Inspection citations
11’22
1’23
20’24
32’25
10’26
74 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 13, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| May 28, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| May 20, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Apr 23, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Mar 19, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 18, 2026 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Mar 18, 2026 | J · harm | Ensure that residents are free from significant medication errors. | Complaint |
| Mar 18, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Mar 3, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 17, 2026 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Aug 27, 2025 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Jul 29, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jul 29, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jul 29, 2025 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Complaint |
| Jul 29, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jun 10, 2025 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Apr 7, 2025 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Apr 7, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Apr 7, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Mar 14, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 14, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 14, 2025 | D · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Mar 14, 2025 | D · potential | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | Routine |
| Mar 14, 2025 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Mar 14, 2025 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 14, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 14, 2025 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Mar 14, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Mar 14, 2025 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Mar 14, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Mar 14, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 14, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 14, 2025 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Mar 14, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 14, 2025 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Mar 14, 2025 | E · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Mar 14, 2025 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Mar 14, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 14, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Mar 14, 2025 | D · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Feb 21, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 21, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Mar 29, 2024 | D · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Mar 29, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Mar 29, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 29, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 29, 2024 | D · potential | Provide care or services that was trauma informed and/or culturally competent. | Routine |
| Mar 29, 2024 | D · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Mar 29, 2024 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Mar 29, 2024 | D · potential | Post nurse staffing information every day. | Routine |
| Mar 29, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 29, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Mar 29, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 29, 2024 | F · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Mar 29, 2024 | D · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Mar 29, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 29, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 29, 2024 | D · potential | Keep all essential equipment working safely. | Routine |
| Mar 29, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Mar 29, 2024 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Jan 24, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Jan 24, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 19, 2023 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| Apr 21, 2022 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Apr 21, 2022 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Apr 21, 2022 | E · potential | Provide activities to meet all resident's needs. | Routine |
| Apr 21, 2022 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Apr 21, 2022 | D · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Apr 21, 2022 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Apr 21, 2022 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Apr 21, 2022 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 21, 2022 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Apr 21, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 21, 2022 | E · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Country Hills Post Acute
1580 Broadway, El Cajon, CA 92021 · (619) 441-8745
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555431
- Certified beds
- 305
- Legal owner
- El Cajon Post Acute LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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