How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Country Manor la Mesa Healthcare Center
5696 Lake Murray Blvd, La Mesa, CA 91942 (opens Google Maps) · San Diego County · (619) 460-7871· 99 certified beds · avg 91 residents/day · certified since Mar 22, 1968 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CAMBRIDGE HEALTHCARE SERVICES (32 facilities, chain avg rating 2.5★)
4/5
Health inspection rating (on-site)
inspected Jan 16, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.98
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
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 F-0684
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 F-0551
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 F-0684
View all 23 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jan 17, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0551 |
| Jan 17, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jan 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
| Jan 16, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Jan 16, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jan 16, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0865 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0699 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0849 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Sep 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Sep 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Sep 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Nov 19, 2021 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Nov 19, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Nov 19, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0919 |
| Sep 20, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Sep 20, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Sep 20, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 20, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 9).
All citationsSerious citations (G–L)
2019
All citations: 4
Serious citations (G–L): 0
2021
All citations: 3
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2021 | 3 | 0 | F |
| 2024 | 3 | 0 | D |
| 2025 | 13 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.98
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.56
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.68
California average: 3.90
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.12 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Country Manor la Mesa Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Cambridge Healthcare Services — 32 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Glendale Healthcare Center — Glendale, CA · overall 4/5
- Glendale Post Acute Center — Glendale, CA · overall 1/5
- Harbor Villa Care Center — Anaheim, CA · overall 2/5
- Highland Care Center of Redlands — Redlands, CA · overall 3/5
- Huntington Drive Health and Rehabilitation Center — Arcadia, CA · overall 1/5
- La Sierra Care Center — Merced, CA · overall 3/5
- Laguna Hills Health and Rehabilitation Center — Laguna Hills, CA · overall 1/5
- Lassen Nursing & Rehabilitation Center — Susanville, CA · overall 2/5abuse
Listed by state, then facility name — not a ranking. Showing 8 of the 31 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the California midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 27% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 62 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
CMS records place this facility in San Diego, CA — 83 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Edgemoor Hospital — Santee, CA · overall 4/5abuse
- Encinitas Post-Acute — Encinitas, CA · overall 4/5
- Escondido Post Acute — Escondido, CA · overall 5/5
- Fallbrook Skilled Nursing — Fallbrook, CA · overall 4/5
- Friendship Manor Nursing & Rehab Center — National City, CA · overall 5/5
- Glenbrook — Carlsbad, CA · overall 5/5
- Golden Hill Post Acute — San Diego, CA · overall 3/5
- Granite Hills Healthcare & Wellness Centre, LLC — El Cajon, CA · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 055910.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).