The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
COUNTRY HILLS POST ACUTE
EL CAJON, CA · Medicare-certified · 305 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Country Hills Post Acute in El Cajon has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty; staffing is 3 stars and reported nurse staffing is 3.91 hours per resident day, slightly below the federal benchmark of 4.1. It also had $122,210 in fines over the last 24 months, while its quality measures rating is 4 stars.
Facility ratings
Health inspections
Staffing
3.9077 hrs/resident/day
Quality measures
Last inspection: May 28, 2026Penalties, last 24 months: $122,210recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9077.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 1.21
- Nurse aides
- 2.45
- Weekend nursing
- 3.69
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.7%8.6%Improving
Residents with a fall causing major injury
2.7%3.7%Worsening
Residents with pressure ulcers (bedsores)
6.9%2.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.1%2.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%4.6%Improving
Residents whose ability to walk got worse
5.2%0.7%Improving
Long-stay residents on antianxiety or sleep medication
22.4%23.5%Worsening
Short-stay residents newly given an antipsychotic
2.2%4.4%Worsening
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
3.4%3%No change
Residents with depressive symptoms
11.9%16.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.8%99.6%Improving
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
82.4%95%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $122,210 was recorded.
- PENALTY
A federal fine of $113,960 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $122,210 in total fines.
- $122,210
Federal fine
Feb 17, 2026
Operator & ownership
Recent ownership change · Apr 1, 2019
Now operated by El Cajon Post Acute LLC, previously Country Hills Health Care Incorporated.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 292.8 residents on an average day (96% of 305 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.