St. Pauls Health Care Center

Nursing Home · San Diego, CA

CMS overall rating 2/5 Abuse citation Non profit - Corporation

CMS certification number555144
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

235 Nutmeg Street
San Diego, CA 92103
San Diego County
Phone
(619) 239-8687
ZIP code
92103 – all care providers

Open in Google Maps

Facility details

Certified beds
59
Residents per day
53.4 (91% occupied)
Ownership
Non profit - Corporation
Legal name
ST Paul's Episcopal Home INC
Medicare certified since
September 25, 1991
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 3/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.78 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.93 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.89 (state 1.20 · U.S. 0.86)
Nurse aides
2.96 (state 2.65 · U.S. 2.32)
Weekend total
4.34 (state 4.09 · U.S. 3.42)
Nursing staff turnover
62.5 (state 36.7 · U.S. 45.8)%
RN turnover
40.0 (state 38.1 · U.S. 42.9)%

Inspections

Last standard inspection
June 26, 2025
Health deficiencies (last cycle)
27.0 (state 15.7 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
58 health · 20 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-09
2026-05-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-09
2026-05-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-09
2026-02-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-02-07 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-02-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2025-12-09 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-09-04 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-04
2025-09-04 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-04
2025-06-26 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Provide care by qualified persons according to each resident's written plan of care.
F0659 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-26 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-10 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-10 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-03 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-03 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F0836 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-05-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-18
2024-06-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-20
2023-04-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2023-04-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-05
2019-03-29 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-05-17
2019-03-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-05-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $44,890 in fines.

DateTypeAmount
2026-05-11Fine$44,890

Ownership & management

NameRoleSince
ST Paul's Episcopal Home INC (organization)5%+ Direct Ownership Interest · 100%
Ellenich, Ronald (individual)Administrator · NOT APPLICABLE
Lukas, Sophia (individual)Administrator · NOT APPLICABLE
McHale, Michael (individual)Administrator · NOT APPLICABLE
Rajper, Saleem (individual)Administrator · NOT APPLICABLE
ST Paul's Episcopal Home INC (organization)Administrator · NOT APPLICABLE
Vieu, George (individual)Administrator · NOT APPLICABLE
Dekieffer, Kitty (individual)Corporate Director · NOT APPLICABLE
Edd, Patrick (individual)Corporate Director · NOT APPLICABLE
Greiner, Philip (individual)Corporate Director · NOT APPLICABLE
Gross, Dan (individual)Corporate Director · NOT APPLICABLE
Keller, Mary (individual)Corporate Director · NOT APPLICABLE
Marusiak, David (individual)Corporate Director · NOT APPLICABLE
Sutton, Jacob (individual)Corporate Director · NOT APPLICABLE
Ellenich, Ronald (individual)Corporate Officer · NOT APPLICABLE
Lukas, Sophia (individual)Corporate Officer · NOT APPLICABLE
McHale, Michael (individual)Corporate Officer · NOT APPLICABLE
Rajper, Saleem (individual)Corporate Officer · NOT APPLICABLE
Vieu, George (individual)Corporate Officer · NOT APPLICABLE
Lukas, Sophia (individual)Managing Control - Governing Body · NOT APPLICABLE
Ellenich, Ronald (individual)Operational/managerial Control · NOT APPLICABLE
Lukas, Sophia (individual)Operational/managerial Control · NOT APPLICABLE
McHale, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Rajper, Saleem (individual)Operational/managerial Control · NOT APPLICABLE
Vieu, George (individual)Operational/managerial Control · NOT APPLICABLE
Dekieffer, Kitty (individual)Trustee Of The Snf · NOT APPLICABLE
Edd, Patrick (individual)Trustee Of The Snf · NOT APPLICABLE
Greiner, Philip (individual)Trustee Of The Snf · NOT APPLICABLE
Gross, Dan (individual)Trustee Of The Snf · NOT APPLICABLE
Keller, Mary (individual)Trustee Of The Snf · NOT APPLICABLE
Marusiak, David (individual)Trustee Of The Snf · NOT APPLICABLE
Sutton, Jacob (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of St. Pauls Health Care Center?

St. Pauls Health Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does St. Pauls Health Care Center have?

It has 59 certified beds and cares for about 53 residents per day.

Has St. Pauls Health Care Center been fined?

Yes. CMS lists 1 penalty totaling $44,890 in the last three years.

What is the phone number of St. Pauls Health Care Center?

(619) 239-8687. The facility is located at 235 Nutmeg Street, San Diego, CA 92103.

Other nursing homes in San Diego

Compare all nursing homes in San Diego, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.