Balboa Nursing & Rehabilitation Center
A nursing home in San Diego, California 92103
3520 Fourth Avenue, San Diego, California 92103. (619) 291-5270.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle California average: 15.7
- 3.83 nurse hours per resident per day California average: 4.54
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection May 15, 2025.
Most serious in three years: actual harm (G), at a complaint inspection on Mar 20, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
25 citations in 12 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 25 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 19 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 23, 2026: complaint inspection1 citation
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 5, 2026: complaint inspection2 citations
-
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
Implement a program that monitors antibiotic use.
Jan 27, 2026: complaint inspection2 citations
-
Keep residents’ personal and medical records private and confidential.
-
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.
Dec 12, 2025: complaint inspection1 citation
-
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Sep 9, 2025: complaint inspection1 citation
-
Provide safe, appropriate pain management for a resident who requires such services.
Aug 19, 2025: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 23, 2025: complaint inspection3 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Jun 6, 2025: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 15, 2025: standard inspection6 citations
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Ensure each resident receives an accurate assessment.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide appropriate foot care.
-
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.
Mar 20, 2025: complaint inspection2 citations
-
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
Aug 5, 2024: complaint inspection1 citation
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 27, 2024: complaint inspection3 citations
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 4, 2024: complaint inspection1 citation
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 10, 1969.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 194 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 19 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.83 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.83 | 4.54 |
| Of which registered nurses | 0.55 | 0.68 |
| At weekends | 3.61 | 4.10 |
| Nursing staff turnover | 48.1% | 36.6% |
| Registered nurse turnover | 53.3% | 37.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Providence Group NH, LLC owns 100% directly since Jun 30, 2023.
- 9 owners or officers are people: Jason H Murray (owns 5% or more through other companies, 41.8%); Mark D Hancock (owns 5% or more through other companies, 41.8%); John T Mitchell (corporate officer); Frederick G Apt (corporate officer); Spencer Christensen (managing employee (on the payroll)); Spencer Christensen (runs it (operational or managerial control)); Joshua O Jergensen (corporate officer); Saleem Rajper (managing employee (under contract)); Mark D Hancock (corporate officer).
- Part of PACS Group (277 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Providence Group NH, LLC | Owns 5% or more directly | 100% | Jun 30, 2023 |
| Pacs Holdings, LLC | Owns 5% or more through other companies | 100% | Jun 30, 2023 |
| Pacs Group, Inc. | Owns 5% or more through other companies | 100% | Jun 30, 2023 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.7 miles, this one had the 5th most health citations at the latest inspection cycle (12; the middle value was 11.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Balboa Nursing & Rehabilitation Center This nursing home | 12 | |
| St. Pauls Health Care Center | 0.6 | 18 |
| Mission Hills Post Acute Care | 0.6 | 11 |
| Hillcrest Heights Healthcare Center | 0.8 | 8 |
| Golden Hill Post Acute | 2.8 | 22 |
| Villa Coronado D/P SNF | 3.3 | 12 |
| Arroyo Vista Nursing Center | 3.5 | 4 |
| The Pavilion at Ocean Point | 3.6 | 13 |
| The Shores Post-Acute | 3.6 | 22 |
| Helen Bernardy Center D/P SNF | 4.1 | 4 |
| Kearny Mesa Convalescent and Nursing Home | 4.1 | 6 |
| University Care Center | 4.7 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.