Nursing home

Somerset Post Acute Care

151 Claydelle Ave, El Cajon, CA 92020

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle17
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$26,728
Beds65

Inspection findings

Inspectors recorded 44 findings in the last three inspection cycles.

1 Actual harm to a resident42 No harm, but a risk of harm1 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 21, 2026Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 22, 2026
Apr 9, 2026Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
pattern · from a complaint
Corrected: Apr 16, 2026
Jan 7, 2026Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern · from a complaint
Corrected: Feb 5, 2026
Earlier inspections (41)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 16, 2025Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
pattern · from a complaint
no plan of correction on file
Mar 13, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2025
Mar 13, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2025
Mar 13, 2025Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Quality of life and careProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Mar 13, 2025Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2025
Feb 5, 2025Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 28, 2025
Dec 13, 2024AdministrationHave 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. (F0843)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 15, 2025
Dec 13, 2024Resident rightsPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (F0626)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 15, 2025
Mar 21, 2024Infection controlDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (F0882)No harm, but a risk of harm
isolated
Corrected: Apr 19, 2024
Mar 21, 2024AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
pattern
Corrected: Apr 19, 2024
Mar 21, 2024Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
pattern
Corrected: Apr 19, 2024
Mar 21, 2024Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Apr 19, 2024
Mar 21, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Apr 19, 2024
Mar 21, 2024Nursing and physician servicesPost nurse staffing information every day. (F0732)No harm, minimal risk
pattern
Corrected: Apr 19, 2024
Mar 21, 2024Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
isolated
Corrected: Apr 19, 2024
Mar 21, 2024Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
pattern
Corrected: Apr 19, 2024
Mar 21, 2024Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)Actual harm to a resident
isolated
Corrected: Apr 19, 2024
Mar 21, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Apr 19, 2024
Mar 21, 2024Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Apr 19, 2024
Mar 21, 2024Resident rightsHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557)No harm, but a risk of harm
isolated
Corrected: Apr 19, 2024
Dec 8, 2023Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 28, 2023
Jun 23, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Jul 25, 2022
Jun 23, 2022Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Abuse, neglect and exploitationEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022
Jun 23, 2022Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Jul 25, 2022

Fines and payment denials

Federal fines in the last three years: $26,728 (1). Payment denials: 0.

DateTypeAmount
Mar 21, 2024Fine$26,728

Staffing

Nurse staff hours per resident per day4.58California median: 4.27
Registered nurse hours per resident per day0.69California median: 0.52
Nurse staff hours on weekends4.05California median: 3.85
Nursing staff who left within a year53.0%California median: 36.0%

About this home

Beds65
Residents per day, average42.6
OwnershipFor-profit, corporation
Legal business nameClaydelle Healthcare LLC
ChainThe Ensign Group (347 homes)
In Medicare/Medicaid sinceJul 22, 2011

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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