As a privately owned 60-bed skilled nursing facility in La Mesa, Parkway Hills Nursing and Rehabilitation holds HCAI facility license 206370715 and participates in both Medicare and Medicaid from its Parkway Drive campus. The post-acute rehabilitation program covers physical, occupational, and speech therapy alongside complex wound care and neuro-ortho recovery, offering a smaller-census alternative to larger East County SNFs like Arbor Hills Nursing Center. Individual ownership rather than corporate-chain management allows flexible therapy scheduling and direct-access nursing ratios for short-term patients recovering from hip replacement, stroke, or cardiac procedures. Wander-guard technology and structured activity programming support residents with cognitive decline, including dementia-stage behavioral management. Discharge coordination routes recovering patients to in-home care agencies like Home Instead for continued ADL support after facility-based rehabilitation concludes. Highest-complexity cases include concurrent orthopedic and neurological rehabilitation requiring dual-discipline therapy plans with interdisciplinary team rounding under CMS Conditions of Participation for skilled nursing facilities.