San Diego County, California · Nursing home
Mission Hills Post Acute Care
4 of 5 overall from CMS
3680 Reynard Way, San Diego, CA 92103
At a glance
- Overall rating 4 of 5 Above the state average of 3.2
- Nurse time per resident, per day 4.32 hours Below the state average of 4.52
- Nursing staff who left in a year 55.1% Above the state average of 36.7%
- Health citations, last 3 inspection cycles 49 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 93.2% of 75 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Mission Hills Post Acute Care is a 75-bed nursing home in San Diego, California (San Diego County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.32 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists no fines in the past three years.
- Certified beds
- 75
- Residents per day (average)
- 69.9
- Certified since
- 1973 (53 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Ensign Group (344 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Mission Hills Post Acute Care
Chosen from this home's public data.
- Nursing staff turnover is 55.1%, above the California average of 36.7%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.82 hours per resident on weekends against 4.32 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.57 hours per resident per day; the California average is 0.67. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 California average 3.2
- Health inspections 3 of 5 California average 2.8
- Staffing 3 of 5 California average 3.3
- Quality measures 5 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.32 h California average 4.52
- Nurse aides 2.50 h California average 2.65
- Licensed practical nurses 1.25 h California average 1.20
- Registered nurses 0.57 h California average 0.67
- All staff, weekends 3.82 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover55.1%
- California average36.7%
- Registered nurse turnover33.3%
- California average38.1%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 9.8% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.6% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 10.3% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.2% | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.8% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.8% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.6% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 5.8% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.3% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 49 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 12 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 27, 2022: Provide enough food/fluids to maintain a resident's health.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 19, 2025 | 14 | 1 |
| Jan 27, 2022 | 17 | 5 |
| Oct 10, 2019 | 18 | 2 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (49)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 17, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 18, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 18, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 18, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 18, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 1, 2025)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 28, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 31, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 26, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 21, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 21, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Mar 21, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 21, 2024)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 24, 2022)
-
FPotential for more than minimal harm, widespread
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 24, 2022)
-
FPotential for more than minimal harm, widespread
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 24, 2022)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 24, 2022)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 24, 2022)
Showing the 30 most recent of 49.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
- Size757 of 1161 by certified beds
- California average residents per day87.9
- ChainThe Ensign Group
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in San Diego21
- Homes in San Diego County83
Common questions
What is the CMS star rating for Mission Hills Post Acute Care?
Mission Hills Post Acute Care has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 5.
How many beds does Mission Hills Post Acute Care have?
Mission Hills Post Acute Care has 75 certified beds. It averages 69.9 residents per day, about 93.2% of its certified beds.
How much nursing care do residents get at Mission Hills Post Acute Care?
The home reports 4.32 hours of nurse staffing per resident per day, including 0.57 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has Mission Hills Post Acute Care been fined?
CMS lists no fines for this home in the past three years.
Does Mission Hills Post Acute Care accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Hillcrest Heights Healthcare Center 96beds 94.7%in use 4.09nurse hours a day
- 4 of 5 Balboa Nursing & Rehabilitation Center 194beds 93.7%in use 3.79nurse hours a day
- 2 of 5 St. Pauls Health Care Center 59beds 90.5%in use 4.78nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in San Diego County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 056401. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.