Sharp Chula Vista Med Ctr SNF

Name: Sharp Chula Vista Med Ctr SNF
Address: 751 MEDICAL CENTER COURT, Chula Vista, CA, 91911, US
Telephone: 6195023540

751 Medical Center Court, Chula Vista, CA 91911 · San Diego County · 100 certified beds · avg 80 residents/day · certified since Jan 2, 1986

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.97

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Nov 9, 2023 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 1, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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
Feb 26, 2026	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Feb 26, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Feb 26, 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).
Feb 26, 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.
Feb 26, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 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.
Oct 10, 2024	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 10, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
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	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
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 the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Oct 10, 2024	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.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jul 9, 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. · from a complaint
Nov 9, 2023	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Nov 9, 2023	E · Potential for harm, repeated	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.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Nov 9, 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.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Nov 9, 2023	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 9, 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.
Nov 9, 2023	D · Potential for harm, one-off	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.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	12	1	G ▲
2024	13	0	E
2026	9	0	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)	5.97	4.31	3.95	top 5% in California; top 4% in the U.S.
Registered Nurse hours	1.54	0.61	0.69	top 4% in California; top 4% in the U.S.
Weekend total nurse staffing	5.46	3.90	3.50	top 4% in California; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.07	0.51	0.48	top 7% in California; top 5% in the U.S.
Total nursing staff turnover (%)	21.6	36.7	45.8	top 10% in California; top 4% in the U.S.
RN turnover (%)	15.6	38.1	42.9	top 13% in California; top 9% 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 5.45, RN 1.41, weekend 4.98. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Alvarez de Los Cobos, Patricia	Individual	Corporate Director	NOT APPLICABLE	06/01/2023
Aquino, Melendre	Individual	Operational/Managerial Control	NOT APPLICABLE	04/19/1999
Benjalil, Fahd	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2024
Bernstein, Steven	Individual	Corporate Director	NOT APPLICABLE	06/01/2022
Burgess, Jeni	Individual	Corporate Director	NOT APPLICABLE	06/01/2024
Cardenal Castro, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2021
Cardenal Castro, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2021
Casey, Sharon	Individual	Corporate Director	NOT APPLICABLE	02/01/2021
Discar-Espe, Debra	Individual	Corporate Officer	NOT APPLICABLE	12/01/2016
Evans, William	Individual	Corporate Officer	NOT APPLICABLE	10/31/2022
Evans, William	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2016
Evans, William	Individual	ADP of the SNF	NOT APPLICABLE	04/16/2026
Gross, Jeffery	Individual	Corporate Director	NOT APPLICABLE	10/01/2022
Hall, William	Individual	Corporate Director	NOT APPLICABLE	02/01/2021
Howard, Christopher	Individual	Corporate Officer	NOT APPLICABLE	03/31/2019
Keller, Mora	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Malagon-Maldonado, Gabriella	Individual	Corporate Officer	NOT APPLICABLE	10/01/2020
Malagon-Maldonado, Gabriella	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
Manley, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	03/07/2019
Manley, Brian	Individual	ADP of the SNF	NOT APPLICABLE	03/07/2019

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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Veterans Home of California - Chula Vista	0.7 mi	Chula Vista, CA	★★★★★	4/5
South Bay Post Acute Care	4.3 mi	Chula Vista, CA	★★★★★	5/5
Reo Vista Healthcare Center	4.4 mi	San Diego, CA	★★★☆☆	2/5
Ridgeview Skilled Nursing Facility	4.7 mi	San Diego, CA	★★★★★	4/5
National City Post Acute	5.6 mi	National City, CA	★★★☆☆	2/5
Friendship Manor Nursing & Rehab Center	5.7 mi	National City, CA	★★★★★	5/5
Paradise Valley Health Care	5.7 mi	National City, CA	★★★★★	4/5
Hillcrest Manor Sanitarium	5.8 mi	National City, CA	★★★★☆	4/5
Mount Miguel Covenant Village	6.1 mi	Spring Valley, CA	★★★☆☆	4/5
Castle Manor Nursing & Rehabilitation Center	6.2 mi	National City, CA	★★★★☆	4/5
Brighton Place San Diego	7.9 mi	San Diego, CA	★☆☆☆☆	2/5
Bella Vista Health Center	8.1 mi	Lemon Grove, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Chula Vista →

Facility data as of CMS processing date 2026-08-01. CCN 555216.

The Care File

Visit checklist — Sharp Chula Vista Med Ctr SNF

751 Medical Center Court, Chula Vista, CA 91911 · 6195023540

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

Most serious findings on record:

▲ Nov 9, 2023 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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 555216 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)