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Jacob Health Care Center
Nursing Home & Skilled Nursing · San Diego, CA
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Jacob Health Care Center accepts Medicare, Medicaid, and private pay.
Overview of Jacob Health Care Center
Jacob Health Care Center provides skilled nursing and physical rehabilitation services in San Diego, California. Specialty programs accommodate clinical requirements such as wound care and sub-acute care, combining physical recovery efforts with regular nursing assistance.
Operating under administrator Joseph Cruz and Utah Lake Holdings, this 40-bed facility offers a setting where care teams interact closely with residents. Daily nurse staffing averages 3 hours and 13 minutes per resident. Amenities include an outdoor patio, landscaped courtyards, and a barber salon. Payment options cover Medicare, Medicaid, and direct private pay.
Interested individuals can get in touch with Jacob Health Care Center to check current room availability, discuss insurance coverage, or arrange a private tour.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health InspectionBased on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
StaffingMeasures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality MeasuresBased on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs California averages
Rank#276 / 289Nurse hours — State benchmarkedThis nursing home is ranked 276th out of 289 nursing homes we track in California for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 289 California facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This nursing home is ranked 276th out of 289 nursing homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 13m
24% below state avg
This facilityState avg 4h 13m
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN)RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
40m
Avg State avg: 39m per day · National avg: 41m per day
LPN / LVNLicensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
56m
−23% State avg: 1h 13m per day · National avg: 52m per day
Nurse AideCertified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 37m
−39% State avg: 2h 39m per day · National avg: 2h 21m per day
Weekend Total NursingCombined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 6m
−24% State avg: 4h 5m per day · National avg: 3h 26m per day
Physical TherapistHours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
9m
+80% State avg: 5m per day · National avg: 4m per day
Weekend RNRegistered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
51m
+70% State avg: 30m per day · National avg: 29m per day
3 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.40Rank#299 / 328Bed count — State benchmarkedThis nursing home is ranked 299th out of 328 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Smaller home
· May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.Rank#63 / 182Years in operation — State benchmarkedThis nursing home is ranked 63rd out of 182 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
29years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.Rank#246 / 354Walk Score — State benchmarkedThis nursing home is ranked 246th out of 354 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
49/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.Rank#207 / 290Occupancy rate — State benchmarkedThis nursing home is ranked 207th out of 290 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 290. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
77.5%This home usually has availability
Lower than the California average: 82.6%
Occupied beds
31/ 40
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
77days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
BBB ratings provide context about a business’s trust and complaint history. They are not a measure of care quality or regulatory compliance.
Ratings range from A+ (highest) to F (lowest).
What the rating reflects
Complaint history and resolution
Business practices and transparency
Time in operation
About this community
License Details
Facility TypeResidential Care Elderly
IssuanceDecember 31, 2024
CountySan Diego
License Number374604815
CMS Certification Number055508
Ownership & Operating Entity
Jacob Health Care Center is legally operated by Utah Lake Holdings, LLC, and administered by Joseph Cruz.
Owner NameUtah Lake Holdings, LLC
Therapy & Rehabilitation
1 service
Rehabilitation Services
Staffing & Medical
1 service
24-Hour Staffing
Staffing(Specialized Dementia)
Specialized Dementia Live-in Staff
Specialized Dementia Separate Housekeeping Staff
Facility Details(Specialized Dementia)
No Admission Fee
Additional Policies & Features
Pets not allowed
Amenities & Lifestyle
Activities
Courtyard
Patio
Salon
Specific ProgramsWound Care, Sub-Acute Care
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. CA average
1 Worse
Metrics worse than California average:
• Citations per inspection (16% above)
1 At Avg
Metrics at California average:
• Moderate citations (Type B) (at CA avg)
4 Better
Metrics better than California average:
• Total citations (67% below)
• Serious citations (Type A) (100% below)
• Total complaints (100% below)
• Complaints per year (100% below)
Citations Citations are formal regulatory issues recorded during state inspections.
This Facility
CA Average
vs. CA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.
4
12
This facility has 67% fewer total citations than a typical California nursing home (4 vs. CA avg 12).↓ 67% better
Serious citations (Type A) Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
0
3
This facility has 100% fewer serious citations (type a) than a typical California nursing home (0 vs. CA avg 3).↓ 100% betterRank#1 / 290Serious citations (Type A) — State benchmarkedThis nursing home is ranked 1st out of 290 nursing homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among the 290 nursing homes in the ranking pool.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Moderate citations (Type B) Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.
4
4
This facility has moderate citations (type b) in line with the California average (4 vs. CA avg 4).— At avg
Citations per inspection Average citations per inspection.
