Lilisity

Nursing home

Stillwater Post-Acute

510 E. Washington Avenue, El Cajon, CA 92020 · Map
For profit - Limited Liability company · Part of Links Healthcare Group (31 facilities) · 256 certified beds

Medicare and Medicaid certified
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Stillwater Post-Acute is a Medicare-certified nursing home in El Cajon, California. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.83 hours per resident per day, below the California average of 4.51. Its most recent inspection on Apr 18, 2025 cited 21 deficiencies.

1 out of 5Overall CMS rating
2 out of 5Health inspections
3 out of 5Staffing
256 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing3/5
Quality measures1/5
Long-stay quality1/5
Short-stay qualityNo data

How Stillwater Post-Acute 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.

MetricThis facilityCalifornia avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.834.513.89below avg
RN staffing (hrs/resident/day)0.570.650.68below avg
Aide staffing (hrs/resident/day)2.152.642.34below avg
Nursing staff turnover48.4%38.1%46.4%above avg
Deficiencies cited, last inspection21.015.49.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.83Total nurse hrs/resident/day
0.57RN hrs/resident/day
1.10LPN hrs/resident/day
2.15Aide hrs/resident/day
3.71Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff48.4%
Registered nurses45.0%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Apr 18, 2025Most recent inspection
21Deficiencies found
100Health inspection score
0Fines
  • Every deficiency from the March 19, 2026 inspection was corrected by April 11, 2026

What inspectors found at Stillwater Post-Acute

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

    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 · Mar 19, 2026 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Apr 18, 2025 · Full report (PDF)
  • Potential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Nutrition and Dietary Deficiencies · Apr 18, 2025 · Full report (PDF)
  • Potential for harm

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

    Nursing and Physician Services Deficiencies · Apr 18, 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 · Apr 18, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental Deficiencies · Apr 18, 2025 · Full report (PDF)
  • Potential for harm

    Implement a program that monitors antibiotic use.

    Infection Control Deficiencies · Apr 18, 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 · Apr 18, 2025 · Full report (PDF)
  • Potential for harm

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

    Pharmacy Service Deficiencies · Apr 18, 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 · Apr 18, 2025 · Full report (PDF)
  • Potential for harm

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Quality of Life and Care Deficiencies · Apr 18, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Apr 18, 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
510 E. Washington Avenue
El Cajon, CA 92020
CMS certification #
555076
Ownership
For profit - Limited Liability company
Certified beds
256
Avg residents/day
244.0
Provider type
Medicare and Medicaid
First certified
1977-08-04
Chain
Links Healthcare Group (31 facilities)
Setting
Urban

Part of Links Healthcare Group

Links Healthcare Group operates 31 nursing facilities across the United States. View all Links Healthcare Group facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Stillwater Post-Acute using Google Maps.

Other public records

  • Workplace safety 2 OSHA workplace safety inspections since 2021, 3 violations cited
Full public records, with dates and sources

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.

  • Nov 14, 2023: programmed, related to another inspection inspection, complete (safety). Case closed Apr 2, 2024. No violations cited. OSHA record. OSHA recorded the employer as El Dorado Care Center. Matched by street address; the name OSHA recorded differs from the community's.
  • Aug 5, 2021: accident investigation inspection, partial (health). Case closed Apr 24, 2023. 3 violations cited (1 serious, 2 other). Penalties: $14,625 proposed, $6,035 now. OSHA record. OSHA recorded the employer as El Dorado Care Center. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Other than serious: Cited rule 5199(C). Penalty $375 proposed, $300 now. To be fixed by Nov 17, 2021. Contested by the employer.
    • Other than serious: Cited rule 5193(G)(1)(A). Penalty $750 proposed, $335 now. To be fixed by Nov 17, 2021. Contested by the employer.
    • Serious: Cited rule 5199(C)(6)(B). Penalty $13,500 proposed, $5,400 now. To be fixed by Oct 14, 2021. 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
Grossmont Hospital, La Mesa. 2.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Magnolia Post Acute Care, El Cajon. 0.0 miles away, straight line.
Nearest home health agency office
Absalom Home Health Agency LLC, El Cajon. 1.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Rite Aid. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 92020 as metropolitan (metropolitan core).
Dialysis within 15 miles
Rai - Fletcher Parkway - El Cajon, El Cajon, 1.6 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Balboa East County, El Cajon, 1.7 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Balboa La Mesa, La Mesa, 2.3 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
86 Medicare hospices tell CMS they serve ZIP code 92020.
Together Hospice Care LLC, office in La Mesa, 4.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Avalon Hospice & Palliative Care, office in San Diego, 9.3 miles away, straight line
Comfort And Peace Hospice, office in San Diego, 9.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Del Sur Healthcare, El Cajon. 0.3 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 high, tornado very low, heat wave relatively moderate, 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Only cases that look tied to an earlier operator (not shown)
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: no FEMA wildfire rating of moderate or higher here
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record

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Frequently asked questions

Is Stillwater Post-Acute a good nursing home?

CMS gives Stillwater Post-Acute an overall rating of 1 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Stillwater Post-Acute staffed?

Stillwater Post-Acute reports 3.83 total nurse hours per resident per day, compared with the California average of 4.51.

Has Stillwater Post-Acute had inspection problems?

Its most recent CMS inspection cited 21 deficiencies.

How many beds does Stillwater Post-Acute have?

Stillwater Post-Acute is certified for 256 beds.