Nursing homes › California › Lemon Grove Care and Rehabilitation Center
8351 Broadway, Lemon Grove, CA 91945 · 6194630294 · 158 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.92 (California median: 4.24). RN hours: 0.44. Weekend total: 3.68. Nursing staff turnover: 48%.
All-time on record: 60 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-18 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-01-17 |
| 2025-12-18 | Implement a program that monitors antibiotic use. | E | Health | corrected 2026-01-17 |
| 2025-12-18 | Keep all essential equipment working safely. | E | Health | corrected 2026-01-17 |
| 2025-12-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure 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. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2026-01-17 |
| 2025-12-18 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Health | corrected 2026-01-17 |
| 2024-12-27 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-01-08 |
| 2024-12-12 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | complaint | corrected 2024-12-22 |
| 2024-12-12 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | complaint | corrected 2024-12-22 |
| 2024-10-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-11-05 |
| 2024-09-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-09-25 |
| 2024-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-09-05 |
| 2024-08-15 | Ensure 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. | E | Health | corrected 2024-09-05 |
| 2024-08-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Provide activities to meet all resident's needs. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-09-05 |
| 2024-08-15 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-09-05 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KAMBO, AMANPREET | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/27/2017 |
| MURALIDHARA, SOWMYA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/15/2025 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 02/28/2019 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| PORT, BARRY | Corporate Officer | Individual | NOT APPLICABLE | since 01/22/2015 |
| WILLITS, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 04/29/2019 |
| LINCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2003 |
| KAMBO, AMANPREET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/27/2017 |
| MURALIDHARA, SOWMYA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/15/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055182. Corrections: data@carerecords.org.