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Balboa Nursing & Rehabilitation Center

Nursing Home Facility

3520 Fourth Avenue, San Diego, CA 92103

Nursing Home Care Respite Care Senior Living

Wish you could care more for your loved ones as they age? So do we. At Balboa Nursing and Rehabilitation Center, we know we can't ever do enough in caring for our loved ones.

Operated by PACS Group, which runs 226 communities in our directory.

Employer rating 3.2 out of 5 52 reviews from their own employees on Indeed. See what they say.

With 194 beds, Balboa Nursing & Rehabilitation Center is one of the larger communities in the area, senior care communities in San Diego average about 52 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 94% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2025 and recorded 14 deficiencies.

Residents receive about 3.8 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in San Diego average about 4.6 hours. Nursing staff turnover over the past year was about 37%.

The community is located in San Diego County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 44 problems at Balboa Nursing & Rehabilitation Center. 1 finding involved harm to a resident. 19 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected April 2026, after a complaint. Corrected by May 16, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected March 2026, after a complaint. Corrected by April 3, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Implement a program that monitors antibiotic use.

    Inspected March 2026, after a complaint. Corrected by April 3, 2026.

  • Could cause more than minimal harm, widespread Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected January 2026, after a complaint. Corrected by February 24, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected January 2026, after a complaint. Corrected by February 24, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Inspected December 2025, after a complaint. Corrected by January 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected September 2025, after a complaint. Corrected by October 3, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected August 2025, after a complaint. Corrected by September 18, 2025.

Show 6 more
  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected May 2025. Corrected by June 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected May 2025. Corrected by June 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected May 2025. Corrected by June 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected May 2025. Corrected by June 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2025. Corrected by June 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate foot care.

    Inspected May 2025. Corrected by June 15, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Balboa Nursing & Rehabilitation Center offers nursing home care, respite care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 194
  • Occupancy 94%
  • Nursing hours per resident/day 3.8
  • Annual staff turnover 37%
  • Last health inspection May 2025

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