The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Somerset Subacute and Care
EL CAJON, CA · Medicare-certified · 65 beds
In good standing
For-profitChain member
3 of 5 overall
Somerset Subacute and Care in El Cajon has an overall 3 out of 5 stars, with 3-star health inspection and staffing ratings and a 4-star quality rating. It reports 4.79 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $0 in fines over the last 24 months, and recent inspection citations related to pressure ulcer care, accident hazards/supervision, and maintaining a safe, clean, comfortable environment.
Facility ratings
Health inspections
Staffing
4.795 hrs/resident/day
Quality measures
Last inspection: January 7, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.795.
Staffing detail
- Registered nurses
- 0.86
- Licensed practical nurses
- 1.36
- Nurse aides
- 2.58
- Weekend nursing
- 4.13
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 75%
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%—
Residents with a fall causing major injury
3.1%7.1%Worsening
Residents with pressure ulcers (bedsores)
6.3%8.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.2%0%Improving
Residents who were physically restrained
6.2%0%Improving
Residents needing more help with daily activities
—1.9%—
Long-stay residents on antianxiety or sleep medication
46.9%46.4%No change
Short-stay residents newly given an antipsychotic
3.1%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.1%0%Improving
Residents with depressive symptoms
0%8.7%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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $26,728 in total fines.
- $26,728
Federal fine
Mar 21, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 43.4 residents on an average day (67% of 65 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 14 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.