0.8
0.69
This facility has 16% more citations per inspection than a typical California nursing home (0.8 vs. CA avg 0.69).↑ 16% worse
Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.
This Facility
CA Average
vs. CA Avg
Total inspections Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes.
5
16
This facility has had 69% fewer total inspections than the California average (5 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 69% fewer
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.
0
13
This facility has had 100% fewer complaint visits than the California average (0 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer
Other visits Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
4
7
This facility has had 43% fewer other visits than the California average (4 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 43% fewer
Official inspections Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
1
4
This facility has had 75% fewer official inspections than the California average (1 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 75% fewer
Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
This Facility
CA Average
vs. CA Avg
Total complaints Formal expressions of concern made by residents, families, or staff.
0
14
This facility has 100% fewer total complaints than a typical California nursing home (0 vs. CA avg 14).↓ 100% better
Complaints per year Average complaints per year since 2019.
0
2
This facility has 100% fewer complaints per year than a typical California nursing home (0 vs. CA avg 2).↓ 100% better
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2021 · 5 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections7
California average12.1
Last Health inspection on Apr 2026
Total health citations
36Rank#122 / 290Health citations — State benchmarkedThis nursing home is ranked 122nd out of 290 nursing homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 290 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
California average49.8
Citations per inspection
5.14Rank#204 / 290Citations per inspection — State benchmarkedThis nursing home is ranked 204th out of 290 nursing homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 290 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
California average4.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 36 citations resulted from standard inspections; and 6 of 36 resulted from complaint investigations.
Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than California average
California average: 0.3
Serious health citations
0
100% better than California average
California average: 0.9
0 critical citationsCalifornia average: 0.3
0 serious citationsCalifornia average: 0.9
36 moderate citationsCalifornia average: 47
0 minor citationsCalifornia average: 1.5
Citations history (last 5 years)
Resident Rights moderate citationApr 01, 2026
Corrected
Infection Control moderate citationJan 15, 2026
Corrected
Nutrition moderate citationJan 15, 2026
Corrected
Quality of Care moderate citationJan 15, 2026
Corrected
Citations history (last 5 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff294
Employees291
Contractors3
Staff to resident ratio2.30 : 1
28% more staff per resident than California average
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines)
and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.5.6
16% better than California average
California average: 6.6
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.6.6
42% better than California average
California average: 11.3
Long-stay resident measures
Significantly above averageCalifornia avg: 4.2CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased3.9%
65% better than California average
California average: 11.1%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened14.4%
20% worse than California average
California average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder1.5%
86% better than California average
California average: 11.3%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury0.5%
69% better than California average
California average: 1.7%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers5.6%
13% worse than California average
California average: 5.0%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection0.3%
79% better than California average
California average: 1.2%
Lost Too Much Weight Percent of long-stay residents who lose too much weight3.6%
15% better than California average
California average: 4.2%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms2.6%
61% better than California average
California average: 6.7%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication2.1%
79% better than California average
California average: 10.1%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine100.0%
In line with California average
California average: 98.5%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%
In line with California average
California average: 98.2%
Hospitalizations per 1,000 days Number of hospitalizations per 1,000 long-stay resident days.1.91
15% better than California average
California average: 2.25
ED visits per 1,000 days Number of outpatient emergency department visits per 1,000 long-stay resident days.2.56
61% worse than California average
California average: 1.59
Short-stay resident measures
Significantly above averageCalifornia avg: 3.5CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine100.0%
6% better than California average
California average: 94.0%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication1.0%
29% better than California average
California average: 1.5%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%
7% better than California average
California average: 93.2%
Re-hospitalized after SNF stayPercentage of short-stay residents who were re-hospitalized after their nursing home admission.18.8%
19% better than California average
California average: 23.2%
Emergency department visitsPercentage of short-stay residents who had an outpatient emergency department visit.8.6%
23% better than California average
California average: 11.2%
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.0.0%
100% better than California average
California average: 0.8%
Ability to care for self at dischargePercentage of residents at or above expected ability to care for themselves at discharge.66.7%
24% better than California average
California average: 53.7%
Successful return to home or communityRate of successful return to home or community from a skilled nursing facility.55.2%
9% better than California average
California average: 50.6%
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
50% of new residents, often for short stays.
