Best Nursing Homes in San Diego, California

8 of 21 nursing homes in San Diego (38%) meet our strict criteria. The California statewide average is 29%.

8 recommended · 10 caution · 3 avoid · data

Worth Considering

8

Facilities graded B or better with zero fines

8 recommended 10 caution 3 avoid

City Average

3.8

+0.00 vs state

Total Beds

2,358

across 21 facilities

High Risk Facilities

3

1 Grade F

$206,470 in combined fines

Zero Fines

16 /21

passed all inspections

Nurse Availability

0 min

RN time per resident daily

Below CMS recommendation

Why These 8?

The nursing home market in San Diego is strong, with 21 total facilities and 38% recommended. Families should note that while the top-rated facility is VI AT LA JOLLA VILLAGE, there are 3 facilities to avoid due to significant fines totaling $150,597.

Exceptional (Grade A, Trust Score 90+)

  1. 1 VI AT LA JOLLA VILLAGE (93) — VI at La Jolla Village boasts an impressive Trust Score of 93/100 and an excellent CMS 5★ rating, ensuring top-notch care with no fines. With just 60 beds, residents benefit from personalized attention in a well-rated environment.

Strong (Grade B+, Trust Score 80-89)

  1. 2 HELEN BERNARDY CENTER D/P SNF (85) — The Helen Bernardy Center shines as a community-focused non-profit with a Trust Score of 85/100 and a CMS 5★ rating. With 43 beds and zero fines, it prioritizes compassionate care and quality service for its residents.
  2. 3 ARROYO VISTA NURSING CENTER (80) — Arroyo Vista Nursing Center holds a commendable Trust Score of 80/100 and a CMS 5★ rating, reflecting its commitment to high-quality care. With 53 beds and no fines, it provides a supportive environment for recovery.
  3. 4 GOLDEN HILL POST ACUTE (80) — Golden Hill Post Acute is recognized for its quality care, earning a Trust Score of 80/100 and a CMS 5★ rating. The facility's 99 beds provide ample space for personalized attention, ensuring residents feel at home.

Qualified (Grade B, Trust Score 70-79)

  1. 5 JACOB HEALTHCARE CENTER (75) — Jacob Healthcare Center maintains a solid Trust Score of 75/100 and a CMS 5★ rating, indicating consistent quality in care. With 128 beds, it offers a robust rehabilitation program, free from federal fines.
  2. 6 THE SPRINGS AT PACIFIC REGENT (75) — The Springs at Pacific Regent offers a welcoming atmosphere with a Trust Score of 75/100 and a CMS 5★ rating. This facility, featuring 59 beds, ensures a focus on patient well-being without any fines.
  3. 7 UNIVERSITY CARE CENTER (70) — University Care Center provides reliable care with a Trust Score of 70/100 and a CMS 4★ rating. With 87 beds, it delivers adequate support, though it could improve on personalizing resident experiences further.
  4. 8 BALBOA NURSING & REHABILITATION CENTER (70) — Balboa Nursing & Rehabilitation Center has a Trust Score of 70/100 and a CMS 4★ rating, showing a decent level of care. With 194 beds, it offers a variety of services, though residents may desire a more individualized approach.

The other 13 San Diego facilities didn't qualify — 3 carry Grade D or F ratings and 5 have fines totaling $206K.

Proceed with Caution

These facilities don't meet our recommendation criteria but may still be viable options.

Hidden Gem

Staffing Comparison

Staffing levels are the strongest predictor of care quality

Comparison of staffing metrics between VI AT LA JOLLA VILLAGE, San Diego average, and CMS minimum standards
Metric Top Facility San Diego Avg CMS Minimum
RN Hours / Resident / Day 0.00 0.00 0.75
CMS Star Rating 5 stars 3.8 stars
Deficiencies / Inspection 0 0.0

Facilities to Avoid

These facilities have significant quality concerns.

What Disqualified the Other 13?

Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years

Grade F facilities
1 Grade F — critical inspection failures
Facilities with fines
5 Have fines totaling $206,470
Low-scoring facilities
10 Scored below B — Trust Scores under 70
Caution group
10 Had good grades but fines disqualified them

Questions San Diego Families Should Ask

Based on what we found in local inspection data

  1. 1

    "What is your current CMS star rating and Trust Score?"

    San Diego's city average is 3.8 stars

  2. 2

    "Have you received any fines in the past 3 years?"

    5 of 21 San Diego facilities have fines

  3. 3

    "How many RN hours per resident do you provide daily?"

    CMS recommends 45 min; San Diego avg is 0 min

  4. 4

    "What were your most recent inspection findings?"

    San Diego facilities average 0.0 deficiencies per inspection

Explore Nearby Cities

Houston has strong options, but nearby cities add even more choices

Houston at a Glance

Good News

  • 12 facilities meet our strict criteria—20% of the market
  • 3 exceptional A-grade facilities with 5-star CMS ratings
  • 24 facilities with zero fines in the past 3 years

Be Aware

  • 30 facilities carry Grade F—nearly half the market
  • $3.2M+ in total fines across 37 facilities
  • Worst facility has $448,216 in fines alone

Key Numbers

  • Average Trust Score: 48.6 (dragged down by 30 F-grades)
  • 82% for-profit, 13% non-profit, 5% government
  • 9.4 average deficiencies per facility

Frequently Asked Questions

How many nursing homes in San Diego, CA are recommended?

8 of 21 nursing homes in San Diego (38%) meet our strict criteria of excellent inspection results and a clean record with no fines.

What makes a nursing home in San Diego "recommended"?

A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.

How should I evaluate nursing homes in San Diego?

Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.