The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Windsor Gardens Convalescent Center of San Diego
Registered name: National City Post Acute
NATIONAL CITY, CA · Medicare-certified · 98 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Windsor Gardens Convalescent Center of San Diego has a 3-star overall rating, with a 2-star health inspection rating and 3-star staffing rating; reported staffing is 3.93 hours per resident day versus the 4.1 federal benchmark. It has $15,652 in fines in the last 24 months and a recent federal penalty, while its quality measures rating is 5 stars.
Facility ratings
Health inspections
Staffing
3.9265 hrs/resident/day
Quality measures
Last inspection: March 16, 2026Penalties, last 24 months: $15,652recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9265.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.49
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.4%6.4%Improving
Residents with a fall causing major injury
1.4%0%Improving
Residents with pressure ulcers (bedsores)
6.5%2.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%3.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.3%3.6%Improving
Residents whose ability to walk got worse
—10.3%—
Long-stay residents on antianxiety or sleep medication
9%4.9%Improving
Short-stay residents newly given an antipsychotic
0.9%1.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.7%8.4%Improving
Residents with depressive symptoms
0%9.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%96.8%Worsening
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
100%93.7%Worsening
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $15,652 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $15,652 in total fines.
- $15,652
Federal fine
Aug 22, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of WINDSOR · 23 homes · 2.4 stars avg
- Occupancy
- 91.8 residents on an average day (94% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.