Somerset Post Acute Care
Somerset Post Acute Care is a 65-bed nursing home in EL CAJON, California. CMS has certified it for Medicare and Medicaid since 2011-07-22. It averages 43.9 residents a day.
What harm was found in the violations cited at Somerset Post Acute Care?
CMS lists 43 health-inspection deficiencies for Somerset Post Acute Care since 2022-06-23, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-09 | F0583 | Keep residents' personal and medical records private and confidential. | E |
| 2026-01-07 | F0584 | 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. | E |
| 2025-07-16 | F0583 | Keep residents' personal and medical records private and confidential. | E |
| 2025-03-13 | F0812, F0880 | 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 |
| 2025-03-13 | F0558, F0583, F0656, F0658, F0684, F0686, F0690, F0698, F0755, F0758, F0759, F0761 | Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 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. | D |
| 2025-02-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-12-13 | F0626, F0843 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Have 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. | D |
| 2024-03-21 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-03-21 | F0688, F0755, F0761, F0867 | Provide 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2024-03-21 | F0557, F0558, F0658, F0725, F0759, F0882 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure medication error rates are not 5 percent or greater. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D |
| 2024-03-21 | F0732 | Post nurse staffing information every day. | B |
| 2023-12-08 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2022-06-23 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2022-06-23 | F0550, F0604, F0656, F0684, F0692, F0758, F0759, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / 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. / 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 |
Why was Somerset Post Acute Care fined?
| Date | Type | Amount |
|---|---|---|
| 2024-03-21 | Fine | $26,728 |
How is Somerset Post Acute Care staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.68350 | 4.51570 |
| Total nursing staff turnover (%) | 61.9 | 36.7 |
| Average number of residents per day | 43.9 | 87.9 |
Who owns Somerset Post Acute Care, and what chain is it in?
Somerset Post Acute Care is registered with CMS as For profit - Corporation, operates under the legal business name CLAYDELLE HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | BURNAM, SOON, MATTHEWS, GLENN, MICHLIN, BERNARD | since 04/01/2024 |
| CORPORATE DIRECTOR | WILLITS, ADAM | since 09/01/2017 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | TWOMAGNETS LLC, MATTHEWS, GLENN, MICHLIN, BERNARD | since 04/01/2024 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | PORT, BARRY | since 07/10/2025 |
| ADP OF THE SNF | AVOCADO HEALTH HOLDINGS LLC, ENSIGN SERVICES INC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, MATTHEWS, GLENN, MICHLIN, BERNARD | since 07/10/2025 |
Were you or a family member harmed at Somerset Post Acute Care?