Jacob Health Care Center

Nursing Home & Skilled Nursing · San Diego, CA

CMS overall rating

4075 54Th Street, San Diego, CA 92105 View map

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Jacob Health Care Center accepts Medicare, Medicaid, and private pay.

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Jacob Health Care Center accepts Medicare, Medicaid, and private pay.

Overview of Jacob Health Care Center

Utah Lake Holdings, LLC operates Jacob Health Care Center, a 40-bed nursing home located at 4075 54th Street in San Diego’s College area. Joseph Cruz serves as the administrator for the property, which has been in business for 29 years and currently runs at a 78 percent occupancy rate. Stays average 77 days, showing that the daily operation concentrates heavily on temporary post-hospital therapy and short-term recovery. For billing, the front desk manages room rates and clinical costs through private funds, traditional Medicare, and state Medicaid.

Residents receive roughly 3 hours and 17 minutes of direct attention every day from the on-site team of nurses and aides. This daily clinical schedule centers on short-term physical rehabilitation, sub-acute therapies, and complex wound care, while day-to-day amenities include outdoor courtyards, social activities, and an on-site barber salon. The surrounding neighborhood is only somewhat walkable, so visiting family members will typically need to drive when coming to the property.

Recent filings from government health inspectors flagged recurring issues here with medication management, staffing levels, infection control, and care plan documentation. Prospective residents can contact the front office to ask how the management team has addressed these specific compliance areas, request information on current bed availability, or arrange an afternoon to look around the therapy setups.

Facility Direct Line (619) 582-5168 joseph.cruz@linkshealth.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

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

Total nursing care This home is ranked 276th out of 288 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

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

40m

LPN / LVN

56m

Nurse Aide

1h 37m

Weekend Total Nursing

3h 6m

Physical Therapist

Weekend RN

51m

3 of 6 metrics below state avg

Capacity and availability

77 days

40-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

29 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 49 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: C+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate

78%

Higher than the California average: 72.8%

Occupied beds

31 / 40

Average occupied beds in California homes 87 beds

Facility TypeResidential Care Elderly

IssuanceDecember 31, 2024

CountySan Diego

License Number374604815

CMS Certification Number055508

Jacob Health Care Center is legally operated by Utah Lake Holdings, LLC, and administered by Joseph Cruz.

Owner NameUtah Lake Holdings, LLC

Staffing

Key information about the people who lead and staff this community.

Rehabilitation Services

24-Hour Staffing

Specialized Dementia Live-in Staff

Specialized Dementia Separate Housekeeping Staff

No Admission Fee

Pets not allowed

Activities

Courtyard

Patio

Salon

Inspection Score

12 points above the California average for nursing homes (81/100)

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

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% better
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	4	This facility has 80% fewer citations per inspection than a typical California nursing home (0.8 vs. CA avg 4).↓ 80% better

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

Show Inspection Reports

Inspections Since 2019 · 7 years of data

Total health inspections 6

California average 12.5

Last Health inspection on Nov 2024

Total health citations

California average 50.2

Citations per inspection

California average 4.65

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

25 of 30 citations resulted from standard inspections; and 5 of 30 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

100% better than California average

California average: 0.4

Serious health citations

100% better than California average

California average: 1

0 critical citations California average: 0.4

0 serious citations California average: 1

30 moderate citations California average: 47.2

0 minor citations California average: 1.5

Citations history (last 7 years)

Pharmacy moderate citation Nov 27, 2024

Corrected

Administration moderate citation Sep 12, 2024

Corrected

Infection Control moderate citation Sep 12, 2024

Corrected

Nursing Services moderate citation Sep 12, 2024

Corrected

Total staff 294

Employees 291

Contractors 3

Staff to resident ratio 2.30 : 1

27% more staff per resident than California average

Avg staff/day 98

Average shift 7.4 hours

0% compared with California average

Total staff hours (quarter) 67,047

Nursing staff breakdown

7.9 hours

7.6 hours

Contractor staffing

90 contractor hours this quarter

Other Physician: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	86	0	86	25,116	92	100%	7.6
Licensed Practical Nurse	37	0	37	12,356	92	100%	7.6
Registered Nurse	29	0	29	9,308	92	100%	7.9
Qualified Activities Professional	28	0	28	5,588	92	100%	7.3
RN Director of Nursing	7	0	7	2,522	88	96%	7.7
Other Dietary Services Staff	8	0	8	2,330	92	100%	6.7
Speech Language Pathologist	7	0	7	1,856	79	86%	6.6
Physical Therapy Aide	5	0	5	1,497	71	77%	6.8
Respiratory Therapy Technician	64	0	64	1,368	69	75%	8
Physical Therapy Assistant	6	0	6	1,093	79	86%	6.9
Occupational Therapy Aide	2	0	2	756	64	70%	7.2
Qualified Social Worker	4	0	4	641	65	71%	6.2
Clinical Nurse Specialist	4	0	4	559	57	62%	8
Nurse Practitioner	1	0	1	520	65	71%	8
Administrator	1	0	1	504	63	68%	8
Dietitian	1	0	1	504	63	68%	8
Mental Health Service Worker	1	0	1	440	55	60%	8
Other Physician	0	2	2	60	28	30%	2
Medical Director	0	1	1	30	26	28%	1.2

