JACOB HEALTH CARE CENTER

4075 54TH STREET, San Diego CA 92105

Facility 374604815 · RESIDENTIAL CARE ELDERLY (740)

40 bedsLatest official report Dec 11, 2025Licensed

Additional info
Licensee
UTAH LAKE HOLDINGS, LLC
Administrator
CRUZ, JOSEPH
Contact
CRUZ, JOSEPH
License first date
Dec 31, 2024
License effective date
Dec 31, 2024
District office
SAN DIEGO RO · (619) 767-2300
Regional office
08
Clients served
983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE

Summary

The available records show 4 Type B deficiencies for this facility.

Most recent inspection
Dec 11, 2025
Most recent deficiency
Dec 11, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 20 San Diego County facilities licensed for 16 to 49 beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 5 reports for this facility: 2 inspections, 0 complaint investigations, and 3 licensing or administrative records.

Those records contain 0 Type A and 4 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
2

Fewer than the typical 6

1 in the last 12 months

Recorded deficiencies
4

More than the typical 2

4 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
4

More than the typical 2

4 in the last 12 months

Substantiated complaints
0

Fewer than the typical 1

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and manager interview, Licensee did not ensure that 2 of 5 sampled staff (S1 and S2) had completed 20 hours of training within the last year, of which 8 hours were required to be on dementia care and of which 4 hours were required to be on postural supports, restricted health conditions, and hospice care. This posed a potential health and personal rights risk to 31 of 31 residents [R1 through Resident #31 (31)] in care.

Official plan of correction

POC Due Date: 01/11/2026 Plan of Correction Licensee agreed to have S1 and S2 each finish 20 hours of annual training (ensuring at least 8 hours are on dementia care and at least 4 hours are on " postural supports, restricted health conditions, and hospice care " ). Licensee agreed to clearly document the training, and to send proof of completion to LPA, by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(h)(1)
Regulation authority
CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and manager interview, Licensee did not ensure that 2 of 5 sampled residents (R1 and R2) had documentation of an annual routine visit with a licensed medical professional. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 01/11/2026 Plan of Correction Licensee agreed to coordinate with the responsible persons (RP) to ensure that R1 and R2 complete their annual routine physicals/medical visits. (In cases where the RP refuses the annual visit, Licensee will document such refusal in writing.) Licensee agreed to send proof of completion to LPA, by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87467(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, for 4 of 5 sampled residents (R1 through R4), Licensee did not within the last 12 months arrange a meeting with the resident and required individuals to review and revise the written record of care. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 01/11/2026 Plan of Correction For R1 through R4 each, Licensee agreed to conduct a care conference with their responsible person (and home health/hospice personnel, as applicable) to review the resident's facility Plan of Care, updating it as needed. All parties to the meeting will sign. Licensee agreed to E-mail proof of care conference completion to LPA, by the POC due date. Going forward, Licensee agreed to faciliate such care conferences at least once every 12 months for each resident.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87633(b)(6)(B)
Regulation authority
CCR

What the official deficiency says

87633 Hospice Care of Terminally Ill Residents: “(b)(6)(B) The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins.” This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, Licensee did not ensure that the hospice agency trained 15 of 15 facility staff (S1 through Staff #15) on 1 of 1 hospice residents' (R5's) current and ongoing individual care needs. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 01/11/2026 Plan of Correction Licensee agreed to coordinate with the hospice agency for one of their nurses to lead an in-service training for staff, covering both the hospice care plan and the current and ongoing care needs of R5. Licensee agreed to E-mail the training sign-in sheet(s) to LPA, by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology