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74 Nursing Homes That Accept Medicaid in San Diego County, California

74 of the 83 Medicare-certified nursing homes in San Diego County, California (89%) are Medicaid-certified, and all are listed below. 27 of the 73 graded homes earn an A and 0 earn a D or F. They average 4.4 nursing hours per resident per day, 0.1 hours below the 4.5 for every home in San Diego County, California. Lakeside Special Care Center in Lakeside grades highest at A (97 out of 100).

How Medicaid-certified homes in San Diego County, California compare

This group set against every nursing home in San Diego County, California, from the current CMS release.

Nursing hours per resident per day

4.4

All homes in San Diego County, California: 4.5

Worse than the local average

Nurse staff turnover

37.6%

All homes in San Diego County, California: 37.8%

Better than the local average

Average ElderGrade score

80.8/100

All homes in San Diego County, California: 81.4/100

Worse than the local average

Grade spread

A
B
C

27 grade A, 38 grade B, 8 grade C,

The best-graded Medicaid-certified home in San Diego County, California is Lakeside Special Care Center in Lakeside, CA, grade A, 97/100.

Every Medicaid-certified nursing home in San Diego County, California

Showing 41 to 60 of 74, best-graded first.

B

80/100

National City Post Acute

National City, CA · San Diego County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

National City Post Acute runs 98 beds under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 10% below its own weekday levels. Staff turnover is 44.3%, slightly better than the 45.8% national figure. What stands out is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $15,652 and a 2-out-of-5 health inspection rating, though the most recent inspection was December 2025. Quality measures rate 5 out of 5, so the clinical numbers look strong even as the survey history tells a rougher story.

B

78/100

Cottonwood Canyon Healthcare Center

El Cajon, CA · San Diego County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
40%
Serious cites
0

Cottonwood Canyon runs 96 beds in El Cajon under corporate ownership, and its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, though weekends drop roughly 7% below its own weekday coverage. Turnover lands at 40.4%, better than the 45.8% national figure, so the same faces are more likely to stick around. The trouble shows up in inspections: 61 deficiencies on the current record, two at harm or jeopardy level and three tied to abuse, plus $20,518 in fines across two penalties. With a 2-star inspection rating against a 5-star quality measure score, the day-to-day care numbers look stronger than what surveyors have actually found.

B

78/100

Paradise Valley Health Care

National City, CA · San Diego County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
21%
Serious cites
0

Paradise Valley runs 4.93 nursing hours per resident day, roughly 28 percent above the national average, and weekend staffing dips only about 10 percent below its own weekday level. That steadiness matters, and so does a turnover rate of 21.3 percent in a field where the typical home loses closer to 46 percent of its staff each year. The tradeoffs show up elsewhere: 21 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, plus one fine of $10,036. Inspectors last visited in November 2024, and the federal ratings split sharply, full marks on quality measures, four stars on inspections, middle of the pack on staffing.

B

78/100

Mission Hills Post Acute Care

San Diego, CA · San Diego County

CMS 4/575 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
55%
Serious cites
0

Mission Hills Post Acute Care runs 75 certified beds under corporate ownership, and the raw staffing number looks decent: 4.32 nurse hours per resident day, roughly 12% above the national average. But that average hides a pattern, weekends run about 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Staff turnover sits at 55.1% against a national 45.8%, which means nearly six in ten caregivers left within the year. The current inspection record carries 48 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was recent enough (June 2025) to suggest the record is being watched.

B

78/100

Palomar Heights Post Acute

Escondido, CA · San Diego County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
42%
Serious cites
0

Palomar Heights runs a for-profit operation with 98 certified beds, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekends drop about 12% below its own weekday level. Staff turnover lands at 42.3%, slightly better than the national rate. What pulls this home down is its inspection record: 55 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,176 fine on file. The health inspection rating reflects that, even as the quality measure score reads strong. It was last inspected May 30, 2025, so the record is reasonably current. Worth asking about those abuse-related findings directly.

B

77/100

Arbor Hills Nursing Center

La Mesa, CA · San Diego County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
46%
Serious cites
0

Arbor Hills runs 4.06 nurse hours per resident day, about 5% above the national average, but weekends drop roughly 11% below its own weekday staffing, which matters if your family visits on Saturdays. Turnover is 46.2%, essentially the national rate, so you're looking at a workforce that churns like most others. The inspection record shows 37 deficiencies with one at the harm level and no abuse findings, and the last inspection was recent, in February 2026. Quality measures score well and inspections earned four stars, but the staffing star sits at three, and a single fine of $12,831 is on file. Owned by a for-profit LLC.

B

77/100

Encinitas Post-Acute

Encinitas, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
44%
Serious cites
0

Encinitas Post-Acute runs 99 beds under corporate ownership, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86 nationally. That thin margin matters less than the weekend gap, where coverage drops about 12% below its own weekday level, and the 44.4% turnover rate is basically the industry norm rather than a point in its favor. The inspection record is the stronger part: 36 deficiencies on file with none at harm or jeopardy level, though two are abuse-related and worth asking about directly. A May 2025 inspection means the record is current.

B

77/100

Community Care Center

La Mesa, CA · San Diego County

CMS 4/5119 bedsFor-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
34%
Serious cites
0

Community Care Center runs on 4.61 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 33.6% sits well under the 45.8% national figure, a combination that usually means more consistent caregivers at the bedside. Weekends dip about 9% below weekday staffing, so coverage does thin out. The 27 deficiencies on record are worth noting, but none reached harm or jeopardy level and none were abuse-related, and the most recent inspection was April 2026. Quality measure and health inspection ratings both land at 4 out of 5, while staffing sits at 3.

B

77/100

Balboa Nursing & Rehabilitation Center

San Diego, CA · San Diego County

CMS 4/5194 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
37%
Serious cites
0

Balboa runs 194 beds in San Diego under for-profit LLC ownership, and its nursing hours land at 3.79 per resident day, just under the national average, with weekends dropping roughly 9% below its own weekday staffing. Turnover is 37.2%, better than the 45.8% national figure, so the same faces stick around more than at a typical home. The inspection record is the hard part: 44 deficiencies, one at harm or jeopardy level, two tied to abuse, and a 2/5 health inspection rating, though the 5/5 quality measures and a May 2025 inspection suggest clinical outcomes and recent oversight look steadier than that history implies.

B

77/100

Stillwater Post-Acute

El Cajon, CA · San Diego County

CMS 2/5256 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

Stillwater Post-Acute runs 256 beds in El Cajon under for-profit LLC ownership, and its staffing sits slightly above the national average, about 3.98 nurse hours per resident day. Weekends dip roughly 5% below its own weekday coverage, so the care you'd see on a Saturday isn't quite what the weekday numbers suggest. Turnover lands at 44%, essentially in line with the national rate, so this isn't a retention crisis. The real story is the inspection record: 62 deficiencies on file, one abuse-related, though none reached harm or jeopardy level, and the last state visit was April 2025. Two out of five on health inspections against three on quality and staffing measures tells you where the trouble lives.

B

76.5/100

Ridgeview Skilled Nursing Facility

San Diego, CA · San Diego County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
5.33 /day
Staff turnover
55%
Serious cites
0

Ridgeview runs on a lean 45 beds in San Diego, and the staffing numbers are the real story here: 5.33 nurse hours per resident day, roughly 38% above the national average. That's a meaningful cushion, though weekends dip about 16% below the home's own weekday coverage, so ask how that gap gets filled. Turnover sits at 55.1%, nearly ten points above the national rate, which matters because consistent caregivers know residents. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with six fines totaling $33,238 and a recent June 2025 survey. For-profit individual ownership is worth asking about directly.

B

76/100

Golden Hill Post Acute

San Diego, CA · San Diego County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
n/a
Serious cites
0

Golden Hill Post Acute runs 4.24 nurse hours per resident day, about 10% above the national average of 3.86, so the raw staffing number looks solid. The catch is weekends, when coverage drops roughly 17% below what the building runs Monday through Friday, that gap matters most for families whose visits fall on Saturdays and Sundays. The current record carries 35 deficiencies, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. Its last inspection was August 2025, so the picture is fairly current, and the 4/5 quality measure rating sits above the 3/5 inspection and staffing marks. A for-profit corporation owns the 99-bed building.

B

76/100

Reo Vista Healthcare Center

San Diego, CA · San Diego County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
43%
Serious cites
0

Reo Vista Healthcare Center runs 162 certified beds in San Diego under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. But that average hides a dropoff: weekends run about 9% thinner than weekdays. Staff turnover is 42.6%, a bit better than the 45.8% national figure. The bigger concern is the inspection record, 51 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with $25,406 in fines across two penalties. Quality measures score well, but that reflects resident outcomes rather than the day-to-day oversight that inspections measure.

B

76/100

Bella Vista Health Center

Lemon Grove, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
48%
Serious cites
0

Bella Vista Health Center in Lemon Grove runs 4.87 total nurse hours per resident day, roughly 26% above the national average of 3.86, and its weekend staffing only dips about 7% below weekdays, a smaller drop-off than many homes show. The 22 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was November 2025. Staff turnover sits at 47.6%, slightly above the national 45.8%. With 99 certified beds under for-profit LLC ownership, the numbers describe a home that is adequately staffed and recently inspected, but not one where retention stands out.

