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Nursing Home Top Rated

The Springs at Pacific Regent

Strong Medicare quality ratings; families often praise beautiful, new building and landscaping. Still worth an in-person visit.

3884 Nobel Drive, University City · San Diego, CA 9212259 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 27 Google reviews

5
4
3
2
1
The Springs at Pacific Regent Nursing Home in San Diego, CA — Street View
Street View

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What this means for your family

The facility offers a beautiful, modern environment with excellent social amenities and a friendly atmosphere. However, families must perform rigorous due diligence regarding medication management and staff oversight, as there is a documented history of serious allegations regarding care quality.

Google Reviews

Google Reviews

27 reviews on Google
The facility is praised for its beautiful, new building, excellent landscaping, and friendly staff. However, families should be aware of serious allegations regarding medication errors and staff conduct, as well as noted organizational issues within the memory care wing.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean5.0Activities5.0Meds1.0Memory3.0CommsN/AValueN/A

Strengths

  • Beautiful, new building and landscaping
  • Friendly and welcoming staff
  • High-quality dining options for non-memory care residents
  • Excellent atmosphere and social amenities

Concerns

  • Serious allegations of abuse and medication errors
  • Disorganization in the memory care wing
  • Noise disturbances from facility operations

Rating Trends

Tap a year to see what changed

2343.5'17(4)2.03.0'20(3)4.44.0'22(4)4.74.5'24(4)4.0'25(3)

Distribution · 31 analyzed

5
18
4
3
3
5
2
3
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1The building and landscaping look absolutely beautiful; how do you incorporate the outdoor spaces into the residents' daily social activities?
  • 2Since the dining options are a highlight for many, could you tell me more about how the menu is planned and how you ensure mealtime remains a pleasant experience for everyone?
  • 3With the high health inspection rating, what specific protocols are in place to ensure medication is administered accurately and safely every time?
  • 4How does the team manage the transition between the main facility and the memory care wing to ensure a calm and organized environment for residents?
  • 5What is the process for handling medical emergencies or changes in health status during the overnight hours?
  • 6I've heard wonderful things about the friendly atmosphere here; how do you foster that sense of community among the residents and staff?

Personalized based on this facility's data


Key Review Excerpts

Grandmother was abused by manager and staff, and given the wrong medication.... manager preferred to flirt with staff then correct the issue...

Family member of deceased resident · 2022☆☆☆☆

Beautiful and new. Not yet very organized for their memory care floor. Good food if you don't live in memory care and can eat in the dining room

Resident family member · 2025★★★★

Great place for retirement, people are very friendly, lots of entertainment and activities, you can buy and own the unit with no entrance fee, very low HOA monthly fee, very well organized home owners committees and much more.

Prospective resident/Owner · 2023★★★★
Source: 27 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 3 measures

Medicare Rating
5/ 5
Better Than Avg

3

measures

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
81.8%
CA
94.2%
San diego
97.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
79.7%
CA
93.2%
San diego
95.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
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

4deficiencies
Well below state avg (15.4)
8 complaint-triggered

Nine families filed complaints that triggered federal inspections, revealing recurring problems with care planning, medication management, and resident rights. The facility has been repeatedly cited for failing to develop proper care plans and medication oversight issues, with these problems persisting across multiple years. While all violations show correction dates, the pattern of complaint-driven investigations and repeated deficiencies in core care areas warrants careful evaluation during any visit.

Aug 6, 2025Routine
5
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.

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

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

Sep 5, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 11, 2024Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 17, 2024Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 8, 2024Complaint
2
0656Potential for harm · PatternCorrected

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.

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.

Aug 25, 2023Routine
8
0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Springs at Pacific Regent

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 37 of 328 (Best)

Ownership & Management

Key personnel

Afshar, PouyaManaging Control - Governing BodyBurnam, SoonManaging Control - Governing BodyStevenson, MatthewManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

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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.

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