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Nursing HomeMedicaid

Arroyo Vista Nursing Center

Strong Medicare quality ratings; families often praise exceptional rehabilitation and therapy services. Still worth an in-person visit.

3022 45th Street, Swan Canyon · San Diego, CA 9210553 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 73 Google reviews

5
4
3
2
1
Arroyo Vista Nursing Center Nursing Home in San Diego, CA — Street View
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What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as their rehab team is frequently praised for delivering results. However, families should be vigilant about monitoring response times to call lights and ensure clear communication channels are established, as some reviewers have noted delays in assistance and difficulty reaching the facility by phone.

Google Reviews

Google Reviews

73 reviews on Google
Arroyo Vista Nursing Center is highly regarded by many families for its exceptional physical and occupational therapy teams and its compassionate, family-like nursing staff. While many praise the facility's cleanliness and the personalized care provided in its smaller setting, some reviewers have reported serious concerns regarding medical neglect, slow response times to call lights, and difficulty reaching the facility by phone.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional rehabilitation and therapy services
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Personalized, intimate care environment

Concerns

  • Slow response times to call lights/assistance (mentioned by 2 reviewers)
  • Difficulty communicating with the facility via phone
  • Reports of medical neglect and infection management issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(7)'20(1)'22(5)'24(13)'26(3)

Distribution · 62 analyzed

5
47
4
6
3
0
2
0
1
9

How They Respond to Reviews

70%response rate
Good

The owner primarily uses personalized, warm, and enthusiastic responses that often address specific details mentioned in 5-star reviews. For negative reviews, the owner adopts a professional and apologetic tone, promising investigation and corrective action.

Questions for Your Tour

  • 1With such a small and intimate community of 53 residents, how do you ensure each person receives a truly personalized care plan?
  • 2We noticed the facility is very well-maintained; how often are the common areas and resident rooms deep-cleaned to ensure a healthy environment?
  • 3What specific protocols are in place to ensure that call lights are answered promptly, especially during the night shifts?
  • 4How does the nursing team manage medication administration and monitor for potential signs of infection or changes in health?
  • 5We've heard great things about your rehab and therapy services; could you tell us more about how those programs are integrated into a resident's daily routine?
  • 6What kind of social activities or group outings do you organize to keep the residents engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

The first day he came there, he looked weak and after 2 weeks for rehab , especially for physical therapy and occupational therapy, he came home and do better for daily activities as walking , get dress, shower, gradually back to normal.

Rehab patient's family · 2024★★★★★

There were no smells to make me uncomfortable. Every single staff member were unusually kind, patient, mild, caring, extremely loving group of people.

Post-surgery rehab patient · 2024★★★★★

I was placed there by the VA. Expected to be there for 2 to 3 weeks for recovery from open heart surgery. I found it to be counter to healing. Very noisy, even in the middle of the night.

Post-surgery rehab patient · 2018☆☆☆☆
Source: 73 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
CA
11.6%
San diego
11.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
19.4%
CA
10.7%
San diego
11.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
19.5%
CA
13.7%
San diego
15.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility18.8%
Worse than Avg
Here
18.8%
US
12.1%
CA
7.0%
San diego
8.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
14.4%
CA
10.4%
San diego
8.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
15.3%
CA
10.5%
San diego
9.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
79.7%
CA
93.2%
San diego
95.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
San diego
97.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Worse than Avg
Here
1.6%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Near state avg (15.4)
8 complaint-triggered

This facility has a concerning pattern of recurring deficiencies across multiple care areas, with families filing five complaint reports. The most persistent issues involve infection control, medication management, and food safety, with some problems repeating across multiple surveys. While the facility reports correcting all violations, the recurring nature of deficiencies in critical areas like infection prevention and medication errors suggests ongoing operational challenges that warrant careful consideration during any visit.

Apr 11, 2025Complaint
6
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Oct 10, 2024Routine
14
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · PatternCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Sep 21, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 27, 2023Complaint
1
0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

Apr 13, 2023Routine
15
0700Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0753Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 11, 2019Routine
7
0343Potential for harm · PatternCorrected

Smoke Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0700Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Arroyo Vista Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 69 of 328 (Best)

Ownership & Management

Owners

Flagstone Healthcare South LLC

Owner · Organization

The Ensign Group INC

Owner (parent company) · Organization

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Afshar, PouyaManaging Control - Governing BodyMoore, OmeManaging Control - Governing BodyWillits, AdamOfficer / DirectorBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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