Nursing homes › California › Stillwater Post-Acute
510 E. Washington Avenue, El Cajon, CA 92020 · 6194401211 · 256 certified beds
Per CMS filings, this facility is affiliated with Links Healthcare Group, a group operating 32 facilities in 2 states. Group record: average rating 2.8/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $481,905 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 3.98 (California median: 4.24). RN hours: 0.68. Weekend total: 3.79. Nursing staff turnover: 44%.
All-time on record: 62 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-04-11 |
| 2025-04-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-05-11 |
| 2025-04-18 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-05-11 |
| 2025-04-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-05-11 |
| 2025-04-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-05-11 |
| 2025-04-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | 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. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Provide appropriate foot care. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | 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. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | 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. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-05-11 |
| 2025-04-18 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-05-11 |
| 2025-04-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-04-23 |
| 2025-01-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-20 |
| 2025-01-02 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2025-01-03 |
| 2024-12-27 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2025-01-24 |
| 2024-10-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-11-26 |
| 2024-07-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-08-01 |
| 2024-04-26 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Health | corrected 2024-05-17 |
| 2024-04-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-05-17 |
| 2024-04-26 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Provide care or services that was trauma informed and/or culturally competent. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-05-17 |
| 2024-04-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-05-17 |
| 2024-04-26 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2024-05-17 |
| 2024-04-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-05-17 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RODRIGUEZ, CURTIS | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2024 |
| TILFORD, TOBY | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2024 |
| LINKS HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2024 |
| LINKS SUPPORT SERVICES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2024 |
| AFSHAR, POUYA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| ASUNCION, MAYNELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| COMRIE, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| FROJELIN, ANTONETTE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| RODRIGUEZ, CURTIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| TILFORD, TOBY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555076. Corrections: data@carerecords.org.