The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Avocado Post Acute
Registered name: STILLWATER POST-ACUTE
EL CAJON, CA · Medicare-certified · 256 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Avocado Post Acute in El Cajon has an overall 2 out of 5 stars, with a 2-star health inspection rating and 3-star staffing and quality ratings. Reported nurse staffing is 3.98 hours per resident per day, slightly below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9819 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9819.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 1.03
- Nurse aides
- 2.26
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 40%
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
2%33.9%Worsening
Residents with a fall causing major injury
1.7%0.9%Improving
Residents with pressure ulcers (bedsores)
3.3%4%Worsening
Residents with a urinary tract infection
0.9%0%Improving
Residents who lost too much weight
3.4%3.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.6%8.5%Worsening
Residents whose ability to walk got worse
15.3%2.5%Improving
Long-stay residents on antianxiety or sleep medication
21.7%29.5%Worsening
Short-stay residents newly given an antipsychotic
0%3.6%Worsening
Residents with a long-term catheter
0.5%1.3%Worsening
Residents with new or worsening incontinence
4.6%6.9%Worsening
Residents with depressive symptoms
4.8%4.8%No change
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%100%No change
Short-stay residents given the seasonal flu vaccine
—94.5%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
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 April 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 enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — 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 20 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2024
Now operated by Stillwater Post-acute, previously Avocado Post Acute.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LINKS HEALTHCARE GROUP · 32 homes · 2.8 stars avg
- Occupancy
- 246.1 residents on an average day (96% of 256 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 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.