Nursing home

The Pavilion at Ocean Point

3202 Duke Street, San Diego, CA 92110

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle13
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$0
Beds133

Inspection findings

Inspectors recorded 60 findings in the last three inspection cycles.

1 Actual harm to a resident59 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 11, 2026Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 21, 2026
Jun 23, 2026Quality of life and careProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jun 30, 2026
Mar 2, 2026AdministrationHave a plan that describes the process for conducting QAPI and QAA activities. (F0865)No harm, but a risk of harm
widespread
Corrected: Mar 31, 2026
Mar 2, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
widespread
Corrected: Mar 31, 2026
Mar 2, 2026Quality of life and careProvide care or services that was trauma informed and/or culturally competent. (F0699)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)Actual harm to a resident
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Mar 2, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Mar 31, 2026
Earlier inspections (47)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Sep 17, 2025Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 8, 2025
Aug 13, 2025Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 12, 2025
Jul 31, 2025Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 29, 2025
Jul 31, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 29, 2025
Jun 24, 2025Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 17, 2025
Jun 24, 2025Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 17, 2025
Apr 15, 2025Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 20, 2025
Oct 24, 2024Building and environmentMake sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Nov 21, 2024
Oct 24, 2024AdministrationInform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (F0847)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Food and nutritionProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident assessment and care planningPASARR screening for Mental disorders or Intellectual Disabilities (F0645)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident rightsNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. (F0625)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident rightsHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 24, 2024Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Nov 21, 2024
Oct 10, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 29, 2024
Sep 24, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern · from a complaint
Corrected: Oct 3, 2024
Sep 24, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
pattern · from a complaint
Corrected: Oct 3, 2024
Sep 24, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 3, 2024
Sep 24, 2024Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 3, 2024
Sep 24, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 3, 2024
Sep 24, 2024Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern · from a complaint
Corrected: Oct 3, 2024
Sep 4, 2024Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 26, 2024
Aug 2, 2024Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 5, 2024
Jun 17, 2024Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 15, 2024
May 21, 2024Resident assessment and care planningPlan the resident's discharge to meet the resident's goals and needs. (F0660)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 18, 2024
Apr 18, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 15, 2024
Jan 25, 2024Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 23, 2024
Dec 21, 2023Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 12, 2024
Dec 21, 2023Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 12, 2024
Oct 26, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Dec 5, 2023
Oct 26, 2023AdministrationArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (F0849)No harm, but a risk of harm
isolated
Corrected: Dec 5, 2023
Oct 26, 2023Resident assessment and care planningPASARR screening for Mental disorders or Intellectual Disabilities (F0645)No harm, but a risk of harm
isolated
Corrected: Dec 5, 2023
Oct 26, 2023Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Dec 5, 2023
Oct 26, 2023Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Dec 5, 2023
Oct 26, 2023Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Dec 5, 2023
Oct 2, 2023Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 22, 2023

Fines and payment denials

Federal fines in the last three years: $0 (0). Payment denials: 1.

DateTypeAmount
Mar 2, 2026Payment denial5 days

Staffing

Nurse staff hours per resident per day4.03California median: 4.27
Registered nurse hours per resident per day0.51California median: 0.52
Nurse staff hours on weekends3.57California median: 3.85
Nursing staff who left within a yearno dataCalifornia median: 36.0%

About this home

Beds133
Residents per day, average118.3
OwnershipFor-profit, limited liability company
Legal business namePoint Loma Rehabilitation Center LLC
ChainPacific Healthcare Holdings (15 homes)
In Medicare/Medicaid sinceDec 1, 1969

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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