COUNTRY HILLS POST ACUTE

CCN 555431 · EL CAJON POST ACUTE LLC · For profit - Limited Liability company · PACS GROUP chain · 305 certified beds · San Diego · CA


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 dateTagDeficiencySeverity
2026-05-28F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-05-20F0641Ensure each resident receives an accurate assessment.D
2026-04-23F0880Provide and implement an infection prevention and control program.D
2026-03-19F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-03-18F0760Ensure that residents are free from significant medication errors.J
2026-03-18F0627, F0842Ensure 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
2026-03-03F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-02-17F0610Respond appropriately to all alleged violations.D
2025-08-27F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2025-07-29F0677, F0697, F0761, F0842Provide 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
2025-06-10F0558Reasonably accommodate the needs and preferences of each resident.E
2025-04-07F0726, F0755, F0760Ensure 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
2025-03-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-03-14F0550, F0641, F0657, F0686, F0813, F0847, F0867Honor 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
2025-03-14F0558, F0584, F0625, F0640, F0656, F0677, F0689, F0692, F0698, F0761, F0880, F0919, F0925Reasonably 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
2025-02-21F0609, F0641Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment.D
2024-03-29F0802, F0812Provide 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
2024-03-29F0880, F0925Provide 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
2024-03-29F0584, F0655, F0656, F0692, F0699, F0725, F0726, F0732, F0755, F0757, F0759, F0803, F0908, F0919Honor 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
2024-01-24F0641, F0880Ensure each resident receives an accurate assessment. / Provide and implement an infection prevention and control program.D
2023-10-19F0622Not 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
2022-04-21F0679, F0812, F0880Provide 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
2022-04-21F0640, F0656, F0690, F0693, F0697, F0758, F0759, F0760Encode 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?

DateTypeAmount
2026-02-17Fine$122,210

How is COUNTRY HILLS POST ACUTE staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.907684.51570
Total nursing staff turnover (%)58.236.7
Average number of residents per day292.887.9

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.

RoleOwnerAssociation date
CONTRACTED MANAGING EMPLOYEEMICHLIN, BERNARDsince 04/01/2019
W-2 MANAGING EMPLOYEEGRAF, ZACHARYsince 04/01/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at COUNTRY HILLS POST ACUTE?