86 Certified Nursing Assistant

% of Days 100%

37 Licensed Practical Nurse

% of Days 100%

29 Registered Nurse

% of Days 100%

28 Qualified Activities Professional

% of Days 100%

View All Staffing Data in San Diego

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 5.6

16% better than California average

California average: 6.6

Functional decline score 6.6

42% better than California average

California average: 11.3

Long-stay resident measures

Significantly above average California avg: 4.2

Need for Help with Daily Activities Increased 3.9%

65% better than California average

California average: 11.1%

Walking Ability Worsened 14.4%

20% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence 1.5%

86% better than California average

California average: 11.3%

Falls with Major Injury 0.5%

69% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers 5.6%

13% worse than California average

California average: 5.0%

Urinary Tract Infection 0.3%

79% better than California average

California average: 1.2%

Lost Too Much Weight 3.6%

15% better than California average

California average: 4.2%

Depressive Symptoms 2.6%

61% better than California average

California average: 6.7%

Antipsychotic Use 2.1%

79% better than California average

California average: 10.1%

Pneumococcal Vaccine 100.0%

In line with California average

California average: 98.5%

Influenza Vaccine 100.0%

In line with California average

California average: 98.2%

Hospitalizations per 1,000 days 1.91

15% better than California average

California average: 2.25

ED visits per 1,000 days 2.56

61% worse than California average

California average: 1.59

Short-stay resident measures

Significantly above average California avg: 3.5

Pneumococcal Vaccine 100.0%

6% better than California average

California average: 94.0%

Antipsychotic medication increase 1.0%

29% better than California average

California average: 1.5%

Influenza Vaccine 100.0%

7% better than California average

California average: 93.2%

Re-hospitalized after SNF stay 18.8%

19% better than California average

California average: 23.2%

Emergency department visits 8.6%

23% better than California average

California average: 11.2%

Falls with major injury 0.0%

100% better than California average

California average: 0.8%

Ability to care for self at discharge 66.7%

24% better than California average

California average: 53.7%

Successful return to home or community 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 stay 1 - 2 months

Private pay

50% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 128

Medicare

28.1% of residents

Medicaid

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.

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.

Occupancy Rate 93.7% ↓ 4.2pp vs 2021

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

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.

Net patient revenue

$22.7M

Net patient income

-$3.0M

For-profit Operated by a single business entity.

Net patient revenue

$22.7M

Net patient income

-$3.0M

Payroll costs

$15.9M 70.1% of net patient revenue

Other operating costs

$9.8M

Total costs

$25.7M

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.

Coverage residents most often arrive under.

Medicare 32%

Private pay 50%

Medicaid 18%

Coverage residents most often leave under.

Medicare 19%

Private pay 33%

Medicaid 48%

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?

Are the common areas pleasant and comfortable for socializing or relaxing?

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?

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)

Are special diets handled well?

Is the dining schedule flexible enough to meet your preferences?

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

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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Nursing Home Explorer

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+

General California resident, Medi-Cal eligible, nursing home risk.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

Benefits

In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+

General California resident, Medicaid-eligible or low-income.

Income Limits ~$1,732/month individual, Medi-Cal threshold

Asset Limits $2,000 individual

Can hire family as caregivers.

Benefits

Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+

General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 38 counties; waitlists common.

Benefits

Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+

General California resident, own and live in home, 40% equity.

Income Limits (2025) ~$51,500/year household, adjusted annually

Asset Limits Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits

Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled

General California resident, Medi-Cal-eligible, nursing home-eligible.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits

Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —

General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.

Asset Limits Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

What neighborhood is Jacob Health Care Center in?

Jacob Health Care Center is in the City Heights neighborhood of SAN DIEGO.

Who is the owner of Jacob Health Care Center?

Jacob Health Care Center is legally operated by Utah Lake Holdings, LLC, and administered by Joseph Cruz.

Is Jacob Health Care Center in a walkable area?

Jacob Health Care Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Jacob Health Care Center?

According to CA state health department records, Jacob Health Care Center's license number is 374604815.

What is the occupancy rate at Jacob Health Care Center?

Jacob Health Care Center's occupancy is 78%.

How long has Jacob Health Care Center been in business?

Jacob Health Care Center has been operating for approximately 29 years, based on available licensing and registration records.

Are pets allowed at Jacob Health Care Center?

No, Jacob Health Care Center has a no-pet policy.

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Jacob Health Care Center

Overview of Jacob Health Care Center

Quality ratings

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Therapy & Rehabilitation

Staffing & Medical

Staffing(Specialized Dementia)

Facility Details(Specialized Dementia)

Additional Policies & Features

Amenities & Lifestyle

Contact Jacob Health Care Center

Inspection History

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.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

CMS Health Inspection History

Inspections Since 2019 · 7 years of data

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

86 Certified Nursing Assistant

37 Licensed Practical Nurse

29 Registered Nurse

28 Qualified Activities Professional

7 RN Director of Nursing

8 Other Dietary Services Staff

7 Speech Language Pathologist

5 Physical Therapy Aide

64 Respiratory Therapy Technician

6 Physical Therapy Assistant

2 Occupational Therapy Aide

4 Qualified Social Worker

4 Clinical Nurse Specialist

1 Nurse Practitioner

1 Administrator

1 Dietitian

1 Mental Health Service Worker

2 Other Physician

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Rating Their Experiences

Places of interest near Jacob Health Care Center

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Financial Assistance for Nursing Home in California

Multipurpose Senior Services Program

In-Home Supportive Services (IHSS)

Multipurpose Senior Services Program (MSSP)

Financial Assistance for
Nursing Home in California