Inspection citations
10’22
1’23
14’24
16’25
3’26
44 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 21, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 9, 2026 | E · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Jan 7, 2026 | 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. | Complaint |
| Jul 16, 2025 | E · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Mar 13, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 13, 2025 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Mar 13, 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 13, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Mar 13, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 13, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Mar 13, 2025 | 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 |
| Mar 13, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 13, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 13, 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 |
| Mar 13, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 13, 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 13, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 13, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 5, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 13, 2024 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Dec 13, 2024 | D · potential | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Complaint |
| Mar 21, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Routine |
| Mar 21, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 21, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Mar 21, 2024 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Mar 21, 2024 | E · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Mar 21, 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 21, 2024 | B · minimal | Post nurse staffing information every day. | Routine |
| Mar 21, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 21, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 21, 2024 | E · 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 21, 2024 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Mar 21, 2024 | D · potential | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Routine |
| Dec 8, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jun 23, 2022 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 23, 2022 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Jun 23, 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 |
| Jun 23, 2022 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 23, 2022 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 23, 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 |
| Jun 23, 2022 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 23, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 23, 2022 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jun 23, 2022 | D · 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
Somerset Post Acute Care
151 Claydelle Ave, El Cajon, CA 92020 · (619) 442-0245
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555871
- Certified beds
- 65
- Legal owner
- Claydelle Healthcare LLC
- Part of
- The Ensign Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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