Somerset Subacute and Care
151 Claydelle Ave · El Cajon, CA · 92020 · 6194420245
65 certified beds For profit - Corporation Chain: The Ensign Group
- Staffing hours comfortably above national benchmarks.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 4.13 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $26,728 |
Inspection citations (43 in the current record)
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Potential for harm · E April 9, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · E January 7, 2026 · found via complaint
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.
Corrected February 5, 2026 · Resident Rights
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Potential for harm · E July 16, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D March 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D March 13, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D March 13, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 3, 2025 · Pharmacy Service
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Potential for harm · D March 13, 2025
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.
Corrected April 3, 2025 · Pharmacy Service
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Potential for harm · D March 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 3, 2025 · Pharmacy Service
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Potential for harm · D March 13, 2025
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.
Corrected April 3, 2025 · Pharmacy Service
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Potential for harm · E March 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2025 · Nutrition and Dietary
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Potential for harm · E March 13, 2025
Provide and implement an infection prevention and control program.
Corrected April 3, 2025 · Infection Control
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Potential for harm · D February 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D December 13, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected January 15, 2025 · Resident Rights
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Potential for harm · D December 13, 2024 · found via complaint
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.
Corrected January 15, 2025 · Administration
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Actual harm · G March 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 19, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 21, 2024
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.
Corrected April 19, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 21, 2024 | Fine | $26,728 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555871 · certified since July 22, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.