Skilled nursing · San Diego, CA

Jacob Healthcare Center

4075 54TH ST., San Diego, CA 92105

5 / 5CMS 128 bedsCapacity Apr 2026Inspected
PALMELLE

92

Top 8%

Federal · State

Strong

The Palmelle read

Legit. Jacob Healthcare Center is essentially a high-performance engine that seems to be running on a skeleton crew, boasting a 5-star rating despite some pretty staggering staff churn. You’re looking at a world-class safety record where the LOW_FALLS_MAJOR_INJURY flag proves that even with people quitting, the ones on the floor are catching residents before they hit the linoleum. They’ve also nailed the LOW_ANTIPSYCHOTIC flag, which means they’re actually talking to residents and managing dementia with human interaction instead of just reaching for the heavy-duty sedatives to keep the room quiet. This place is pulling off a 4-star inspection streak and keeping clinical outcomes high, which suggests their systems are bulletproof even if the faces in the hallway change every few months. There are zero federal fines on record, and while we can't tell if that's a lifelong clean streak or just a lucky few years, it’s a rare sight in this business. You should definitely walk in and ask the administrator how they plan to keep these incredible safety numbers from crashing if that 53% staff turnover rate doesn't settle down soon.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, California DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

No federal fines

Zero fines on record in the last 36 months.

Low antipsychotic prescribing

This
5.6%
National
14%

Below national median. Suggests staff manages behaviors with non-medication approaches.

Low rate of falls with major injury

This
0.0%
National
1.6%

Below national median. Suggests careful fall-risk assessment and active monitoring.

Worth asking about

Tour-day questions

Ask about staff-to-resident ratio by shift, weekend coverage, and how recent inspections went.

Federal CMS + California state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5
Health inspection★★★★4 / 5
Staffing★★★★★2 / 5
Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This
0.96
Nat
0.78

Total nurse hours / resident, daily

This
4.64
Nat
3.62

Annual nurse turnover

This
53%
Nat
53%

Annual RN turnover

This
56%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
5.6%
Nat
14%

Sedative / sleep med

This
22.2%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
0.0%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID055508
OwnershipFor profit - Limited Liability company
ChainIndependent
Beds128
Avg residents118
CA licenseOn file · #90000093

Citations · last 36 months

  • Flagged by CMS data

    Long-stay antipsychotic rate is just 6% — well below the national median of about 14%. This facility is treating behavior and dementia symptoms with engagement, environmental design, and personalized routines instead of prescriptions. That's hard to do and rare to find.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Falls with major injury rate is 0.0% — well below the national median. Call lights are getting answered fast and aides are present during transfer-heavy hours. This is a hard number to keep low.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, California DPH · Last reconciled May 11, 2026

State record

California licensing.

License number

90000093

County

San Diego

Source: California Department of Health · last scraped 2026-05-05

Questions families ask

Common questions.

What is the CMS rating for Jacob Healthcare Center?

Jacob Healthcare Center has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 4 of 5 on health inspection, 2 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Jacob Healthcare Center been cited for resident harm?

CMS data flagged 2 concerns on the latest reconcile. The full record for Jacob Healthcare Center appears in the record section above.

Does Jacob Healthcare Center use antipsychotic medications?

5.6 percent of long-stay residents at Jacob Healthcare Center are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 22.2 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Jacob Healthcare Center's Palmelle Clarity Score?

Jacob Healthcare Center has a Palmelle Clarity Score of 92 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and California state inspection data. Higher is better.

How can I tour or contact Jacob Healthcare Center?

Jacob Healthcare Center is located at 4075 54TH ST., San Diego, CA 92105. Phone: (619) 582-5168. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Jacob Healthcare Center a special focus facility?

Jacob Healthcare Center is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Jacob Healthcare Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Jacob Healthcare Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Jacob Healthcare Center compare to other San Diego skilled nursing facilities?

Jacob Healthcare Center holds a Palmelle Clarity Score of 92. Browse the full San Diego directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Jacob Healthcare Center?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Jacob Healthcare Center and two other facilities on your shortlist.

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