COUNTRY HILLS POST ACUTE
1580 BROADWAY, EL CAJON, CA 92021 · CCN 555431
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 305
- Avg residents/day
- 292.4
- Phone
- 6194418745
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-14 | 30 | 15.6 | 9.5 | +14.4 worse |
| 2 | 2024-03-29 | 20 | 17.4 | 9.8 | +2.6 worse |
| 3 | 2022-04-21 | 17 | 17.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 6 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Environmental | 2 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.03 | 48.8% |
| RN staffing (reported) | 0.29 | 42.1% |
| Total nurse staffing (adjusted) | 4.13 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (67)
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-08-27 · Health · corrected 2025-09-26
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-29 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-07-29 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0761Ensure 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.2025-07-29 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-29 · Health · corrected 2025-09-05
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-06-10 · Health · corrected 2025-07-10
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-07 · Health · corrected 2025-05-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-07 · Health · corrected 2025-05-06
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-04-07 · Health · corrected 2025-05-06
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0584Honor 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.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0625Notify 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.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0761Ensure 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.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-03-14 · Health · corrected 2025-04-13
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-21 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-02-21 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0584Honor 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.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0803Ensure 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.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-01-24 · Health · corrected 2024-02-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-24 · Health · corrected 2024-02-12
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-10-19 · Health · corrected 2023-11-29
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-06-08 · Health · corrected 2023-07-08
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-12 · Health · corrected 2023-05-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-09 · Health · corrected 2023-04-24
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0693Ensure 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.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0758Implement 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.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-04-21 · Health · corrected 2022-06-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MICHLIN, BERNARD | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2019-04-01 |
| GRAF, ZACHARY | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-01 |
Other facilities in EL CAJON
| Name | Overall | Beds |
|---|---|---|
| BRADLEY COURT | ★★★★★ | 56 |
| PARKSIDE HEALTH AND WELLNESS CENTER | ★★★★★ | 52 |
| VICTORIA POST ACUTE CARE | ★★★★☆ | 120 |
| THE ROYAL HOME | ★★★★☆ | 19 |
| MAGNOLIA POST ACUTE CARE | ★★★☆☆ | 99 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.