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Nursing HomeMedicaid Investigative

San Diego Post-Acute Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1201 South Orange Ave., El Cajon, CA 92020240 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 206 Google reviews

5
4
3
2
1
San Diego Post-Acute Center Nursing Home in El Cajon, CA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (31 vs median 13.0)
  • High RN turnover (64%)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in PACS GROUP chain · $11,213 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as the rehab team is consistently rated as top-tier. However, families should be vigilant about monitoring daily hygiene and medication schedules, as multiple reviewers have noted that heavy workloads can lead to staffing delays and inconsistent care.

Google Reviews

Google Reviews

206 reviews on Google
Families considering Victoria Post Acute Center will find a facility highly praised for its exceptional rehabilitation therapy and a compassionate, hardworking nursing staff. While many reviewers highlight recent renovations and a clean environment, significant concerns exist regarding staffing shortages that can lead to delayed care and occasional issues with hygiene or food quality.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean7.0Activities8.0Meds3.0MemoryN/AComms7.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy teams
  • Compassionate and hardworking nursing staff
  • Recent facility renovations and clean environments
  • Welcoming and professional administrative/social services

Concerns

  • Staffing shortages leading to delayed response times (mentioned by 4 reviewers)
  • Inconsistent cleanliness and hygiene issues (mentioned by 3 reviewers)
  • Substandard food quality and dietary management (mentioned by 3 reviewers)
  • Difficult parking and facility access (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(5)'19(5)'21(53)'23(28)'25(53)'26(41)

Distribution · 230 analyzed

5
162
4
25
3
2
2
11
1
30
26 reviews posted between Oct 8, 2025Oct 10, 2025 · 26 were 5-star
11 reviews posted between May 2, 2021May 2, 2021 · 10 were 5-star
11 reviews posted between Mar 21, 2021Mar 25, 2021 · 11 were 5-star

How They Respond to Reviews

30%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation and physical therapy teams; can you tell us more about how they work with residents to regain their independence?
  • 2With the recent renovations to the facility, what are some of the new features or updated spaces that residents can enjoy?
  • 3How does the nursing team manage medication schedules to ensure everything is handled accurately and on time?
  • 4Could you describe the dining experience and how the dietary team manages specific nutritional needs or meal quality?
  • 5What is the protocol for responding to medical emergencies or urgent care needs during the overnight hours?
  • 6How do you ensure that cleaning and hygiene standards are consistently maintained throughout the different wings of the facility?

Personalized based on this facility's data


Key Review Excerpts

The Nurses and CNAs… Man do these people bust the butts. Non-stop moving around. But they also take the time to make sure you are comfortable,

Rehab patient · 2026★★★★★

The rehab department was amazing with keeping my uncle doing exercises to help with his balance. As well as they way the CNAs always assisted him with making making sure he was safe and making sure he was comfortable.

Long-term resident's family · 2025★★★★★

The staff and everyone was so nice and kind. They treated my mother very good and Emily the CNA is the absolute best, very attentive and kind.

Long-term resident's family · 2025★★★★★
Source: 206 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
73%
Registered nurses for medical care
Total Nursing
4.18hrs
OK
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
48%
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 · 16 measures

Medicare Rating
1/ 5
Better Than Avg

11

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
19.4%
CA
10.7%
San diego
11.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.3%
CA
10.5%
San diego
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
14.4%
CA
10.4%
San diego
8.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
98.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
95.5%
CA
98.2%
San diego
98.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.2%
Mixed vs Avgs
Here
17.2%
US
19.5%
CA
13.7%
San diego
15.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
81.8%
CA
94.2%
San diego
97.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.2%
Mixed vs Avgs
Here
95.2%
US
79.7%
CA
93.2%
San diego
95.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.3%
Worse than Avg
Here
4.3%
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

32deficiencies
3penalties
Well above state avg (15.4)
39 complaint-triggered
$11,213 in fines

This facility shows concerning patterns with families repeatedly filing complaints about abuse protection, safety hazards, and care planning issues. The most recurring problems involve safety hazards throughout the facility, medication management errors, and failure to properly develop care plans. Most troubling, several recent serious deficiencies including abuse protection and dementia care remain uncorrected with no correction plan from the provider, indicating ongoing risks to resident safety and well-being.

Mar 10, 2026Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 4, 2026Complaint
1
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.

Jan 23, 2026Complaint
6
0600Actual 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.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Dec 2, 2025Complaint
2
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.

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.

Sep 18, 2025Complaint
1
0761Potential for harm · IsolatedCorrected

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.

Jul 14, 2025Complaint
2
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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Jan 23, 2026

$54,280

Payment Denial

Jan 23, 2026

5-day denial

Fine

Jul 17, 2024

$11,213

Ownership & Operations

Who Operates This Facility

Owner / Operator

San Diego Post-Acute Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 227 of 260 (Worst)

Ownership & Management

Key personnel

Michlin, BernardContracted Managing EmployeeJenkins, WilliamW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / 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

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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