The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC
EL CAJON, CA · Medicare-certified · 99 beds
Needs attention
For-profit
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall. Health inspection and staffing are both 2 out of 5, quality measures are 3 out of 5, reported nurse staffing is slightly below the federal benchmark (4.06 vs 4.1 hours per resident per day), and the home had $14,015 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.0569 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $14,015recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0569.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 1.06
- Nurse aides
- 2.57
- Weekend nursing
- 3.73
Hours per resident per day.
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
22.2%13.3%Improving
Residents with a fall causing major injury
2.5%1.3%Improving
Residents with pressure ulcers (bedsores)
6.2%5.3%Improving
Residents with a urinary tract infection
2.8%2.7%No change
Residents who lost too much weight
0%8.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%18.6%Worsening
Residents whose ability to walk got worse
3%15.7%Worsening
Long-stay residents on antianxiety or sleep medication
16%17.3%Worsening
Short-stay residents newly given an antipsychotic
5.8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.9%10.4%Improving
Residents with depressive symptoms
13%7%Improving
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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—82.3%—
Short-stay residents given the pneumonia vaccine
88%97.4%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 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 have enough qualified staff to properly provide food and nutrition services. Cited June 2021 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited June 2021 — widespread issue, potential for harm.
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F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,015 in total fines.
- $14,015
Federal fine
Feb 4, 2026
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 90.4 residents on an average day (91% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 13 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.