The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: H
Nursing home report
MAGNOLIA POST ACUTE CARE
EL CAJON, CA · Medicare-certified · 99 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
3 of 5 overall
MAGNOLIA POST ACUTE CARE (El Cajon, CA) has an overall rating of 3 out of 5 stars. Key concerns are a 2-star health inspection rating, a recent abuse citation, $117,475 in fines over the last 24 months, and nurse staffing at 3.89 hours per resident per day, below the federal benchmark of 4.1, although staffing is rated 4 stars and quality measures are rated 5 stars.
Facility ratings
Health inspections
Staffing
3.8879 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $117,475recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8879.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.27
- Nurse aides
- 2.13
- Weekend nursing
- 3.37
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 50%
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
3.8%12.8%Worsening
Residents with a fall causing major injury
3.4%0%Improving
Residents with pressure ulcers (bedsores)
2.9%9.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%1.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4%9.8%Worsening
Residents whose ability to walk got worse
—4.5%—
Long-stay residents on antianxiety or sleep medication
11.1%12.7%Worsening
Short-stay residents newly given an antipsychotic
2%1.9%No change
Residents with a long-term catheter
1.9%1.1%Improving
Residents with new or worsening incontinence
8.9%12.8%Worsening
Residents with depressive symptoms
25.5%4.4%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
—99%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — 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 $117,475 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 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 · $117,475 in total fines.
- $117,475
Federal fine
Dec 11, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 95 residents on an average day (96% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 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.