Grossmont Gardens Healthcare Center
5480 Marengo Ave, La Mesa, CA 91942 · San Diego County · certified beds · avg 0 residents/day · certified since Mar 16, 2026
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: —/5 · CMS overall rating: —/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 (16)
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 |
|---|---|---|
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 12, 2026 | D · Potential for harm, one-off | 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. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2026 | 16 | 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)
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) | 0.00 | 4.31 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.61 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.90 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.51 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 36.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 38.1 | 42.9 | — |
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 0.00, RN 0.00, weekend 0.00. Staffing rating: —/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: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bender, James | Individual | 5% or Greater Direct Ownership Interest | 10% | 02/16/2023 |
| Lam, Adrian | Individual | 5% or Greater Direct Ownership Interest | 10% | 02/16/2023 |
| Lam, Donald | Individual | 5% or Greater Direct Ownership Interest | 70% | 02/16/2023 |
| Shah, Manish | Individual | 5% or Greater Direct Ownership Interest | 10% | 02/16/2023 |
| Bender, James | Individual | Corporate Director | NOT APPLICABLE | 02/16/2023 |
| Bender, James | Individual | Corporate Officer | NOT APPLICABLE | 02/16/2023 |
| Bender, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/16/2023 |
| Lam, Adrian | Individual | Corporate Director | NOT APPLICABLE | 02/16/2023 |
| Lam, Adrian | Individual | Corporate Officer | NOT APPLICABLE | 02/16/2023 |
| Lam, Donald | Individual | Corporate Director | NOT APPLICABLE | 02/16/2023 |
| Lam, Donald | Individual | Corporate Officer | NOT APPLICABLE | 02/16/2023 |
| Shah, Manish | Individual | Corporate Director | NOT APPLICABLE | 02/16/2023 |
| Shah, Manish | Individual | Corporate Officer | NOT APPLICABLE | 02/16/2023 |
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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 | Flags |
|---|---|---|---|---|---|
| Grossmont Hospital D/P SNF | 0.6 mi | La Mesa, CA | ★★★★★ | 5/5 | |
| Grossmont Post Acute Care | 0.6 mi | La Mesa, CA | ★★★★☆ | 4/5 | |
| Arbor Hills Nursing Center | 0.6 mi | La Mesa, CA | ★★★★★ | 4/5 | |
| Parkway Hills Nursing & Rehabilitation | 0.6 mi | La Mesa, CA | ★★★☆☆ | 3/5 | |
| Country Manor la Mesa Healthcare Center | 0.7 mi | La Mesa, CA | ★★★★☆ | 4/5 | |
| Community Care Center | 0.8 mi | La Mesa, CA | ★★★★☆ | 4/5 | |
| Lemon Grove Care and Rehabilitation Center | 2.1 mi | Lemon Grove, CA | ★★★☆☆ | 2/5 | |
| Brighton Place Spring Valley | 2.2 mi | Spring Valley, CA | ★★☆☆☆ | 3/5 | |
| La Mesa Healthcare Center | 2.5 mi | La Mesa, CA | ★★★★★ | 4/5 | |
| Amaya Springs Health Care Center | 2.8 mi | Spring Valley, CA | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555940.