Inspection citations
9’23
31’24
7’25
13’26
60 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 11, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 23, 2026 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Mar 2, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Mar 2, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Mar 2, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 2, 2026 | D · potential | 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. | Routine |
| Mar 2, 2026 | G · harm | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 2, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 2, 2026 | D · potential | Provide care or services that was trauma informed and/or culturally competent. | Routine |
| Mar 2, 2026 | F · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Mar 2, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 2, 2026 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 2, 2026 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Sep 17, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Aug 13, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jul 31, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jul 31, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 24, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jun 24, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Apr 15, 2025 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Complaint |
| Oct 24, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Oct 24, 2024 | D · potential | Honor 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. | Routine |
| Oct 24, 2024 | D · potential | 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. | Routine |
| Oct 24, 2024 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Oct 24, 2024 | D · potential | Notify 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. | Routine |
| Oct 24, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Oct 24, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Oct 24, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 24, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Oct 24, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 24, 2024 | D · potential | 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. | Routine |
| Oct 24, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 24, 2024 | D · potential | 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. | Routine |
| Oct 24, 2024 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Oct 24, 2024 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 24, 2024 | D · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Oct 24, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 24, 2024 | D · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Oct 10, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Sep 24, 2024 | E · potential | 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. | Complaint |
| Sep 24, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Sep 24, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Sep 24, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Sep 24, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 24, 2024 | E · potential | 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. | Complaint |
| Sep 4, 2024 | D · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Aug 2, 2024 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Jun 17, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| May 21, 2024 | D · potential | Plan the resident's discharge to meet the resident's goals and needs. | Complaint |
| Apr 18, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 25, 2024 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Dec 21, 2023 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Dec 21, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Oct 26, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 26, 2023 | D · potential | 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. | Routine |
| Oct 26, 2023 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Oct 26, 2023 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Oct 26, 2023 | D · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Routine |
| Oct 26, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 2, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
The Pavilion at Ocean Point
3202 Duke Street, San Diego, CA 92110 · (619) 224-4141
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055322
- Certified beds
- 133
- Legal owner
- Point Loma Rehabilitation Center LLC
- Part of
- Pacific Healthcare Holdings
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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