Typical stay2 - 3 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay11 - 12 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents128
Medicare
36
28.1% of residents
Medicaid
92
71.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Jacob Health Care Center from 2011–2022, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Net Patient Income-$3.0M↓ ~$4.3M vs 2021
Payroll Costs$15.9M↑ ~$919.6K vs 2021
Operating Margin-13.3%↓ 18.5pp vs 2021
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Occupancy %
86.5%
95.5%
96.3%
95.1%
97.8%
99.3%
97.8%
98.1%
96.7%
97.5%
97.9%
93.7%
Beds
105
128
128
128
128
128
128
128
168
168
128
168
Net Income
-$1,871,216
-$169,045
$193,808
-$155,255
$1,047,453
-$2,657,417
$64,835
-$586,065
$1,623,022
$2,456,402
$1,322,307
-$2,452,198
Gross Revenue
$15,104,699
$23,066,368
$23,179,810
$27,197,199
$29,896,625
$29,023,432
$26,789,409
$26,678,224
$27,669,851
$27,445,245
$30,902,397
$27,811,316
Operating Expenses
$15,944,400
$20,535,342
$19,891,169
$21,016,730
$20,650,949
$22,836,322
$20,218,881
$20,139,432
$20,629,624
$21,810,153
$23,428,229
$25,673,599
Net Patient Income
-$2,146,422
-$509,412
-$144,226
-$499,739
$956,813
-$2,830,644
-$60,605
-$727,711
$1,626,527
$2,336,578
$1,287,391
-$3,004,856
Net Patient Revenue
$13,797,978
$20,025,930
$19,746,943
$20,516,991
$21,607,762
$20,005,678
$20,158,276
$19,411,721
$22,256,151
$24,146,731
$24,715,620
$22,668,743
Payroll Costs
$7,037,866
$9,304,400
$9,449,516
$9,175,643
$10,731,510
$11,116,401
$11,581,518
$11,635,240
$12,182,514
$13,483,740
$14,966,019
$15,885,628
Operating Margin %
-15.6%
-2.5%
-0.7%
-2.4%
4.4%
-14.2%
-0.3%
-3.8%
7.3%
9.7%
5.2%
-13.3%
Medicare %
55.2%
42.0%
33.7%
29.8%
25.6%
21.7%
21.4%
18.7%
15.2%
10.4%
14.2%
8.9%
Medicaid %
36.1%
46.6%
54.1%
49.8%
57.3%
72.9%
71.8%
68.6%
14.4%
11.0%
11.0%
9.4%
Private %
8.7%
11.4%
12.2%
20.3%
17.1%
5.4%
6.7%
12.7%
70.4%
78.6%
74.8%
81.6%
Net Patient Revenue/Day
$417
$448
$439
$462
$473
$430
$441
$423
$375
$403
$540
$394
Cost/Day
$482
$459
$442
$473
$452
$491
$443
$439
$348
$364
$512
$447
Avg Length of Stay
52.1 days
65.9 days
69.9 days
51.8 days
93.3 days
74.8 days
87.2 days
84.9 days
88.6 days
111.7 days
112.1 days
97.7 days
Finances and operations
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
For-profit
Operated by a limited liability company.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.7M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.0M
For-profit Operated by a limited liability company.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.7M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.0M
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$15.9M
70.1% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$9.8M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$25.7M
Certification details
License Number:55508
Date business started:3/4/1997
Owner Name:Utah Lake Holdings, LLC
Rural vs. Urban:Urban
County:San Diego
Type of Control:For-profit — Operated by a limited liability company.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 2 - 3 months.
Admissions
293 total
Coverage residents most often arrive under.
Medicare32%
Private pay50%
Medicaid18%
Discharges
328 total
Coverage residents most often leave under.
Medicare19%
Private pay33%
Medicaid48%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Reviews (1)
Jacob Health Care Center Reviews
John
Worst place to be. Especially with a crazy DON like Alice.
Rating Their Experiences
What do you like most about living here?
I don’t like it here. It’s not staffed well, and Alice is a horrible DON that does not really care about the residents. If she did she would staff better.
Are there enough caregivers to handle the residents' needs, especially during emergencies?
No
Are the common areas pleasant and comfortable for socializing or relaxing?
No
How do you feel about the level of social interaction available with other residents?
Not much
How was the units offered in this community?
They choose for you, it’s all old equipment and half the time it doesn’t work.
Do you feel safe living in this community?
No
How well do you think the community handles emergencies or unexpected events?
They don’t train staff well to handle them
How would you rate the quality and variety of the meals? (1-5)
1
Are special diets handled well?
No
Is the dining schedule flexible enough to meet your preferences?
No
Are there any hidden fees or unexpected charges?
Yes
Would you recommend this community to others looking for senior living options?
Never
Is there anything you wish you knew before moving in?
I wish I knew about the roaches
Places of interest near Jacob Health Care Center
3.9 miles from city center Estimated distance in miles from San Diego's city center to Jacob Health Care Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$22.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$15.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
70.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$13.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
55.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
555746
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities