Grossmont Post Acute Care
8787 Center Drive, La Mesa, CA 91942 · San Diego County · 90 certified beds · avg 91 residents/day · certified since Jan 1, 1974
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
4/5
Health inspection rating (on-site)
1
Serious findings on record
$11,466
Fines, last 3 years
4.07
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 1, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 23, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (34)
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 |
|---|---|---|
| May 14, 2026 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Feb 4, 2026 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint |
| Nov 18, 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 |
| Jun 20, 2025 | D · Potential for harm, one-off | 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. |
| Jun 20, 2025 | 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. |
| Jun 20, 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. |
| Jun 20, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jun 20, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jun 20, 2025 | 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. |
| Aug 1, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 1, 2024 | 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. · from a complaint |
| May 3, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 27, 2023 | F · Potential for harm, facility-wide | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Jul 27, 2023 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jul 27, 2023 | F · Potential for harm, facility-wide | 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jul 11, 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. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 11, 2019 | 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. |
| Jul 11, 2019 | D · Potential for harm, one-off | 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. |
| Jul 11, 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. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 11, 2019 | D · Potential for harm, one-off | 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. |
| Jul 11, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 13 | 0 | D |
| 2023 | 9 | 0 | F |
| 2024 | 3 | 1 | G ▲ |
| 2025 | 7 | 0 | D |
| 2026 | 2 | 0 | D |
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)
1 fine totaling $11,466.
| Date | Type | Amount / length |
|---|---|---|
| Aug 1, 2024 | Fine | $11,466 |
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) | 4.07 | 4.31 | 3.95 | bottom 47% in California; top 36% in the U.S. |
| Registered Nurse hours | 0.91 | 0.61 | 0.69 | top 13% in California; top 20% in the U.S. |
| Weekend total nurse staffing | 3.58 | 3.90 | 3.50 | bottom 37% in California; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.96 | 0.51 | 0.48 | top 8% in California; top 7% in the U.S. |
| Total nursing staff turnover (%) | 48.7 | 36.7 | 45.8 | bottom 17% in California; bottom 40% in the U.S. |
| RN turnover (%) | 35.0 | 38.1 | 42.9 | top 46% in California; top 38% 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 4.76, RN 1.07, weekend 4.19. 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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 09/10/2014 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/10/2014 |
| Fahid, Amir | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/28/2019 |
| Fahid, Amir | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/28/2019 |
| Fahid, Amir | Individual | ADP of the SNF | NOT APPLICABLE | 05/28/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Oh, Katherine | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2014 |
| Oh, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2014 |
| Oh, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2014 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Rainbow Investment Company | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2014 |
| Willits, Adam | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "If a resident needs an x-ray, how is it done and how long does it usually take?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 | 0.2 mi | La Mesa, CA | ★★★★★ | 5/5 | |
| Grossmont Gardens Healthcare Center | 0.6 mi | La Mesa, CA | —/5 | ||
| Community Care Center | 0.8 mi | La Mesa, CA | ★★★★☆ | 4/5 | |
| Country Manor la Mesa Healthcare Center | 1.2 mi | La Mesa, CA | ★★★★☆ | 4/5 | |
| Parkway Hills Nursing & Rehabilitation | 1.3 mi | La Mesa, CA | ★★★☆☆ | 3/5 | |
| Arbor Hills Nursing Center | 1.3 mi | La Mesa, CA | ★★★★★ | 4/5 | |
| Brighton Place Spring Valley | 2.1 mi | Spring Valley, CA | ★★☆☆☆ | 3/5 | |
| Lemon Grove Care and Rehabilitation Center | 2.4 mi | Lemon Grove, CA | ★★★☆☆ | 2/5 | |
| Parkside Health and Wellness Center | 2.5 mi | El Cajon, CA | ★★★★★ | 5/5 | |
| San Diego Post-Acute Center | 2.9 mi | El Cajon, CA | ★☆☆☆☆ | 1/5 | abuse |
| Magnolia Post Acute Care | 2.9 mi | El Cajon, CA | ★★★☆☆ | 2/5 | abuse |
| Stillwater Post-Acute | 2.9 mi | El Cajon, CA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055632.