| Lemon Grove Care and Rehabilitation Center | |
| 8351 Broadway, Lemon Grove, California 91945 | |
| (619) 463-0294 | |
| Name | Lemon Grove Care and Rehabilitation Center |
|---|---|
| Location | 8351 Broadway, Lemon Grove, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 158 |
| Occupancy Rate | 95.76% |
| Medicare ID (CCN) | 055182 |
| Legal Business Name | Lemon Grove Health Associates, LLC |
| Ownership Type | For Profit - Corporation |
| Chain | The Ensign Group (342 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1336134204 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lemon Grove Health Associates LLC |
| Doing Business As | Lemon Grove Care & Rehabilitation Center |
| Address | 8351 Broadway, Lemon Grove, CA 91945 |
| Phone Number | 619-463-0294 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.92 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.04 | 0.86 |
| Nurse aide hours per resident per day | 2.44 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.68 | 3.42 |
| RN hours per resident per day on the weekend | 0.34 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 47.7% | 45.8% |
| Registered nurse turnover | 35.3% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 18, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | 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. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2026 |
| Dec 18, 2025 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 17, 2026 |
| Dec 27, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 8, 2025 |
| Dec 12, 2024 | 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. F0620, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 22, 2024 |
| Dec 12, 2024 | 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. F0622, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 22, 2024 |
| Oct 17, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 5, 2024 |
| Sep 5, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Aug 15, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.57 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.23 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 35.79 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.83 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.79 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.54 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.33 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.71 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.53 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.54 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.35 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6 | 15.38 |
Bella Vista Health Center Location: 7922 Palm Street, Lemon Grove, California 91945 Phone: (619) 644-1000 |