Skilled nursing · San Diego, CA

Balboa Nursing & Rehabilitation Center

3520 FOURTH AVENUE, San Diego, CA 92103

4 / 5CMS 194 bedsCapacity Apr 2026Inspected
PALMELLE

85

Top 15%

Federal · State

Strong

The Palmelle read

Legit. Balboa Nursing & Rehabilitation Center is that rare overachiever where the staff actually sticks around, even if the total body count in the hallways isn't breaking any records. Because they’ve maintained LOW_TURNOVER, you’re getting caregivers who know exactly how your dad likes his coffee instead of a rotating door of strangers reading a chart for the first time. That continuity likely explains their LOW_FALLS_MAJOR_INJURY rate, which tells me the people working the floor are actually present and moving fast enough to prevent a hip fracture before it happens. They’ve also nailed the LOW_ANTIPSYCHOTIC metric, proving they’d rather use actual human engagement to manage dementia than just medicating someone into a quiet corner. However, you need to look at HIGH_DEPRESSIVE_SYMPTOMS, because when nearly one-fifth of residents are reporting a heavy emotional slump, it usually means the social calendar is looking a little thin or people are spending way too much time staring at four walls. There are zero federal fines on record, and while we can't tell if that's a clean sweep of history or just a recent winning streak, it’s a solid look for a for-profit outfit. When you walk through the front door, don't just look at the lobby. find the activities director and ask to see exactly how many residents actually showed up to the last three events on the calendar.

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

No federal fines

Zero fines on record in the last 36 months.

Low antipsychotic prescribing

This
5.5%
National
14%

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

Low rate of falls with major injury

This
0.2%
National
1.6%

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

Stable nursing staff

This
32.6%
National
53%

Lower turnover than national median — residents see the same caregivers more consistently.

Worth asking about

Depressive symptoms in residents

Above national median. Ask about social activities, mental-health support, and engagement programs.

Federal CMS + California state data

The full inspection record.

Federal CMS ratings

Overall★★★★4 / 5
Health inspection★★★★★3 / 5
Staffing★★★★★2 / 5
Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This
0.51
Nat
0.78

Total nurse hours / resident, daily

This
4.17
Nat
3.62

Annual nurse turnover

This
32%
Nat
53%

Annual RN turnover

This
45%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
5.5%
Nat
14%

Sedative / sleep med

This
6.4%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
0.2%
Nat
1.6%

Penalties & status

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

Identity & licensing

CMS ID056105
OwnershipFor profit - Limited Liability company
ChainIndependent
Beds194
Avg residents182
CA licenseOn file · #90000057

Citations · last 36 months

  • Flagged by CMS data

    Long-stay depressive-symptoms rate is 19.0% — above the national median of about 10%. Often indicates residents are alone in rooms with no activities program or social engagement. Pairs with mobility decline. Worth asking how many group activities residents actually attend per week.

    From the latest CMS Care Compare reconcile

  • 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 0.2% — 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

  • Flagged by CMS data

    Annual nursing staff turnover is 33% — well below the industry average of 50-60%. The same caregivers are coming back week after week, which means residents see familiar faces who know their preferences and history. Continuity of care is one of the biggest invisible quality signals.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, California DPH · Last reconciled May 14, 2026

State record

California licensing.

License number

90000057

County

San Diego

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

Questions families ask

Common questions.

What is the CMS rating for Balboa Nursing & Rehabilitation Center?

Balboa Nursing & Rehabilitation Center has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 3 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 Balboa Nursing & Rehabilitation Center been cited for resident harm?

CMS data flagged 4 concerns on the latest reconcile. The full record for Balboa Nursing & Rehabilitation Center appears in the record section above.

Does Balboa Nursing & Rehabilitation Center use antipsychotic medications?

5.5 percent of long-stay residents at Balboa Nursing & Rehabilitation Center are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 6.4 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 Balboa Nursing & Rehabilitation Center's Palmelle Clarity Score?

Balboa Nursing & Rehabilitation Center has a Palmelle Clarity Score of 85 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 Balboa Nursing & Rehabilitation Center?

Balboa Nursing & Rehabilitation Center is located at 3520 FOURTH AVENUE, San Diego, CA 92103. Phone: (619) 291-5270. 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 Balboa Nursing & Rehabilitation Center a special focus facility?

Balboa Nursing & Rehabilitation 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 Balboa Nursing & Rehabilitation Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Balboa Nursing & Rehabilitation 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 Balboa Nursing & Rehabilitation Center compare to other San Diego skilled nursing facilities?

Balboa Nursing & Rehabilitation Center holds a Palmelle Clarity Score of 85. 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 Balboa Nursing & Rehabilitation 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 Balboa Nursing & Rehabilitation Center and two other facilities on your shortlist.

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