The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Lemon Grove Care & Rehabilitation
Registered name: LEMON GROVE CARE AND REHABILITATION CENTER
LEMON GROVE, CA · Medicare-certified · 158 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Lemon Grove Care & Rehabilitation has an overall rating of 3 out of 5 stars. Its health inspection rating is 2 stars, staffing is 3 stars, quality measures are 5 stars, reported nurse staffing is slightly below the federal benchmark (3.92 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9204 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9204.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.44
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 35%
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
5.9%4.7%Improving
Residents with a fall causing major injury
1.7%0.8%Improving
Residents with pressure ulcers (bedsores)
0.9%0.9%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.1%5.7%Worsening
Residents whose ability to walk got worse
4.1%9.1%Worsening
Long-stay residents on antianxiety or sleep medication
23.1%23.9%Worsening
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.3%23%Worsening
Residents with depressive symptoms
43%30.1%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
—98.5%—
Long-stay residents given the pneumonia vaccine
99.1%100%Improving
Short-stay residents given the seasonal flu vaccine
—99.5%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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 24 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 151.3 residents on an average day (96% of 158 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.