs	Worse
Nurse aide hours per resident per day (higher is better)	2.50 hrs	2.65 hrs	2.32 hrs	Better
Weekend nurse staff hours per resident per day (higher is better)	3.82 hrs	4.09 hrs	3.42 hrs	Better
Nursing staff turnover (yearly) (lower is better)	55.1%	36.7%	45.8%	Worse
Registered nurse turnover (yearly) (lower is better)	33.3%	38.1%	42.9%	Better
Administrators who left in the past year (lower is better)	0	0	1	Better

Inspections

Health citations in the most recent inspection: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Health citations in the most recent inspection (lower is better)	14	16	9	Worse
Citations from complaint investigations (latest cycle) (lower is better)	1	4	3	Better
Weighted health inspection score ⓘ (lower is better)	97	105.8	80.6	Worse

Penalties

Fines in the past 3 years: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Fines in the past 3 years (lower is better)	0	1	1	Better
Total fines in the past 3 years (lower is better)	$0	$23,986	$30,972	Better
All federal penalties in the past 3 years (lower is better)	0	1	1	Better

Size

Measure	This facility	California avg.	U.S. avg.
Certified beds	75	99	107
Average residents per day	70	88	86
Occupancy	93.2%	88.4%	80.9%

Long-stay residents

Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)	1.5%	1.6%	3.2%	Better
Long-stay residents with pressure ulcers (lower is better)	2.8%	4.3%	4.6%	Better
Long-stay residents given antipsychotic medication (lower is better)	5.8%	12%	15.4%	Better
Long-stay residents with a urinary tract infection (lower is better)	0%	1.2%	1.6%	Better
Long-stay residents with a catheter left in the bladder (lower is better)	0%	0.8%	0.8%	Better
Long-stay residents needing more help with daily activities (lower is better)	9.8%	10.2%	13.9%	Better
Long-stay residents whose walking worsened (lower is better)	15.2%	9.8%	14.1%	Worse
Long-stay residents who lose too much weight (lower is better)	1.6%	4%	5.2%	Better
Long-stay residents with depressive symptoms (lower is better)	10.3%	7.3%	12.8%	Better
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)	7.8%	13.7%	19.5%	Better
Long-stay residents with new or worse incontinence (lower is better)	15.6%	10.2%	19%	Better
Long-stay residents given a flu vaccine (higher is better)	100%	98.2%	95.5%	Average
Long-stay residents given a pneumonia vaccine (higher is better)	100%	98.6%	93.6%	Better

Short-stay residents

Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)	0.9%	1.5%	1.6%	Better
Short-stay residents given a flu vaccine (higher is better)	99.3%	93.2%	79.8%	Better
Short-stay residents given a pneumonia vaccine (higher is better)	99.3%	94.4%	82%	Better

Inspection citations

State inspectors cited this home for 49 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

