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Data / Nursing homes / California / Stillwater Post-Acute

Stillwater Post-Acute, El Cajon, CA: 2 star rating, no fines

Stillwater Post-Acute in El Cajon, CA is run by San Diego Bay Holdings LLC, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 51 health citations from inspections in that time, the latest survey on August 7, 2026, and none of them found actual harm or immediate jeopardy.

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Address
510 E. Washington Avenue, El Cajon, CA 92020
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
256
Residents per day
245 on average
Ownership type
For profit, limited liability company
Legal business name
San Diego Bay Holdings LLC
Chain
Links Healthcare Group, 32 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
51, of which 0 with actual harm or immediate jeopardy
Latest survey
August 7, 2026
CMS Certification Number
555076
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 7, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2026data.cms.gov
August 7, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2026data.cms.gov
March 19, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 11, 2026data.cms.gov
April 18, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 18, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2025data.cms.gov
April 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 23, 2025data.cms.gov
January 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2025data.cms.gov
January 2, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 27, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2025data.cms.gov
October 28, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2024data.cms.gov
July 3, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2024data.cms.gov
April 26, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F699Provide care or services that was trauma informed and/or culturally competent.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 26, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 23, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 2, 2024data.cms.gov
March 20, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2024data.cms.gov
March 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2024data.cms.gov
January 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2024data.cms.gov
January 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (6 managers, 2 officers, directors or trustees, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Links Healthcare Group LLCOperational or managerial controlNot listedFebruary 1, 2024data.cms.gov
Links Support Services, LLCOperational or managerial controlNot listedFebruary 1, 2024data.cms.gov
Forbright BankSecurity interestNot listedFebruary 1, 2024data.cms.gov
Links Healthcare Group LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov
Links Support Services, LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.