Quick answers
- Where is Stillwater Post-Acute?
- 510 E. Washington Avenue, El Cajon, CA 92020, in San Diego County, California.
- What is the phone number of Stillwater Post-Acute?
- (619) 440-1211, as listed by Medicare (CMS).
- What is the Medicare star rating of Stillwater Post-Acute?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Stillwater Post-Acute been fined?
- Medicare lists no fines for Stillwater Post-Acute.
- What did inspectors find at Stillwater Post-Acute?
- In its last three inspection cycles (June 29, 2022 to August 7, 2026), Medicare lists 64 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 29, 2022 to August 7, 2026), Stillwater Post-Acute had 64 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.95 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 18, 2025 — 23 health citations
Inspections in this cycle: April 18, 2025 (standard health inspection); March 19, 2026 (complaint investigation); August 7, 2026 (complaint investigation).
Show 23 citations (levels A to F, no actual harm)
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level D
“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.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0687 Level D
“Provide appropriate foot care.”
F0688 Level D
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level D
“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.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
Previous cycle: April 26, 2024 — 22 health citations
Inspections in this cycle: April 26, 2024 (standard health inspection); October 28, 2024 (complaint investigation); December 27, 2024 (complaint investigation); January 2, 2025 (complaint investigation); January 29, 2025 (complaint investigation); April 3, 2025 (complaint investigation).
Show 22 citations (levels A to F, no actual harm)
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0699 Level E
“Provide care or services that was trauma informed and/or culturally competent.”
F0803 Level E
“Ensure 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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Earlier cycle: June 29, 2022 — 19 health citations
Inspections in this cycle: June 29, 2022 (standard health inspection); December 21, 2023 (infection control inspection); January 11, 2024 (complaint investigation); January 18, 2024 (complaint investigation); March 20, 2024 (complaint investigation); April 23, 2024 (complaint investigation); July 3, 2024 (complaint investigation).
Show 19 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0732 Level D
“Post nurse staffing information every day.”
F0758 Level D
“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.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0809 Level D
“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.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (22)
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0111 Level F
“Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0347 Level D
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0346 Level E
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0354 Level E
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0161 Level D
“Use approved construction type or materials.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0521 Level D
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0912 Level D
“Have power receptacles that are properly grounded.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.59 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.10 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.26 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.95 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.84 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.56 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 43.0% | 36.6% | 45.3% |
| RN turnover (per year) | 47.2% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 32 nursing homes: Links Healthcare Group.
Legal business name: San Diego Bay Holdings LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Links Healthcare Group LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2024 |
| Links Support Services, LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 256 |
| Average residents per day | 244.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Links Healthcare Group |
| Legal business name | San Diego Bay Holdings LLC |
| First approved by Medicare/Medicaid | 1977-08-04 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 510 E. Washington Avenue, El Cajon, CA 92020 |
| County | San Diego County |
| State | California |
| Phone | (619) 440‑1211 |
| CMS Certification Number | 555076 |
| Name in Medicare records | STILLWATER POST-ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Magnolia Post Acute Care0.0 mi · El Cajon, CA · 3 of 5 stars
- Somerset Post Acute Care0.4 mi · El Cajon, CA · 3 of 5 stars
- San Diego Post-Acute Center0.6 mi · El Cajon, CA · 2 of 5 stars
- Victoria Post Acute Care0.6 mi · El Cajon, CA · 4 of 5 stars
- Villa Las Palmas Healthcare Center0.6 mi · El Cajon, CA · 4 of 5 stars
Nearest hospital emergency rooms
- Grossmont Hospital2.9 mi · La Mesa, CA · Acute Care Hospital
- Kaiser Foundation Hospital - San Diego7.9 mi · San Diego, CA · Acute Care Hospital
- Paradise Valley Hospital10 mi · National City, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13