LEMON GROVE CARE AND REHABILITATION CENTER
Certified for Medicare and Medicaid since 1967-01-01, LEMON GROVE CARE AND REHABILITATION CENTER is a 158-bed nursing home in LEMON GROVE, California, averaging 151.3 residents a day.
Has LEMON GROVE CARE AND REHABILITATION CENTER been cited for violations?
CMS lists 54 health-inspection deficiencies for LEMON GROVE CARE AND REHABILITATION CENTER since 2022-03-17, 45 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-12-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-18 | F0865, F0880 | Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. | F |
| 2025-12-18 | F0677, F0684, F0757, F0759, F0881, F0908 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Implement a program that monitors antibiotic use. / Keep all essential equipment working safely. | E |
| 2025-12-18 | F0550, F0580, F0610, F0628, F0641, F0644, F0679, F0689, F0693, F0695, F0756, F0761, F0802, F0883, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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 sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
| 2025-12-18 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B |
| 2024-12-27 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2024-12-12 | F0620, F0622 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. / 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 |
| 2024-10-17 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-09-05 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-08-15 | F0656, F0761 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | E |
| 2024-08-15 | F0550, F0583, F0679, F0699, F0726, F0759, F0804, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Keep residents' personal and medical records private and confidential. / Provide activities to meet all resident's needs. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-02-08 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2024-02-08 | F0609, F0656, F0657 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2023-08-17 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2022-03-17 | 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. | E |
| 2022-03-17 | F0561, F0624, F0656, F0658, F0693, F0759, F0812, F0911 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Prepare residents for a safe transfer or discharge from the nursing home. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | D |
How is LEMON GROVE CARE AND REHABILITATION CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.92038 | 4.51570 |
| Total nursing staff turnover (%) | 47.7 | 36.7 |
| Average number of residents per day | 151.3 | 87.9 |
Who owns LEMON GROVE CARE AND REHABILITATION CENTER, and what chain is it in?
LEMON GROVE CARE AND REHABILITATION CENTER is registered with CMS as For profit - Corporation, operates under the legal business name LEMON GROVE HEALTH ASSOCIATES, LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | KAMBO, AMANPREET, MURALIDHARA, SOWMYA | since 02/15/2025 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD, PORT, BARRY, WILLITS, ADAM | since 01/22/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | LINCARE INC, KAMBO, AMANPREET, MURALIDHARA, SOWMYA | since 02/15/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, MCS PGCH LLC, KAMBO, AMANPREET, MURALIDHARA, SOWMYA | since 02/15/2025 |
Were you or a family member harmed at LEMON GROVE CARE AND REHABILITATION CENTER?