Nursing homes › California › Somerset Post Acute Care
151 Claydelle Ave, El Cajon, CA 92020 · 6194420245 · 65 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: 4.68 (California median: 4.24). RN hours: 0.71. Weekend total: 4.05. Nursing staff turnover: 62%.
All-time on record: 43 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-09 | Keep residents' personal and medical records private and confidential. | E | complaint | corrected 2026-04-16 |
| 2026-01-07 | Honor 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. | E | complaint | corrected 2026-02-05 |
| 2025-07-16 | Keep residents' personal and medical records private and confidential. | E | complaint | Deficient, Provider has no plan of correction |
| 2025-03-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-04-03 |
| 2025-03-13 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-03 |
| 2025-03-13 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Implement 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. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-04-03 |
| 2025-03-13 | 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 2025-04-03 |
| 2025-02-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-28 |
| 2024-12-13 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2025-01-15 |
| 2024-12-13 | Have 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. | D | complaint | corrected 2025-01-15 |
| 2024-03-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-04-19 |
| 2024-03-21 | Provide 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. | E | Health | corrected 2024-04-19 |
| 2024-03-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-04-19 |
| 2024-03-21 | 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 2024-04-19 |
| 2024-03-21 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Health | corrected 2024-04-19 |
| 2024-03-21 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2024-04-19 |
| 2024-03-21 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-04-19 |
| 2024-03-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-04-19 |
| 2024-03-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Health | corrected 2024-04-19 |
| 2024-03-21 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-04-19 |
| 2024-03-21 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Health | corrected 2024-04-19 |
| 2024-03-21 | Post nurse staffing information every day. | B | Health | corrected 2024-04-19 |
| 2023-12-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-12-28 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-21 | Fine | $26,728 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BURNAM, SOON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/10/2014 |
| MATTHEWS, GLENN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2014 |
| MICHLIN, BERNARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2024 |
| WILLITS, ADAM | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2017 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 09/10/2014 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| TWOMAGNETS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2014 |
| MATTHEWS, GLENN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2014 |
| MICHLIN, BERNARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555871. Corrections: data@carerecords.org.