Elder Care Record

California › San Diego County › El Cajon

Somerset Post Acute Care

151 Claydelle Ave, El Cajon, CA 92020

CCN 555871 · For-profit, corporation · 65 certified beds · chain The Ensign Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 65 beds, Somerset Post Acute Care serves El Cajon in San Diego County, California and has taken Medicare and Medicaid residents since 2011.

CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 3, staffing 3 and quality measures 4.

Inspectors recorded 43 health deficiencies across the three most recent survey cycles (16, 16, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 66.2 per 100 beds, more than the state median of 51.1.

CMS lists 1 penalty in the period covered: fines totalling $27K.

Reported nurse staffing is 4.7 hours per resident per day (0.7 RN), close to the California median of 4.2; nursing staff turnover is 61.9%.

43health deficiencies, 3 survey cycles1 at actual harm or worse
$27Kfines listed by CMS1 penalty in period
4.7nurse hours per resident per daystate median 4.2
68%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilitySan Diego Co. medianCalifornia medianUS average
Overall star rating3433.0
Health citations, 3 cycles43354428.7
Citations per 100 beds66.234.251.126.8
Total nurse hours per resident day4.74.24.23.9
RN hours per resident day0.70.60.50.7
Nursing staff turnover61.9%37.5%36.4%45.8%
Fines listed$26,728$0$0—

County and state figures are medians across facilities (83 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)16
Cycle 216
Cycle 311

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2025, 21 Mar 2024.

Severity mix: G ×1 D ×31 E ×10 B ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Apr 2026F0583Keep residents' personal and medical records private and confidential.EComplaint investigation16 Apr 2026
7 Jan 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation5 Feb 2026
16 Jul 2025F0583Keep residents' personal and medical records private and confidential.EComplaint investigationDeficient, Provider has no plan of correction
13 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Apr 2025
13 Mar 2025F0880Provide and implement an infection prevention and control program.EStandard survey3 Apr 2025
13 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey3 Apr 2025
13 Mar 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey3 Apr 2025
13 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Apr 2025
13 Mar 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey3 Apr 2025
13 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey3 Apr 2025
13 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey3 Apr 2025
13 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 Apr 2025
13 Mar 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey3 Apr 2025
13 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey3 Apr 2025
13 Mar 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey3 Apr 2025
13 Mar 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey3 Apr 2025
13 Mar 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey3 Apr 2025
5 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation28 Feb 2025
13 Dec 2024F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint investigation15 Jan 2025
13 Dec 2024F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.DComplaint investigation15 Jan 2025
21 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey19 Apr 2024
21 Mar 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey19 Apr 2024
21 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey19 Apr 2024
21 Mar 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey19 Apr 2024
21 Mar 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey19 Apr 2024
21 Mar 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey19 Apr 2024
21 Mar 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey19 Apr 2024
21 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey19 Apr 2024
21 Mar 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey19 Apr 2024
21 Mar 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey19 Apr 2024
21 Mar 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard survey19 Apr 2024
21 Mar 2024F0732Post nurse staffing information every day.BStandard survey19 Apr 2024
8 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation28 Dec 2023
23 Jun 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Jul 2022
23 Jun 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey25 Jul 2022
23 Jun 2022F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey25 Jul 2022
23 Jun 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey25 Jul 2022
23 Jun 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Jul 2022
23 Jun 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Jul 2022
23 Jun 2022F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey25 Jul 2022
23 Jun 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey25 Jul 2022
23 Jun 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey25 Jul 2022
23 Jun 2022F0880Provide and implement an infection prevention and control program.DStandard survey25 Jul 2022

Penalties

DateTypeAmountDetail
21 Mar 2024Fine$26,728

Staffing

Total nursing4.68 h
Nurse aides2.64 h
LPN1.34 h
RN0.71 h
Weekend total4.05 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 61.9%, RNs 80.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay1.4%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.6%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.8%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.5%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.8%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.7%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Claydelle Healthcare Llc. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Twomagnets LLCOperational/managerial controlNOT APPLICABLE12/01/2014
Avocado Health Holdings LLCAdp of the snfNOT APPLICABLE12/01/2014
Ensign Services IncAdp of the snfNOT APPLICABLE12/01/2014
Standard Bearer Healthcare Op, LPAdp of the snfNOT APPLICABLE12/01/2014
The Ensign Group IncAdp of the snfNOT APPLICABLE12/01/2014

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in San Diego County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Arbor Hills Nursing CenterLa Mesa1005433737.0$13K12 Feb 2026
Arroyo Vista Nursing CenterSan Diego535432649.1—29 Jan 2026
Bayshire Torrey Pines Post-AcuteSan Diego4554350111.1$87K25 Mar 2026
Bradley CourtEl Cajon565551933.9—13 Mar 2025
Carlsbad By the SeaCarlsbad33555824.2—25 Mar 2026
Escondido Post AcuteEscondido1805434223.3—1 Apr 2026
Friendship Manor Nursing & Rehab CenterNational City1045542927.9$297K24 Jul 2025
GlenbrookCarlsbad945452425.5$9K19 Sep 2025

All 83 facilities in San Diego County

Questions and answers

How many deficiencies has Somerset Post Acute Care been cited for?

43 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Somerset Post Acute Care been fined?

Yes. CMS lists fines totalling $27K in the period covered.

How does staffing at Somerset Post Acute Care compare?

Reported total nurse staffing is 4.7 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Somerset Post Acute Care?

It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Twomagnets LLC. Individual owners and managers are not listed on this site.

When was Somerset Post Acute Care last inspected?

The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 13 Mar 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.