Deficiency timeline
GRANITE HILLS HEALTHCARE & WELLNESS CENTRE LLC
Dated inspection findings, penalties, and correction notes for this nursing home in El Cajon, CA. Newest events first.
- Class IIActual harm (G)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 19, 2026
- Fine $14,015cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Aug 22, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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 Aug 22, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 8, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0865: Administration
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0685: Quality of Life and Care
Quality of life & care
Assist a resident in gaining access to vision and hearing services.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0699: Quality of Life and Care
Quality of life & care
Provide care or services that was trauma informed and/or culturally competent.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
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 Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0584: Resident Rights
Resident rights
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 Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 22, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0573: Resident Rights
Resident rights
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected Nov 8, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0626: Resident Rights
Resident rights
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected Oct 10, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 5, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jul 26, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 1, 2024
- Class IIActual harm (G)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jun 4, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Apr 12, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 15, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0622: Resident Rights
Resident rights
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.
Corrected Nov 6, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Sep 29, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 29, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0813: Nutrition and Dietary
Nutrition & dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0865: Administration
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (F)cms
F0801: Nutrition and Dietary
Nutrition & dietary
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (F)cms
F0802: Nutrition and Dietary
Nutrition & dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 9, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0676: Quality of Life and Care
Quality of life & care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
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 Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0803: Nutrition and Dietary
Nutrition & dietary
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 8, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Sep 8, 2019
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile