San Diego County, California · Nursing home
Country Hills Post Acute
1 of 5 overall from CMS
1580 Broadway, El Cajon, CA 92021
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.91 hours Below the state average of 4.52
- Nursing staff who left in a year 58.2% Above the state average of 36.7%
- Health citations, last 3 inspection cycles 73 1 at the harm level or above
- Fines in 3 years $122,210 1 fine
- Certified beds in use 96.0% of 305 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Country Hills Post Acute is a 305-bed nursing home in El Cajon, California (San Diego County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.91 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists 1 fine totaling $122,210 in the past three years.
- Certified beds
- 305
- Residents per day (average)
- 292.8
- Certified since
- 1990 (36 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Pacs Group (275 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Country Hills Post Acute
Chosen from this home's public data.
- CMS lists 1 fine totaling $122,210 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 30 health deficiencies in the latest inspection cycle (the standard inspection on Mar 14, 2025 plus complaint and infection-control inspections); the California average is 15.6. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 58.2%, above the California average of 36.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 California average 3.2
- Health inspections 1 of 5 California average 2.8
- Staffing 3 of 5 California average 3.3
- Quality measures 4 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.91 h California average 4.52
- Nurse aides 2.45 h California average 2.65
- Licensed practical nurses 1.21 h California average 1.20
- Registered nurses 0.24 h California average 0.67
- All staff, weekends 3.69 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover58.2%
- California average36.7%
- Registered nurse turnover36.0%
- California average38.1%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 7.0% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 14.1% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.4% | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.2% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.1% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.0% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.41 | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.58 | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.2% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 73 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 23 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 18, 2026: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 14, 2025 | 30 | 7 |
| Mar 29, 2024 | 29 | 5 |
| Apr 21, 2022 | 14 | 7 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (73)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2026)
-
JImmediate jeopardy, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 16, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 16, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 17, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 11, 2026)
-
DPotential for more than minimal harm, isolated
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 5, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 5, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 5, 2025)
-
EPotential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 6, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Apr 13, 2025)
-
EPotential for more than minimal harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Apr 13, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Apr 13, 2025)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Apr 13, 2025)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (Apr 13, 2025)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 13, 2025)
Showing the 30 most recent of 73.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Feb 17, 2026 | Fine | $122,210 |
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
- Size8 of 1161 by certified beds
- California average residents per day87.9
- ChainPacs Group
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in El Cajon12
- Homes in San Diego County83
Common questions
What is the CMS star rating for Country Hills Post Acute?
Country Hills Post Acute has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 4.
How many beds does Country Hills Post Acute have?
Country Hills Post Acute has 305 certified beds. It averages 292.8 residents per day, about 96.0% of its certified beds.
How much nursing care do residents get at Country Hills Post Acute?
The home reports 3.91 hours of nurse staffing per resident per day, including 0.24 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has Country Hills Post Acute been fined?
Yes. CMS lists 1 fine totaling $122,210 in the past three years.
Does Country Hills Post Acute accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Cottonwood Canyon Healthcare Center 96beds 93.9%in use 4.02nurse hours a day
- 2 of 5 Granite Hills Healthcare & Wellness Centre, LLC 99beds 91.3%in use 4.06nurse hours a day
- 4 of 5 The Royal Home 19beds 75.3%in use 4.18nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in San Diego County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 555431. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.