Cycle 1
Health 2025-06-20 · Fire 2025-06-20
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
La Mesa, CA
Grossmont Hospital D/P SNF
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
5555 Grossmont Center Drive, La Mesa, CA
(619) 740-6000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
30
Certified beds
Average residents
18
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-11-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.16
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.11
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.65
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.93
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
4.28
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
6.36
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.49
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.45
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
2.29
CMS adjusted RN staffing hours
Adjusted total hours
7.32
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,241
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0137
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.76% · Performance 23.16% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.95
Baseline 4.08% · Performance 5.16% · Measure score 8.95 · Achievement 8.95 · Improvement 0
Total nurse turnover
8.59
Baseline 15.15% · Performance 28.57% · Measure score 8.59 · Achievement 8.59 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.92% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 229 · Observed rate 9.61% · Lower 95% interval 8.76% |
| Discharge to community | 71.61% |
50.57%
21 pts better
|
Better than the National Rate · Eligible stays 225 · Observed rate 73.33% · Lower 95% interval 65.14% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 30.47% |
95.27%
64.8 pts worse
|
Numerator 39 · Denominator 128 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 128 |
| Discharge self-care score | 33.33% |
53.69%
20.4 pts worse
|
Numerator 38 · Denominator 114 |
| Discharge mobility score | 29.82% |
50.94%
21.1 pts worse
|
Numerator 34 · Denominator 114 |
| Pressure ulcers or injuries, new or worsened | 3.91% |
2.29%
1.6 pts worse
|
Numerator 5 · Denominator 128 · Adjusted rate 6.42% |
| Healthcare-associated infections requiring hospitalization | 5.16% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 1.49% · Lower 95% interval 3.19% |
| Staff COVID-19 vaccination coverage | 16.82% |
8.2%
8.6 pts better
|
Numerator 18 · Denominator 107 |
| Staff flu vaccination coverage | 69.23% |
42%
27.2 pts better
|
Numerator 72 · Denominator 104 |
| Discharge function score | 31.58% |
56.45%
24.9 pts worse
|
Numerator 36 · Denominator 114 |
| Transfer of health information to provider | 85% |
95.95%
11 pts worse
|
Numerator 17 · Denominator 20 |
| Transfer of health information to patient | 70.37% |
96.28%
25.9 pts worse
|
Numerator 76 · Denominator 108 |
| Resident COVID-19 vaccinations up to date | 50% |
25.2%
24.8 pts better
|
Numerator 30 · Denominator 60 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
94.0%
3.6 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 97.5% · Q3 97.1% · Q4 97.5% · 4Q avg 97.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
11.2%
4.1 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.3% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
93.2%
5 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
23.2%
About the same
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 18.3% · Expected 18.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-24 · Fire 2024-05-24
5 health deficiencies
Top issue: Infection Control (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-05-18 · Fire 2023-05-18
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-10
D · Potential for more than minimal harm
2024-05-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-06
D · Potential for more than minimal harm
2024-05-24
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-06
D · Potential for more than minimal harm
2023-05-18
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-05-31
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-20
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-20
F690 · Quality of Life and Care Deficiencies
Health
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 2025-07-10
D · Potential for more than minimal harm
2025-06-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
E · Potential for more than minimal harm
2024-05-24
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-06
E · Potential for more than minimal harm
2024-05-24
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-06-06
D · Potential for more than minimal harm
2024-05-24
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-06
D · Potential for more than minimal harm
2024-05-24
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-06-06
D · Potential for more than minimal harm
2024-05-24
F887 · Infection Control Deficiencies
Health
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.
Corrected 2024-06-06
E · Potential for more than minimal harm
2023-05-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-31
D · Potential for more than minimal harm
2023-05-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-31
D · Potential for more than minimal harm
2023-05-18
F758 · Pharmacy Service Deficiencies
Health
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 2023-05-31
D · Potential for more than minimal harm
2023-05-18
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-05-31
Penalties and ownership
What sits behind the stars
Ownership
Ammon, Dee
Corporate Director · Individual
Ayers, William
Corporate Director · Individual
Ayers, William
Corporate Officer · Individual
Banaie, Ali
Corporate Director · Individual
Diamond, Dyan
W-2 Managing Employee · Individual
Evans, William
Corporate Officer · Individual
Evans, William
W-2 Managing Employee · Individual
Fonseca, John
Corporate Director · Individual
Gardner, Brittany
Corporate Director · Individual
Goward, Odie
Corporate Director · Individual
Howard, Christopher
Corporate Director · Individual
Howard, Christopher
W-2 Managing Employee · Individual
Kazi, Shakeel
Corporate Officer · Individual
Keltner, Diane
Corporate Director · Individual
Lenac, Randolph
Corporate Director · Individual
Lenac, Randolph
Corporate Officer · Individual
Moore, Brian
Corporate Director · Individual
Moore, Brian
Corporate Officer · Individual
Oberndorfer, Ron
Corporate Director · Individual
Shadroff, Valerie
Corporate Director · Individual
Shadroff, Valerie
Corporate Officer · Individual
Sharp Healthcare
Operational/Managerial Control · Organization
Wanke, Carol
W-2 Managing Employee · Individual
Wells, Bettie
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Grossmont Post Acute Care
La Mesa, CA
5-star overall rating with 4-star inspections with $11,466 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Community Care Center
La Mesa, CA
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Country Manor La Mesa Healthcare Center
La Mesa, CA
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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