Starfile / California

SOMERSET SUBACUTE AND CARE

151 CLAYDELLE AVE, EL CAJON, CA 92020 · CCN 555871

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$26,728

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (52)2 actual harm

1. EF0584Honor 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.2026-01-07 · Health · corrected 2026-02-05

   Potential for more than minimal harm

2. EF0583Keep residents' personal and medical records private and confidential.2025-07-16 · Health

   Potential for more than minimal harm

3. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

4. DF0583Keep residents' personal and medical records private and confidential.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

9. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-13 · Health · corrected 2025-04-03

   Potential for more than minimal harm

10. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

11. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

12. 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.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

13. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

14. 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.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

15. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

16. EF0880Provide and implement an infection prevention and control program.2025-03-13 · Health · corrected 2025-04-03

    Potential for more than minimal harm

17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

18. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-12-13 · Health · corrected 2025-01-15

    Potential for more than minimal harm

19. DF0843Have 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.2024-12-13 · Health · corrected 2025-01-15

    Potential for more than minimal harm

20. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

21. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

22. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

23. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-21 · Health · corrected 2024-04-19

    Actual harm

24. EF0688Provide 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.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

25. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

26. BF0732Post nurse staffing information every day.2024-03-21 · Health · corrected 2024-04-19

    Potential for minimal harm

27. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

28. DF0759Ensure medication error rates are not 5 percent or greater.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

29. EF0761Ensure 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.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

30. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

31. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-03-21 · Health · corrected 2024-04-19

    Potential for more than minimal harm

32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

33. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-26 · Health · corrected 2023-08-03

    Potential for more than minimal harm

34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-26 · Health · corrected 2023-08-03

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-26 · Health · corrected 2023-08-03

    Potential for more than minimal harm

36. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-26 · Health · corrected 2023-08-03

    Actual harm

37. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-26 · Health · corrected 2023-07-13

    Potential for more than minimal harm

38. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-05-26 · Health · corrected 2023-07-13

    Potential for more than minimal harm

39. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-26 · Health · corrected 2023-07-13

    Potential for more than minimal harm

40. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-26 · Health · corrected 2023-08-03

    Potential for more than minimal harm

41. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-05-26 · Health · corrected 2023-07-13

    Potential for more than minimal harm

42. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-22 · Health · corrected 2023-06-12

    Potential for more than minimal harm

43. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

44. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

47. DF0692Provide enough food/fluids to maintain a resident's health.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

48. 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.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

49. DF0759Ensure medication error rates are not 5 percent or greater.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

50. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

51. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

52. DF0880Provide and implement an infection prevention and control program.2022-06-23 · Health · corrected 2022-07-25

    Potential for more than minimal harm

Ownership

Other facilities in EL CAJON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.