The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — limited pattern, actual harm.
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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
3 of 5 overall
MAGNOLIA POST ACUTE CARE (El Cajon, CA) has an overall rating of 3 out of 5 stars. Key concerns include a 2-star health inspection rating, a recent abuse citation, $117,475 in fines over the last 24 months, and nurse staffing at 4.07 hours per resident per day, just below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.0664 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 4.0664.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 1.38
- Nurse aides
- 2.23
- Weekend nursing
- 3.60
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.7%Worsening
Residents with a fall causing major injury
2.7%Steady
Residents with pressure ulcers (bedsores)
3.8%Improving
Residents with a urinary tract infection
1.2%Worsening
Residents who lost too much weight
0.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.1%Improving
Residents whose ability to walk got worse
8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.1%Improving
Short-stay residents newly given an antipsychotic
1.3%Steady
Residents with a long-term catheter
1.6%Improving
Residents with new or worsening incontinence
10.3%Worsening
Residents with depressive symptoms
19.8%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
99%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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.
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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.
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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 · 338 homes · 3.2 stars avg
- Occupancy
- 94.2 residents on an average day (95% 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.