CareSentinel

Federal Nursing-Home Survey Record

LEMON GROVE CARE AND REHABILITATION CENTER

CCN 055182 · 8351 BROADWAY, LEMON GROVE, CA, 91945

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does LEMON GROVE CARE AND REHABILITATION CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), LEMON GROVE CARE AND REHABILITATION CENTER (CCN 055182), in LEMON GROVE, CA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 24 deficiencies; the most serious carries scope/severity F — CMS's "potential for harm" tier, below actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $7,443 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $7,443 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Civil money penalties on file

$7,443

CMS has $7,443 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-18
CURRENT CYCLE
F880S/S F

Provide and implement an infection prevention and control program.

2025-12-18
CURRENT CYCLE
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-12-18
CURRENT CYCLE
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-12-18
CURRENT CYCLE
F908S/S E

Keep all essential equipment working safely.

2025-12-18
CURRENT CYCLE
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-12-18
CURRENT CYCLE
F757S/S E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2025-12-18
CURRENT CYCLE
F881S/S E

Implement a program that monitors antibiotic use.

2025-12-18
CURRENT CYCLE
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-12-18
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-12-18
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-12-18
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-12-18
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-12-18
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-12-18
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-12-18
CURRENT CYCLE
F679S/S D

Provide activities to meet all resident's needs.

2025-12-18
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-12-18
CURRENT CYCLE
F693S/S D

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.

2025-12-18
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-12-18
CURRENT CYCLE
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2025-12-18
CURRENT CYCLE
F761S/S D

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.

2025-12-18
CURRENT CYCLE
F802S/S D

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2025-12-18
CURRENT CYCLE
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2025-12-18
CURRENT CYCLE
F887S/S D

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.

2025-12-18
CURRENT CYCLE
F911S/S B

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

36 citations from earlier inspection cycles — historical, not current (expand)
2024-12-27
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-12-12
HISTORICAL
F622S/S D

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.

2024-12-12
HISTORICAL
F620S/S D

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.

2024-10-17
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-09-05
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-08-15
HISTORICAL
F761S/S E

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.

2024-08-15
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-15
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-08-15
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-08-15
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-08-15
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2024-08-15
HISTORICAL
F699S/S D

Provide care or services that was trauma informed and/or culturally competent.

2024-08-15
HISTORICAL
F726S/S D

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.

2024-08-15
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-08-15
HISTORICAL
F804S/S D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-08-15
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-02-08
HISTORICAL
F600S/S E

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-02-08
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-02-08
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-02-08
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-08-17
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-07-12
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-07-12
HISTORICAL
F836S/S D

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

2023-07-12
HISTORICAL
F881S/S D

Implement a program that monitors antibiotic use.

2023-07-12
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-07-12
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2023-07-12
HISTORICAL
F850S/S D

Hire a qualified full-time social worker in a facility with more than 120 beds.

2023-05-31
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-05-31
HISTORICAL
F758S/S D

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.

2023-05-31
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2022-03-17
HISTORICAL
F690S/S E

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2022-03-17
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2022-03-17
HISTORICAL
F693S/S D

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.

2022-03-17
HISTORICAL
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2022-03-17
HISTORICAL
F911S/S D

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

2022-03-17
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at LEMON GROVE CARE AND REHABILITATION CENTER?

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