Edgemoor Distinct Part Skilled Nursing Facility in Santee is a 192-bed, county-operated skilled nursing campus on 12.66 acres at 655 Park Center Drive, administered by the San Diego County Health and Human Services Agency. The facility serves adults ages 18 and older whose complex medical and behavioral needs exceed the capacity of private-sector nursing homes — a patient population that distinguishes Edgemoor from peer facilities including Stanford Court Skilled Nursing & Rehab Center on Cuyamaca Street. Opened in 2009, the 150,000-square-foot, two-story structure organizes residents into six 32-bed neighborhoods, each centered on a greatroom for meals, activities, and socialization, with individual bedrooms and open nursing stations. Services span medical care, dietary management, pharmaceutical dispensing, laboratory work, social services, and rehabilitation therapies coordinated with outpatient providers such as Select Physical Therapy on Mission Gorge Road. The campus features a therapy gymnasium, an outdoor wheelchair-accessible exercise circuit, resident gardens, a meditation garden, and landscaped courtyards designed as a restraint-free environment with California-native plantings bordering a protected biological wetland to the south.