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Nursing HomeMedicaid

Mission Hills Post Acute Care

Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy teams. Still worth an in-person visit.

3680 Reynard Way, Hillcrest · San Diego, CA 9210375 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 176 Google reviews

5
4
3
2
1
Mission Hills Post Acute Care 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 short-term rehabilitation, particularly due to their highly-rated PT and OT departments. However, if your loved one requires memory care, you should conduct an in-person visit to specifically observe the level of supervision and responsiveness in that wing.

Google Reviews

Google Reviews

176 reviews on Google
Families considering Balboa Nursing and Rehab generally praise the exceptional physical and occupational therapy teams and the compassionate, attentive nursing staff. However, there are serious, recurring allegations regarding neglect in the dementia wing, issues with facility maintenance like lack of air conditioning, and concerns regarding the loss of personal belongings.

Quality Themes

Tap a score for details
Food7.0Staff8.0Clean8.0Activities9.0MedsN/AMemory2.0Comms6.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Engaging resident activities and outings

Concerns

  • Neglect of residents in memory care/dementia units (mentioned by 3 reviewers)
  • Facility maintenance issues (AC, plumbing, elevators) (mentioned by 2 reviewers)
  • Loss or theft of resident personal belongings (mentioned by 2 reviewers)
  • Inadequate staffing on weekends (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(3)'18(1)'20(6)'22(3)'24(25)'26(42)

Distribution · 153 analyzed

5
111
4
14
3
1
2
4
1
23
11 reviews posted between Jul 17, 2024Jul 18, 2024 · 11 were 5-star

How They Respond to Reviews

0%response rate
Good

The owner provides personalized responses that specifically reference details from the reviews, such as mentioning specific departments or family members. They use an empathetic and professional tone when addressing both praise and criticism.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; how do you tailor those programs to meet a resident's specific recovery goals?
  • 2With the facility being so well-maintained and clean, what is your current plan for addressing any ongoing maintenance or plumbing updates?
  • 3How do you ensure that the high level of attentive care seen during the week is maintained consistently through the weekends?
  • 4What specific strategies do you use to ensure residents in the memory care unit receive specialized, one-on-one attention and engagement?
  • 5What is your protocol for managing resident personal belongings to ensure everything stays safe and accounted for?
  • 6Can you tell us more about the types of engaging resident activities and community outings that are available each week?

Personalized based on this facility's data


Key Review Excerpts

The PT, OT, ST dept is amazing. The nurses and CNAs are the best. The food is consistently very good...I know, I ate it myself.

Long-term resident's family · 2026★★★★★

The staff member who pushed my husband in the wheelchair a couple of blocks over to Balboa Park. It was a very amazing activity, where we listen to music we all probably knew, or given lunches that were appropriate for each resident and their dietary needs

Long-term resident's family · 2026★★★★★

I was a patient at Balboa Nursing Facility for over a month and have absolutely NO complaints. Housekeeping is excellent. The laundry care is awesome. The cafeteria did the best they could to accommodate everyone, and I enjoyed the meals.

Rehab patient · 2025★★★★★
Source: 176 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
4.20hrs
OK
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.3%
Worse than Avg
Here
24.3%
US
15.3%
CA
10.5%
San diego
9.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
19.5%
CA
13.7%
San diego
15.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.5%
CA
11.7%
San diego
10.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.3%
Worse than Avg
Here
14.3%
US
12.1%
CA
7.0%
San diego
9.7%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
99.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.4%
Mixed vs Avgs
Here
8.4%
US
14.4%
CA
10.4%
San diego
7.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
79.8%
CA
93.2%
San diego
96.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
CA
94.2%
San diego
96.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
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

13deficiencies
Near state avg (15.4)
11 complaint-triggered

This facility has concerning patterns of recurring problems despite corrections, with families filing complaints about serious issues including abuse/neglect. The most frequent problems involve nursing staffing adequacy, medication management, and nutrition services. While all deficiencies show correction dates, the same issues repeatedly resurface across multiple surveys, suggesting systemic challenges in maintaining consistent care standards, particularly given the complaint-triggered investigations.

Jun 19, 2025Routine
14
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

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.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0741Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 4, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jan 28, 2025Complaint
1
0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Oct 8, 2024Complaint
2
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Jul 2, 2024Complaint
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.

Apr 17, 2024Complaint
2
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mission Hills Post Acute Care

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

342 facilities nationwide

Chain avg rating: 3.2/5 · Rank 214 of 328

Ownership & Management

Owners

Port, Barry

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

Key personnel

Afshar, PouyaManaging Control - Governing BodyRapp, DamienManaging Control - Governing BodyOh, KatherineOfficer / DirectorSato, AmiOfficer / DirectorWillits, AdamOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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