Arroyo Vista Nursing Center

Name: Arroyo Vista Nursing Center
Address: 3022 45TH STREET, San Diego, CA, 92105, US
Telephone: 6192835855

3022 45th Street, San Diego, CA 92105 · San Diego County · 53 certified beds · avg 47 residents/day · certified since Jan 1, 1967

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.42

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (26)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 29, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 29, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Apr 11, 2025	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint
Apr 11, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Oct 10, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 10, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 10, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 10, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 10, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 21, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 13, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 13, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 13, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 4).

Year	Citations	Worst severity that year
2023	9	E
2024	10	E
2025	3	D
2026	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.42	4.31	3.95	bottom 7% in California; bottom 33% in the U.S.
Registered Nurse hours	0.71	0.61	0.69	top 23% in California; top 35% in the U.S.
Weekend total nurse staffing	3.03	3.90	3.50	bottom 5% in California; bottom 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.51	0.48	top 12% in California; top 12% in the U.S.
Total nursing staff turnover (%)	50.0	36.7	45.8	bottom 15% in California; bottom 38% in the U.S.
RN turnover (%)	28.6	38.1	42.9	top 33% in California; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.89, weekend 3.79. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Flagstone Healthcare South LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/30/2006
The Ensign Group INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/30/2006
Afshar, Pouya	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/09/2016
Afshar, Pouya	Individual	Operational/Managerial Control	NOT APPLICABLE	03/09/2016
Afshar, Pouya	Individual	ADP of the SNF	NOT APPLICABLE	03/09/2016
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	01/30/2006
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2003
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Moore, Ome	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2017
Moore, Ome	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2017
Moore, Ome	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2017
Ohi Asset (ca), LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2003
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	06/21/2025
Vitawerks INC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2003
Willits, Adam	Individual	Corporate Director	NOT APPLICABLE	01/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you keep residents' medical records accurate, complete, and secure?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
University Care Center	1.4 mi	San Diego, CA	★★★★★	4/5
Jacob Healthcare Center	1.5 mi	San Diego, CA	★★★★★	4/5
Brighton Place San Diego	1.7 mi	San Diego, CA	★☆☆☆☆	2/5
Golden Hill Post Acute	1.8 mi	San Diego, CA	★★★☆☆	3/5
Balboa Nursing & Rehabilitation Center	3.5 mi	San Diego, CA	★★★★☆	3/5
St. Pauls Health Care Center	3.5 mi	San Diego, CA	★★☆☆☆	2/5	abuse
La Mesa Healthcare Center	3.5 mi	La Mesa, CA	★★★★★	4/5
Castle Manor Nursing & Rehabilitation Center	3.7 mi	National City, CA	★★★★☆	4/5
Paradise Valley Health Care	3.9 mi	National City, CA	★★★★★	4/5
Friendship Manor Nursing & Rehab Center	4.0 mi	National City, CA	★★★★★	5/5
Bella Vista Health Center	4.1 mi	Lemon Grove, CA	★★★★☆	4/5
Mission Hills Post Acute Care	4.1 mi	San Diego, CA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in San Diego →

Facility data as of CMS processing date 2026-08-01. CCN 055505.

The Care File

Visit checklist — Arroyo Vista Nursing Center

3022 45th Street, San Diego, CA 92105 · 6192835855

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055505 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)