Country Manor la Mesa Healthcare Center

Name: Country Manor la Mesa Healthcare Center
Address: 5696 LAKE MURRAY BLVD, La Mesa, CA, 91942, US
Telephone: 6194607871

5696 Lake Murray Blvd, La Mesa, CA 91942 · San Diego County · 99 certified beds · avg 91 residents/day · certified since Mar 22, 1968

Part of chain: CAMBRIDGE HEALTHCARE SERVICES (32 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 17, 2025	D · Potential for harm, one-off	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint
Jan 17, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 17, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Jan 16, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 16, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 16, 2025	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 23, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Sep 23, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Sep 23, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Nov 19, 2021	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 19, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 19, 2021	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 9).

Year	Citations	Worst severity that year
2019	4	D
2021	3	F
2024	3	D
2025	13	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.98	4.31	3.95	bottom 40% in California; top 40% in the U.S.
Registered Nurse hours	0.56	0.61	0.69	top 37% in California; bottom 46% in the U.S.
Weekend total nurse staffing	3.68	3.90	3.50	bottom 45% in California; top 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.50	0.51	0.48	top 30% in California; top 32% in the U.S.
Total nursing staff turnover (%)	27.0	36.7	45.8	top 22% in California; top 9% in the U.S.
RN turnover (%)	25.0	38.1	42.9	top 26% in California; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.12, RN 0.58, weekend 3.81. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ag Facilities Operations, LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/11/2003
Ira E Smedra Living Trust	Organization	5% or Greater Indirect Ownership Interest	48%	08/11/2003
Win Win Enterprises, LLC	Organization	5% or Greater Indirect Ownership Interest	48%	08/11/2003
Abesamis, Wilfredo	Individual	Operational/Managerial Control	NOT APPLICABLE	04/07/2014
Abesamis, Wilfredo	Individual	ADP of the SNF	NOT APPLICABLE	04/07/2014
Butenko, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	07/24/2023
Butenko, Julie	Individual	ADP of the SNF	NOT APPLICABLE	07/24/2023
Cambridge Healthcare Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/11/2018
Cambridge Healthcare Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/12/2025
Capela, Heidi	Individual	Operational/Managerial Control	NOT APPLICABLE	04/03/2023
Capela, Heidi	Individual	ADP of the SNF	NOT APPLICABLE	04/03/2023
Hassell, Lance	Individual	Operational/Managerial Control	NOT APPLICABLE	04/25/2022
Hassell, Lance	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/31/2025
Hassell, Lance	Individual	ADP of the SNF	NOT APPLICABLE	04/25/2022
Lutz, Linda	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2012
Lutz, Linda	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2012
Mey, Somrutai	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/02/1992
Mey, Somrutai	Individual	Operational/Managerial Control	NOT APPLICABLE	03/02/1992
Mey, Somrutai	Individual	ADP of the SNF	NOT APPLICABLE	03/02/1992
Murray Med Partnership	Organization	ADP of the SNF	NOT APPLICABLE	06/03/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Arbor Hills Nursing Center	0.6 mi	La Mesa, CA	★★★★★	4/5
Parkway Hills Nursing & Rehabilitation	0.6 mi	La Mesa, CA	★★★☆☆	3/5
Grossmont Gardens Healthcare Center	0.7 mi	La Mesa, CA		—/5
Grossmont Post Acute Care	1.2 mi	La Mesa, CA	★★★★☆	4/5
Grossmont Hospital D/P SNF	1.2 mi	La Mesa, CA	★★★★★	5/5
Community Care Center	1.5 mi	La Mesa, CA	★★★★☆	4/5
Lemon Grove Care and Rehabilitation Center	2.5 mi	Lemon Grove, CA	★★★☆☆	2/5
La Mesa Healthcare Center	2.6 mi	La Mesa, CA	★★★★★	4/5
Brighton Place Spring Valley	2.8 mi	Spring Valley, CA	★★☆☆☆	3/5
Amaya Springs Health Care Center	3.3 mi	Spring Valley, CA	★★★☆☆	4/5
Bella Vista Health Center	3.4 mi	Lemon Grove, CA	★★★★☆	4/5
Parkside Health and Wellness Center	3.5 mi	El Cajon, CA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in La Mesa →

Facility data as of CMS processing date 2026-08-01. CCN 055910.

The Care File

Visit checklist — Country Manor la Mesa Healthcare Center

5696 Lake Murray Blvd, La Mesa, CA 91942 · 6194607871

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055910 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)