Inspection citations
12’19
14’21
1’23
10’24
15’25
1’26
53 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Feb 4, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Aug 14, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Aug 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. | Complaint |
| Mar 21, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 30, 2025 | E · 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 |
| Jan 30, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jan 30, 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. | Complaint |
| Jan 30, 2025 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Jan 30, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 30, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jan 30, 2025 | D · potential | Provide care or services that was trauma informed and/or culturally competent. | Routine |
| Jan 30, 2025 | 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 |
| Jan 30, 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 |
| Jan 30, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 30, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 30, 2025 | E · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Dec 27, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 29, 2024 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Sep 24, 2024 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Sep 17, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 2, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Complaint |
| Jul 18, 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. | Complaint |
| May 17, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 7, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 13, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 14, 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. | Complaint |
| Oct 20, 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 |
| Jun 17, 2021 | 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 |
| Jun 17, 2021 | D · 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 |
| Jun 17, 2021 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jun 17, 2021 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 17, 2021 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jun 17, 2021 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jun 17, 2021 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 17, 2021 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 17, 2021 | F · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Jun 17, 2021 | F · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jun 17, 2021 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 17, 2021 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jun 17, 2021 | D · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Jun 17, 2021 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 8, 2019 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Aug 8, 2019 | 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 |
| Aug 8, 2019 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Aug 8, 2019 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Aug 8, 2019 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Aug 8, 2019 | 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 |
| Aug 8, 2019 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Aug 8, 2019 | 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 |
| Aug 8, 2019 | 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 |
| Aug 8, 2019 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Aug 8, 2019 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 8, 2019 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 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
Granite Hills Healthcare & Wellness Centre, LLC
1340 E Madison Ave, El Cajon, CA 92021 · (619) 447-1020
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555878
- Certified beds
- 99
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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