Stillwater Post-Acute
Stillwater Post-Acute
4.0 (213 reviews)
Skilled Nursing Facility • 256 Licensed Beds
510 E. Washington Avenue, El Cajon, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Stillwater Post-Acute

Skilled Nursing Facility • 256 Licensed Beds
510 E. Washington Avenue,
El Cajon, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Stillwater Post-Acute – Medicare Certified Since 1977

Stillwater Post-Acute is a Medicare and Medicaid certified skilled nursing facility located in El Cajon, California. This facility has been serving the community for 49 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 256 certified beds with a current occupancy rate of 96% (averaging 245 residents per day), which is very high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.76 hours of total nursing care per resident per day (2.11 hours from CNAs, 1.09 hours from LPNs, 0.56 hours from RNs). Physical therapy staffing is 0.05 hours per resident per day.

Medicare Quality Ratings: According to CMS, Stillwater Post-Acute has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 2 stars, quality measures: 1 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Stillwater Post-Acute compares to 83 facilities in San Diego-Chula Vista-Carlsbad, CA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
3.9
Quality Measures
Clinical outcomes & safety
1
4.3
Health Inspections
State survey results
2
3.5
Staffing
Nurse-to-resident ratio
2
3.2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.56 hrs
0.73 hrs
LPN/LVN Hours
Licensed practical nurses
1.09 hrs
1.20 hrs
CNA Hours
Certified nursing assistants
2.11 hrs
2.64 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.76 hrs
4.57 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
1.2 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
3.6 %
CNA Agency Use
% of CNA hours from contractors
0.7 %
3.4 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
52 %
40 %
Occupancy Rate
Percentage of beds filled
96 %
86 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$454
$578
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 83 facilities in San Diego-Chula Vista-Carlsbad, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
1/5
Health Inspections
2/5
Staffing
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 83 other nursing homes in San Diego-Chula Vista-Carlsbad, CA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Stillwater Post-Acute
San Diego-Chula Vista-Carlsbad, CA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Stillwater Post-Acute
San Diego-Chula Vista-Carlsbad, CA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Stillwater Post-Acute
San Diego-Chula Vista-Carlsbad, CA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Stillwater Post-Acute
San Diego-Chula Vista-Carlsbad, CA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
127
minutes/day
CNAs
Certified Nursing Assistants
65
minutes/day
LVNs
Licensed Vocational Nurses
34
minutes/day
RNs
Registered Nurses
3
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Stillwater Post-Acute
San Diego-Chula Vista-Carlsbad, CA Average (86.2%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$454
per resident per day
Compared to 82 facilities in your area
Below local median ($578)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-4% 0% Below
Net Income
Annual profit or loss
$-1,599,412 $295,159.5 Below
Staff Cost per Resident
Daily salary expense per resident
$232/day $229/day Higher
Occupancy Rate
Bed utilization percentage
96% 91% Higher
Est. Daily Rate
Average revenue per patient day
$454/day $578/day Lower
Total Beds
Licensed bed capacity
256 99 Larger

Local comparisons based on 82 skilled nursing facilities in the San Diego-Chula Vista-Carlsbad, CA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$39,960,276
Operating Expenses
Total operating costs
$41,593,313
Total Salaries
Staff compensation
$22,141,461
Contract Labor
Agency & temp staff
$912,230

Payer Mix

Medicare
7%
Medicaid
6%
Private Pay & Other
87%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
95,640
Medicare
Short-term skilled nursing
7%
Medicaid
Long-term care residents
6%
Private Pay / Other
Self-pay, insurance, VA
87%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
158.08
days
Medicare Stays
81.84
days
Medicaid Stays
131.91
days
Total Admissions
906
Total Discharges
605
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in EL CAJON

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Reviews

4.0 (213 reviews)
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Bill Polson's profile photo
Bill Polson 3 years ago

I would like to appreciate to Avocado Post-Acute Facility and all it's staff the C.N.A, C.N, the RT's my provider Dr. David L. and the director of Respiratory Therapy. Sean H. For giving me a second home, for treating me with respect and as a patient. Not only you make me feel as part of your family, but you made me get my health back and prolonged my life. Sincerely yours Patient Mr. Billy Polson

Antonio Roderick's profile photo
Antonio Roderick 3 months ago

The worse facility ever. The picture below is the lady who called the cops to try and have me falsely arrested for trying to see why my mother who was in a wheelchair after I saw her just 6 months ago. Her name is Ronda Williams, her boss is Dina Mookini she is the Administrator. Oh, and there is more, this was after one of their staff assaulted me. When the cops came, I told them my side of the story. The officer gave me, his card and told me to call him if I want to press charges. Both these ladies are high-ranking managers which need to be fired. Another group of management needs to come in who really cares about the patient, and doesn't just play like they do on Facebook. Let's be honest. The people that give this place a 3 or above either directly or have friends or family who work here cause they can't make it elsewhere. CLOSE THIS PLACE DOWN.

Michael David George Jundt's profile photo

Wonderful place to send your loved one, the staff takes pride in caring for their patients. The residents are actively involved with the planning of their care, and the nursing care is top notch. There have been so many wonderful changes at this facility in recent months. The leadership is on the floor with the staff and patients, and have a good grasp of the day to day in the building. Thank you for all your hard work!

Arnold Francisco's profile photo
Arnold Francisco 3 years ago

I went to visit my family member. I was very impressed with this facility. It’s not the building that wowed me but the staff and patients. Upon arrival I was greeting by multiple people including staff and patients at the door with a smile. They helped me sign in and even gave me masks so I can protect others. My family member has been here for about 2 months and so far they have good things to say about the place. He made friends with some of the staff and patients here. He says he is having a great time with the activities they have for him as well as great attentive care. When I was here I observed that staff was polite, caring and urgent with any needs. I would definitely recommend this place to others.

michelle fernando's profile photo

I recently had my grandfather stay at Avocado Post Acute and was very pleased with the care and quick responses. My grandfather stayed about 1 month and was well accommodated for and loved the place. Dr. Gessner and her team were always ready with answers for any questions we had and checked on him quite frequently. The nursing crew on station 2 was superb. They always answered the call light and kept us updated and informed. I have a large family so to be able to keep all of us on the same page is already a challenge. They even helped my grandmother whenever she would visit which was almost everyday. The food was great. The rehab team was great. But What I appreciated the most was that they loved and cared for my grandfather like their own. Special shout out to station 2 for doing a good job! Thank you Avocado Post Acute!

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