Hearth Record

The Shores Post-Acute

A nursing home in San Diego, California 92123

2828 Meadowlark Drive, San Diego, California 92123. (858) 277-6460.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 39 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

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?

22 health citations at the latest inspection cycle

The California average is 15.7.

Last standard inspection Dec 5, 2024.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

39 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

39 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 39 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 12 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 15, 2026: complaint inspection2 citations

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 10, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 10, 2026.

May 22, 2026: complaint inspection1 citation

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

Apr 2, 2026: complaint inspection1 citation

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 20, 2026.

Mar 5, 2026: complaint inspection1 citation

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 9, 2026.

Mar 4, 2026: complaint inspection1 citation

  • Honor the resident’s right to manage his or her financial affairs.

    Rule F0567. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 5, 2026.

Nov 17, 2025: complaint inspection2 citations

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 11, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 11, 2025.

Jun 23, 2025: complaint inspection1 citation

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 11, 2025.

Jan 31, 2025: complaint inspection1 citation

  • Plan the resident’s discharge to meet the resident’s goals and needs.

    Rule F0660. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Dec 5, 2024: standard inspection14 citations

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Assess the resident when there is a significant change in condition

    Rule F0637. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Rule F0912. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jan 7, 2025.

May 20, 2024: complaint inspection1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 3, 2024.

Mar 21, 2024: complaint inspection1 citation

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 4, 2024.

Jan 11, 2024: standard inspection13 citations

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Rule F0741. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Rule F0838. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Rule F0912. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Feb 12, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jan 31, 1994.
  • 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, corporation.
  • 305 certified beds.
Source:

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.
  • 12 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.61 nurse hours per resident per day

The California average is 4.54.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeCalifornia average
Nurse hours per resident per day3.614.54
Of which registered nurses0.320.68
At weekends3.574.10
Nursing staff turnover26.3%36.6%
Registered nurse turnover20%37.8%
Administrators who left1Not given

Who owns it?

  • Links Healthcare Group LLC owns 52.5% directly since Dec 21, 2022; Eagle Shores Investor, LLC owns 47.5% directly since Dec 21, 2022.
  • Links Support Services, LLC and Links Healthcare Group LLC run it.
  • 30 owners or officers are people: Toby Tilford (owns 5% or more through other companies, 46.6%); Curtis Rodriguez (owns 5% or more through other companies, 46.6%); Scott Clawson (owns a share through other companies, 4%); Jack Sanofsky (owns a share through other companies, 2%); Steven Earl (owns a share through other companies, 0.8%); Mary Beardsley (runs it (operational or managerial control)); Mary Beardsley (additional disclosable party (controls, leases property to, or provides services to the home)); Toby Tilford (corporate officer); Toby Tilford (runs it (operational or managerial control)); Chad Anderson (runs it (operational or managerial control)); Chad Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Adora Sagisi (runs it (operational or managerial control)); Adora Sagisi (additional disclosable party (controls, leases property to, or provides services to the home)); Antonette D Frojelin (runs it (operational or managerial control)); Antonette D Frojelin (additional disclosable party (controls, leases property to, or provides services to the home)); Myrna A Deguzman (runs it (operational or managerial control)); Myrna A Deguzman (additional disclosable party (controls, leases property to, or provides services to the home)); Victoria Bernholz (runs it (operational or managerial control)); Victoria Bernholz (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Carter (runs it (operational or managerial control)); Melissa Carter (additional disclosable party (controls, leases property to, or provides services to the home)); Saleem Rajper (runs it (operational or managerial control)); Saleem Rajper (additional disclosable party (controls, leases property to, or provides services to the home)); Ellen R Subia (runs it (operational or managerial control)); Ellen R Subia (additional disclosable party (controls, leases property to, or provides services to the home)); Marionne Matusalem (runs it (operational or managerial control)); Marionne Matusalem (additional disclosable party (controls, leases property to, or provides services to the home)); Sharon Ramirez (runs it (operational or managerial control)); Sharon Ramirez (additional disclosable party (controls, leases property to, or provides services to the home)); Curtis Rodriguez (runs it (operational or managerial control)).
  • Part of Links Healthcare Group (32 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Forbright BankHolds 5% or more security interest100%Dec 21, 2022
Esi Gi Shores Investor LLCOwns 5% or more through other companies75%Dec 21, 2022
Links Healthcare Group LLCOwns 5% or more directly52.5%Dec 21, 2022
Eagle Shores Investor, LLCOwns 5% or more directly47.5%Dec 21, 2022
Esi Shores Investor LLCOwns 5% or more through other companies25%Dec 21, 2022
Links Support Services, LLCRuns it (operational or managerial control)Dec 21, 2022
Links Support Services, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 16, 2025
Links Healthcare Group LLCRuns it (operational or managerial control)Dec 21, 2022
Links Healthcare Group LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 16, 2025
Eide Bailly LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 21, 2022

How do residents fare?

  • CMS rates its quality measures 5 of 5 (California average 4.2).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating4 of 5
Health inspections3 of 5
Staffing4 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 5.5 miles, this one had the 1st most health citations at the latest inspection cycle (22; the middle value was 11.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
The Shores Post-Acute This nursing home22
Helen Bernardy Center D/P SNF0.44
Kearny Mesa Convalescent and Nursing Home1.36
Hillcrest Heights Healthcare Center3.38
Mission Hills Post Acute Care3.611
Balboa Nursing & Rehabilitation Center3.612
St. Pauls Health Care Center4.218
Arroyo Vista Nursing Center4.94
The Pavilion at Ocean Point5.013
Jacob Healthcare Center5.112
University Care Center5.27
Golden Hill Post Acute5.522

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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