El Cajon, CA

Magnolia Post Acute Care

3-star overall rating with 2-star inspections with abuse icon flag with $180,730 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

635 S Magnolia Ave, El Cajon, CA

(619) 442-8826

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1968-03-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.30

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.50

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.43

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.23

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.80

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.73

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

4.52

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,763

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.85

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.05

Baseline 18.23% · Performance 19.09% · Measure score 5.05 · Achievement 5.05 · Improvement 0

Healthcare-associated infections

0

Baseline 6.45% · Performance 8.71% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.38

Baseline 36.56% · Performance 45.79% · Measure score 4.38 · Achievement 4.38 · Improvement 0

Adjusted total nurse staffing

2.11

Baseline 4.17 hours · Performance 3.68 hours · Measure score 2.11 · Achievement 2.11 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.17%
10.72%
1.6 pts better
No Different than the National Rate · Eligible stays 141 · Observed rate 6.38% · Lower 95% interval 6.35%
Discharge to community 60.4%
50.57%
9.8 pts better
No Different than the National Rate · Eligible stays 136 · Observed rate 55.88% · Lower 95% interval 50.55%
Medicare spending per beneficiary 1.1
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 140 · Denominator 140
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 140
Discharge self-care score 73.42%
53.69%
19.7 pts better
Numerator 58 · Denominator 79
Discharge mobility score 39.24%
50.94%
11.7 pts worse
Numerator 31 · Denominator 79
Pressure ulcers or injuries, new or worsened 0.71%
2.29%
1.6 pts better
Numerator 1 · Denominator 140 · Adjusted rate 0.8%
Healthcare-associated infections requiring hospitalization 8.71%
7.12%
1.6 pts worse
No Different than the National Rate · Eligible stays 113 · Observed rate 10.62% · Lower 95% interval 5.57%
Staff COVID-19 vaccination coverage 1.6%
8.2%
6.6 pts worse
Numerator 3 · Denominator 188
Staff flu vaccination coverage 36.2%
42%
5.8 pts worse
Numerator 80 · Denominator 221
Discharge function score 67.09%
56.45%
10.6 pts better
Numerator 53 · Denominator 79
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 68 · Denominator 68
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 45 · Denominator 45
Resident COVID-19 vaccinations up to date 12.05%
25.2%
13.1 pts worse
Numerator 10 · Denominator 83

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
2.3
0.9 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.9 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.6
0.9 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
1.6%
0.8 pts worse
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 3.4% · Q4 4.3% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 24.1%
6.8%
17.3 pts worse
11.4%
12.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 29.6% · Q3 25.5% · Q4 16.9% · 4Q avg 24.1%
Percentage of long-stay residents who lose too much weight 1.0%
4.1%
3.1 pts better
5.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.5%
13.7%
2.2 pts better
19.6%
8.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 13.2% · Q3 11.1% · Q4 11.9% · 4Q avg 11.5%
Percentage of long-stay residents who received an antipsychotic medication 2.9%
14.2%
11.3 pts better
16.7%
13.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 7.7% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.0%
11.0%
2 pts better
16.3%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.2%
10.7%
2.5 pts better
14.9%
6.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 9.6% · Q3 4.0% · Q4 8.8% · 4Q avg 8.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
1.0%
1.1 pts worse
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 1.9% · Q4 3.1% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.8%
1.2%
0.4 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.4%
10.9%
0.5 pts worse
19.8%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 8.5% · Q3 8.9% · Q4 10.5% · 4Q avg 11.4%
Percentage of long-stay residents with pressure ulcers 4.1%
4.7%
0.6 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.4% · Q3 2.9% · Q4 2.1% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 15.3%
11.2%
4.1 pts worse
12.0%
3.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 16.1% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.5%
0.3 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.2% · Q3 2.0% · Q4 0.8% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.0%
93.2%
5.8 pts better
79.7%
19.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.0%
23.2%
7.8 pts worse
23.9%
7.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 30.1% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-29 · Fire 2024-06-13

15 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-06-13 · Fire 2021-07-15

6 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2021-07-15 · Fire 2020-02-07

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-30

E · Potential for more than minimal harm 2024-06-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-30

E · Potential for more than minimal harm 2024-06-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-06-13

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-06-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-30

C · Minimal harm 2024-06-13

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-08-30

D · Potential for more than minimal harm 2021-07-15

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-07-15

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-07-15

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-07-15

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-07-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-08-05

D · Potential for more than minimal harm 2020-02-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2020-03-12

D · Potential for more than minimal harm 2020-02-07

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-03-12

D · Potential for more than minimal harm 2020-02-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2020-03-12

Inspection history

Recent health citations

H · Actual harm 2025-12-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-12-11

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-12-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-12-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-01-04

E · Potential for more than minimal harm 2025-08-29

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-08-29

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 2025-09-17

E · Potential for more than minimal harm 2025-08-29

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 2025-09-17

D · Potential for more than minimal harm 2025-08-29

F584 · Resident Rights Deficiencies

Health

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 2025-09-17

D · Potential for more than minimal harm 2025-08-29

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-29

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-05-22

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-06-04

D · Potential for more than minimal harm 2025-04-30

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-13

D · Potential for more than minimal harm 2024-06-13

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-06-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-06-13

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-06-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-05-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-05-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-02-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-05

D · Potential for more than minimal harm 2023-08-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-06-22

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-22

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-13

F761 · Pharmacy Service Deficiencies

Health

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 2023-06-30

D · Potential for more than minimal harm 2023-03-27

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-04-10

E · Potential for more than minimal harm 2021-07-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F761 · Pharmacy Service Deficiencies

Health

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 2021-08-13

D · Potential for more than minimal harm 2021-07-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-08-13

Penalties and ownership

What sits behind the stars

$180,730 2025-12-11

Fine

Fine · fine $180,730

Fine

Ownership

Flagstone Healthcare South LLC

5% Or Greater Direct Ownership Interest · Organization

100% 41 facilities 2014-09-10
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2006-01-30
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2014-09-10
Dignified Staffing Registry Inc

Operational/Managerial Control · Organization

0% 1 facilities 2014-12-01
Jalil, Anmar

Operational/Managerial Control · Individual

0% 2 facilities 2017-12-05
Keetch, Chad

Corporate Officer · Individual

0% 176 facilities 2014-12-01
Port, Barry

Corporate Officer · Individual

0% 33 facilities 2014-12-01
Williams, Michael

Operational/Managerial Control · Individual

0% 5 facilities 2014-12-01
Willits, Adam

Corporate Officer · Individual

0% 69 facilities 2021-12-31

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#3

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Overall
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Fines
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