B

75/100

Mount Miguel Covenant Village

Spring Valley, CA · San Diego County

CMS 3/590 bedsNon-profitMedicaid
Nurse hours
2.69 /day
Staff turnover
20%
Serious cites
0

Mount Miguel Covenant Village runs lean on nursing hours, 2.69 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main reason its CMS staffing rating sits at the bottom of the scale, even though the home is church-affiliated and nonprofit. Where it looks steadier: staff turnover of 19.7% is well under half the national rate, inspections are recent and produced no deficiencies at the harm level, and its health inspection and quality measure ratings both land at 4 out of 5. Twenty-eight deficiencies total and one abuse-related finding are on the record, so ask about that directly before deciding.

B

75/100

Castle Manor Nursing & Rehabilitation Center

National City, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
37%
Serious cites
0

Castle Manor runs about 4.58 nurse hours per resident day, roughly 19% above the national average, though weekends drop about 13% below its own weekday levels, worth asking about if your family visits then. Staff turnover sits at 37.4%, better than the 45.8% national figure, which matters for continuity of care. The home carries 25 deficiencies on its current record, one at the harm level, with a single fine of $10,188 and no abuse findings. Its last inspection was March 2025, and it's owned by a for-profit limited liability company.

B

74.5/100

La Jolla Post-Acute

La Jolla, CA · San Diego County

CMS 4/5161 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
49%
Serious cites
0

La Jolla Post-Acute runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a percentage point above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 7% below the home's own weekday levels. Staff turnover is the bigger concern: 49.3% annually against a national average of 45.8%, meaning nearly half the nursing workforce turns over each year. The inspection record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2025. Four stars on health inspections but three on staffing tells you the clinical care is holding up better than the workforce stability behind it.

B

74/100

Poway Healthcare Center

Poway, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
43%
Serious cites
0

Poway Healthcare Center sits in San Diego County with 99 certified beds under for-profit LLC ownership. Nurse staffing averages 3.97 hours per resident day, a bit above the national average of 3.86, though weekends run roughly 8% lighter than weekdays. Annual turnover at 42.5% is slightly better than the 45.8% national figure, and its last inspection was recent, in May 2025. What complicates the picture is the deficiency record: 35 total, including one abuse-related citation, though none reached the harm or jeopardy level. The two four-star ratings for health inspections and quality measures look stronger than the two-star staffing rating, which is where the tension sits.

B

73/100

Jacob Healthcare Center

San Diego, CA · San Diego County

CMS 5/5128 bedsFor-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
59%
Serious cites
0

Jacob Healthcare Center in San Diego runs 128 certified beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.60 hours per resident day, roughly 19% above the national average of 3.86, but weekends dip about 3% below the home's own weekday level, so the floor isn't as steady as the top-line figure suggests. Annual turnover is 58.9% against a national 45.8%, meaning a large share of the staff you'd meet is relatively new. The inspection record shows 36 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent survey was in January 2026, so the picture is current.

B

72.5/100

The Pavilion At Ocean Point

San Diego, CA · San Diego County

CMS 2/5133 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
n/a
Serious cites
0

The Pavilion At Ocean Point runs 4.13 total nurse hours per resident day, roughly 7% above the national average of 3.86, but the coverage thins on weekends, dropping about 14% below its own weekday level. Its inspection record shows 68 deficiencies, including one at the harm or jeopardy level and two tied to abuse, and the health inspection star rating sits at 2 out of 5. It's a for-profit LLC with 133 certified beds, last inspected March 2026. The staffing number looks fine on paper; the deficiency count is where the concern lives.

Frequently asked questions

How many Medicaid-certified nursing homes are there in San Diego County, California?
There are 74 Medicaid-certified Medicare-certified nursing homes in San Diego County, California, 89% of the 83 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In San Diego County, California they average 4.4 total nursing hours per resident per day, against 4.5 for all nursing homes in San Diego County, California, a difference of -0.1 hours. Staff turnover averages 37.6% against 37.8%.
Which Medicaid-certified nursing home grades best in San Diego County, California?
Lakeside Special Care Center in Lakeside, CA, grade A, 97 out of 100.
Does being Medicaid-certified mean a nursing home is safe?
No. Of the 73 graded Medicaid-certified homes in San Diego County, California, 27 grade A and 0 grade D or F.
Do Medicaid-certified nursing homes in San Diego County, California accept Medicaid?
74 of the 74 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in San Diego County, California