Nursing home
St. Pauls Health Care Center
235 Nutmeg Street, San Diego, CA 92103 · Map
Non profit - Corporation · 59 certified beds
St. Pauls Health Care Center is a Medicare-certified nursing home in San Diego, California. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.11 hours per resident per day, below the California average of 4.51. Its most recent inspection on Jun 26, 2025 cited 26 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St. Pauls Health Care Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.11 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.74 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.59 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 56.0% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 26.0 | 15.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at St. Pauls Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 7, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 7, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 7, 2026 · Full report (PDF) - Potential for harm
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 · Dec 9, 2025 · Full report (PDF) - Potential for harm
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 · Sep 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Sep 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
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 · Jun 26, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
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 · Jun 26, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 235 Nutmeg Street
San Diego, CA 92103 - CMS certification #
- 555144
- Ownership
- Non profit - Corporation
- Certified beds
- 59
- Avg residents/day
- 54.5
- Provider type
- Medicare and Medicaid
- First certified
- 1991-09-25
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St. Pauls Health Care Center using Google Maps.
Other public records
- Website says Respite stays, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2018, 4 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What St. Pauls Health Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
Paul’s PACE provides free medical care, transportation, social work, nutrition, home care, day center activities, and more to those who are on or eligible for Medi-Cal.
(page, checked Oct 12, 2026) - Apartment types named: studio, two-bedroom.
Seniors can select a studio, one or two bedroom apartment, and maintain their privacy while having access to all of the amenities.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 23, 2018: programmed (planned) inspection, complete (safety). Case closed Mar 26, 2019. 4 violations cited (2 serious, 2 other). Penalties: $7,120 proposed, $3,340 now. OSHA record. OSHA recorded the employer as St. Paul's Episcopal Home INC.
Details
- Other than serious: Cited rule 2340.12(d). Penalty $185 proposed, $185 now.
- Other than serious: Cited rule 3203(A)(1). Penalty $185 proposed, $185 now.
- Serious: Cited rule 5162(A). Penalty $3,375 proposed, $2,700 now. Contested by the employer.
- Serious: Cited rule 5162(B). Penalty $3,375 proposed, $270 now. Contested by the employer.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Scripps Mercy Hospital, San Diego. 1.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Balboa Nursing & Rehabilitation Center, San Diego. 0.6 miles away, straight line.
- Nearest home health agency office
- Monarch Home Health Services, LLC, San Diego. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92103 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Ucsd Dialysis Center, San Diego, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Fmc-Gateway Dialysis Center - East, San Diego, 3.0 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Raven, San Diego, 3.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars) - Hospice
- 44 Medicare hospices tell CMS they serve ZIP code 92103.
Apa Hospice Care Inc, office in San Diego, 1.3 miles away, straight line
Apreva Hospice, office in San Diego, 2.0 miles away, straight line (CMS family survey rating 3 of 5 stars)
Kaiser Foundation Hospital San Diego Hospice, office in San Diego, 3.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Sharp Rees-Stealy Medical Group Inc, San Diego. 0.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is St. Pauls Health Care Center a good nursing home?
CMS gives St. Pauls Health Care Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St. Pauls Health Care Center staffed?
St. Pauls Health Care Center reports 4.11 total nurse hours per resident per day, compared with the California average of 4.51.
Has St. Pauls Health Care Center had inspection problems?
Its most recent CMS inspection cited 26 deficiencies.
How many beds does St. Pauls Health Care Center have?
St. Pauls Health Care Center is certified for 59 beds.