COUNTRY HILLS POST ACUTE
COUNTRY HILLS POST ACUTE is a 305-bed nursing home in EL CAJON, California. CMS has certified it for Medicare and Medicaid since 1990-07-03. It averages 292.8 residents a day.
What harm was found in the violations cited at COUNTRY HILLS POST ACUTE?
CMS lists 73 health-inspection deficiencies for COUNTRY HILLS POST ACUTE since 2022-04-21, 62 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2026-05-20 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2026-04-23 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2026-03-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2026-03-18 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2026-03-18 | F0627, F0842 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-03-03 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-02-17 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-08-27 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D |
| 2025-07-29 | F0677, F0697, F0761, F0842 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-06-10 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E |
| 2025-04-07 | F0726, F0755, F0760 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | D |
| 2025-03-14 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-03-14 | F0550, F0641, F0657, F0686, F0813, F0847, F0867 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2025-03-14 | F0558, F0584, F0625, F0640, F0656, F0677, F0689, F0692, F0698, F0761, F0880, F0919, F0925 | Reasonably accommodate the needs and preferences of each resident. / 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. / 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2025-02-21 | F0609, F0641 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. | D |
| 2024-03-29 | F0802, F0812 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-29 | F0880, F0925 | Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-03-29 | F0584, F0655, F0656, F0692, F0699, F0725, F0726, F0732, F0755, F0757, F0759, F0803, F0908, F0919 | 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. / Provide care or services that was trauma informed and/or culturally competent. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / 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. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-01-24 | F0641, F0880 | Ensure each resident receives an accurate assessment. / Provide and implement an infection prevention and control program. | D |
| 2023-10-19 | F0622 | 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. | D |
| 2022-04-21 | F0679, F0812, F0880 | Provide activities to meet all resident's needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2022-04-21 | F0640, F0656, F0690, F0693, F0697, F0758, F0759, F0760 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | D |
Why was COUNTRY HILLS POST ACUTE fined?
| Date | Type | Amount |
|---|---|---|
| 2026-02-17 | Fine | $122,210 |
How is COUNTRY HILLS POST ACUTE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.90768 | 4.51570 |
| Total nursing staff turnover (%) | 58.2 | 36.7 |
| Average number of residents per day | 292.8 | 87.9 |
Who owns COUNTRY HILLS POST ACUTE, and what chain is it in?
COUNTRY HILLS POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name EL CAJON POST ACUTE LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | MICHLIN, BERNARD | since 04/01/2019 |
| W-2 MANAGING EMPLOYEE | GRAF, ZACHARY | since 04/01/2024 |
| CORPORATE OFFICER | APT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
Were you or a family member harmed at COUNTRY HILLS POST ACUTE?