Date	Citation	Severity	Status
June 18, 2026 Complaint	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627	D Potential harm, isolated	Corrected July 17, 2026
June 19, 2025 Fire safety	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372	E Potential harm, pattern	Corrected July 1, 2025
June 19, 2025 Standard	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725	E Potential harm, pattern	Corrected July 18, 2025
June 19, 2025 Standard	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. Nursing and Physician Services Deficiencies · Tag F0726	E Potential harm, pattern	Corrected July 18, 2025
June 19, 2025 Standard	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. Pharmacy Service Deficiencies · Tag F0761	E Potential harm, pattern	Corrected July 18, 2025
June 19, 2025 Standard	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812	E Potential harm, pattern	Corrected July 18, 2025
June 19, 2025 Standard	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759	D Potential harm, isolated	Corrected July 18, 2025
June 19, 2025 Standard	Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · Tag F0741	D Potential harm, isolated	Corrected July 18, 2025
June 19, 2025 Standard	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692	D Potential harm, isolated	Corrected July 18, 2025
June 19, 2025 Standard	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690	D Potential harm, isolated	Corrected July 18, 2025
June 19, 2025 Standard	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679	D Potential harm, isolated	Corrected July 18, 2025
June 19, 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 July 18, 2025
June 19, 2025 Standard	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641	D Potential harm, isolated	Corrected July 18, 2025
June 19, 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 July 18, 2025
June 19, 2025 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	D Potential harm, isolated	Corrected July 18, 2025
March 4, 2025 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 April 1, 2025
January 28, 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 February 28, 2025
October 8, 2024 Complaint	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550	E Potential harm, pattern	Corrected October 31, 2024
October 8, 2024 Complaint	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725	E Potential harm, pattern	Corrected October 31, 2024
July 2, 2024 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 26, 2024
April 17, 2024 Complaint	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695	E Potential harm, pattern	Corrected April 30, 2024
April 17, 2024 Complaint	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	D Potential harm, isolated	Corrected April 30, 2024
March 14, 2024 Complaint	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. Pharmacy Service Deficiencies · Tag F0761	D Potential harm, isolated	Corrected March 21, 2024
March 14, 2024 Complaint	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554	D Potential harm, isolated	Corrected March 21, 2024
March 14, 2024 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 March 21, 2024
March 14, 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 March 21, 2024
January 27, 2022 Fire safety	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923	D Potential harm, isolated	Corrected February 10, 2022
January 27, 2022 Fire safety	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511	D Potential harm, isolated	Corrected February 10, 2022
January 27, 2022 Fire safety	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353	D Potential harm, isolated	Corrected February 10, 2022
January 27, 2022 Fire safety	Have exits that are accessible at all times. Egress Deficiencies · Tag K0271	D Potential harm, isolated	Corrected February 10, 2022
January 27, 2022 Fire safety	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355	D Potential harm, isolated	Corrected February 10, 2022
January 27, 2022 Standard	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692	G Actual harm, isolated	Corrected February 24, 2022
January 27, 2022 Standard	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. Nutrition and Dietary Deficiencies · Tag F0809	F Potential harm, widespread	Corrected February 24, 2022
January 27, 2022 Standard	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800	F Potential harm, widespread	Corrected February 24, 2022
January 27, 2022 Standard	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812	F Potential harm, widespread	Corrected February 24, 2022
January 27, 2022 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 February 24, 2022
January 27, 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 February 24, 2022
January 27, 2022 Standard	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802	E Potential harm, pattern	Corrected February 24, 2022
January 27, 2022 Standard	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. Resident Rights Deficiencies · Tag F0578	D Potential harm, isolated	Corrected February 24, 2022
January 27, 2022 Standard	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806	D Potential harm, isolated	Corrected February 24, 2022
January 27, 2022 Standard	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759	D Potential harm, isolated	Corrected February 24, 2022
January 27, 2022 Standard	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. Quality of Life and Care Deficiencies · Tag F0693	D Potential harm, isolated	Corrected February 24, 2022
January 27, 2022 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 February 24, 2022
January 27, 2022 Standard	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	D Potential harm, isolated	Corrected February 24, 2022
October 10, 2019 Fire safety	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920	E Potential harm, pattern	Corrected November 19, 2019
October 10, 2019 Fire safety	Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0907	D Potential harm, isolated	Corrected November 19, 2019
October 10, 2019 Standard	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812	E Potential harm, pattern	Corrected November 10, 2019
October 10, 2019 Standard	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Tag F0742	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	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 November 10, 2019
October 10, 2019 Standard	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 November 10, 2019
October 10, 2019 Standard	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	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	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. Pharmacy Service Deficiencies · Tag F0761	D Potential harm, isolated	Corrected November 10, 2019
October 10, 2019 Standard	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 November 10, 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.

Name	Role	Share	Since
AFSHAR, POUYA Individual	adp of the snf	NOT APPLICABLE	03/09/2016
ENSIGN SERVICES INC Organization	adp of the snf	NOT APPLICABLE	09/10/2025
RAPP, DAMIEN Individual	adp of the snf	NOT APPLICABLE	12/01/2014
TWOMAGNETS LLC Organization	adp of the snf	NOT APPLICABLE	07/16/2025
OH, KATHERINE Individual	corporate director	NOT APPLICABLE	06/01/2025
SATO, AMI Individual	corporate director	NOT APPLICABLE	09/09/2024
WILLITS, ADAM Individual	corporate director	NOT APPLICABLE	09/25/2018
BURNAM, SOON Individual	corporate officer	NOT APPLICABLE	09/10/2014
KEETCH, CHAD Individual	corporate officer	NOT APPLICABLE	03/01/2011
PORT, BARRY Individual	individual is an owner, partner or trustee of any adp of the snf	NOT APPLICABLE	07/02/2025
AFSHAR, POUYA Individual	managing control - governing body	NOT APPLICABLE	01/26/2022
RAPP, DAMIEN Individual	managing control - governing body	NOT APPLICABLE	12/01/2014
AFSHAR, POUYA Individual	operational/managerial control	NOT APPLICABLE	01/26/2022
RAPP, DAMIEN Individual	operational/managerial control	NOT APPLICABLE	12/01/2014
TWOMAGNETS LLC Organization	operational/managerial control	NOT APPLICABLE	06/01/2025

Frequently asked questions

What is Mission Hills Post Acute Care's rating?

Mission Hills Post Acute Care 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 Mission Hills Post Acute Care receive?

Its most recent standard health inspection found 14 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Mission Hills Post Acute Care 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 Mission Hills Post Acute Care?

It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Mission Hills Post Acute Care and how do I contact it?

Mission Hills Post Acute Care is at 3680 Reynard Way, San Diego, CA 92103. Phone: (619) 297-4484.

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.