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200 WEST ARBOR DRIVE SAN DIEGO, CA 92103 | Voluntary non-profit - Other

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Sep 18, 2024	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING CARE PLAN SCOPE AND FREQUENCY OF REVIEW DETERMINATIONS OF MEDICAL NECESSITY
Nov 9, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING
Sep 8, 2022	1	0	0	1	Read full report
Deficiencies cited in this report: RECIPIENT HOSPITAL RESPONSIBILITIES
Mar 21, 2018	13	0	0	13	Read full report
Deficiencies cited in this report: GOVERNING BODY QAPI QUALITY IMPROVEMENT ACTIVITIES MEDICAL STAFF BYLAWS NURSING SERVICES ORGANIZATION OF NURSING SERVICES NURSING CARE PLAN ADMINISTRATION OF DRUGS INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM REASSESSMENT OF A DISCHARGE PLAN SURGICAL SERVICES OPERATING ROOM POLICIES
Apr 28, 2016	3	0	0	3	Read full report
Deficiencies cited in this report: QUALITY IMPROVEMENT ACTIVITIES RN SUPERVISION OF NURSING CARE QUALIFIED EMERGENCY SERVICES PERSONNEL
Dec 23, 2015	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT FORM AND RETENTION OF RECORDS INTEGRATION OF EMERGENCY SERVICES
May 12, 2015	12	0	0	12	Read full report
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS PATIENT SAFETY NURSING SERVICES ADMINISTRATION OF DRUGS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE RESPIRATORY CARE SERVICES RESPIRATORY CARE SERVICES POLICIES
Dec 19, 2013	19	0	0	19	Read full report
Deficiencies cited in this report: MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS QAPI EXECUTIVE RESPONSIBILITIES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES CONTENT OF RECORD: FINAL DIAGNOSIS PHARMACY ADMINISTRATION DELIVERY OF DRUGS SECURE STORAGE UNUSABLE DRUGS NOT USED STOP-ORDERS FOR DRUGS DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN DIETS INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM
Dec 13, 2013	0	56	0	56	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Means of Egress - General Means of Egress - General LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Oct 29, 2013	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT SAFETY FORM AND RETENTION OF RECORDS EMERGENCY SERVICES
Aug 29, 2013	17	0	0	17	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY MEDICAL STAFF MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FORM AND RETENTION OF RECORDS No Description Available REASSESSMENT OF A DISCHARGE PLAN DISCHARGE PLANNING-EVALUATION
Jun 21, 2013	11	0	0	11	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI DATA COLLECTION & ANALYSIS NURSING CARE PLAN ADMINISTRATION OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
May 10, 2013 Follow-up to inspection on 2013-03-13*	10	0	0	10	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS FORM AND RETENTION OF RECORDS DIRECTOR OF DIETARY SERVICES COMPETENT DIETARY STAFF No Description Available THERAPEUTIC DIETS DIETS INFECTION CONTROL PROGRAM
Mar 13, 2013	15	0	0	15	Read full report
Deficiencies cited in this report: GOVERNING BODY QAPI DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS DELIVERY OF DRUGS FOOD AND DIETETIC SERVICES DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN No Description Available DIETS THERAPEUTIC DIET MANUAL INFECTION CONTROL PROGRAM
Mar 12, 2013	0	73	0	73	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Means of Egress - General LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Dec 14, 2012	10	0	0	10	Read full report
Deficiencies cited in this report: GOVERNING BODY QAPI PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS Standard-level Tag for Pharmaceutical Service DELIVERY OF DRUGS
May 24, 2012	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES No Description Available RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PHARMACY ADMINISTRATION
Apr 24, 2012	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM STABILIZING TREATMENT
Sep 7, 2011 Follow-up to inspection on 2011-06-01*	1	0	0	1	Read full report
Deficiencies cited in this report: NURSING CARE PLAN
Jun 1, 2011	0	71	0	71	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Means of Egress - General Means of Egress - General Means of Egress - General LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Jun 1, 2011	20	0	0	20	Read full report
Deficiencies cited in this report: LICENSURE OF HOSPITAL CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available No Description Available No Description Available RN SUPERVISION OF NURSING CARE NURSING CARE PLAN No Description Available ADMINISTRATION OF DRUGS STANDING ORDERS FOR DRUGS DELIVERY OF DRUGS DIRECTOR OF DIETARY SERVICES DIETS PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM
May 23, 2011	1	0	0	1	Read full report
Deficiencies cited in this report: RECEIVING AN INAPPROPRIATE TRANSFER
Mar 8, 2011	22	0	0	22	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI PATIENT SAFETY No Description Available No Description Available No Description Available No Description Available NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS EMERGENCY SERVICES INTEGRATION OF EMERGENCY SERVICES EMERGENCY SERVICES POLICIES QUALIFIED EMERGENCY SERVICES PERSONNEL
May 18, 2010	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

HospitalInspections.org

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Complete reports and deficiency counts