Country Manor La Mesa Healthcare Center
La Mesa, San Diego County, California · CCN 055910 · For-profit (LLC) · part of Cambridge Healthcare Services (32 facilities, chain average 2.5 stars)
CMS rates Country Manor La Mesa Healthcare Center 4 of 5 overall as of August 2026. 99 certified beds, 91 residents a day on average. 23 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 4.11973 hours per resident per day |
|---|---|
| Registered nurses | 0.5804 hours per resident per day |
| Weekend total | 3.80696 hours per resident per day |
| Nursing staff turnover | 27% (registered nurses 25%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-03-06 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-24 |
| 2025-01-17 complaint survey |
Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · tag F0551 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-22 |
| 2025-01-17 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-22 |
| 2025-01-17 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-22 |
| 2025-01-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | 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 Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2025-01-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2024-09-23 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-01 |
| 2024-09-23 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-01 |
| 2024-09-23 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-01 |
| 2021-11-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2021-12-22 |
| 2021-11-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-12-22 |
| 2021-11-19 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-12-22 |
| 2019-09-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-11-20 |
| 2019-09-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-11-20 |
| 2019-09-20 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-11-20 |
| 2019-09-20 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-11-20 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ag Facilities Operations, LLC Organization | 5% or greater direct ownership interest | 100% | 2003-08-11 |
| Ira E Smedra Living Trust Organization | 5% or greater indirect ownership interest | 48% | 2003-08-11 |
| Win Win Enterprises, LLC Organization | 5% or greater indirect ownership interest | 48% | 2003-08-11 |
| Cambridge Healthcare Services LLC Organization | adp of the snf | — | 2025-05-12 |
| Murray Med Partnership Organization | adp of the snf | — | 2025-06-03 |
| Preferred Bank Organization | adp of the snf | — | 2024-09-02 |
| Cambridge Healthcare Services LLC Organization | operational/managerial control | — | 2018-06-11 |
| Abesamis, Wilfredo Individual | adp of the snf | — | 2014-04-07 |
| Butenko, Julie Individual | adp of the snf | — | 2023-07-24 |
| Capela, Heidi Individual | adp of the snf | — | 2023-04-03 |
| Hassell, Lance Individual | adp of the snf | — | 2022-04-25 |
| Lutz, Linda Individual | adp of the snf | — | 2012-02-01 |
| Mey, Somrutai Individual | adp of the snf | — | 1992-03-02 |
| Ramos, Rhodora Individual | adp of the snf | — | 2019-01-02 |
| Salazar, Paulina Individual | adp of the snf | — | 2020-12-14 |
| Vidales, Miguel Individual | adp of the snf | — | 2021-03-01 |
| Wintner, Jacob Individual | corporate director | — | 2011-04-12 |
| Hassell, Lance Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-07-31 |
| Mey, Somrutai Individual | managing control - governing body | — | 1992-03-02 |
| Vidales, Miguel Individual | managing control - governing body | — | 2021-03-01 |
| Abesamis, Wilfredo Individual | operational/managerial control | — | 2014-04-07 |
| Butenko, Julie Individual | operational/managerial control | — | 2023-07-24 |
| Capela, Heidi Individual | operational/managerial control | — | 2023-04-03 |
| Hassell, Lance Individual | operational/managerial control | — | 2022-04-25 |
| Lutz, Linda Individual | operational/managerial control | — | 2012-02-01 |
| Mey, Somrutai Individual | operational/managerial control | — | 1992-03-02 |
| Ramos, Rhodora Individual | operational/managerial control | — | 2019-01-02 |
| Salazar, Paulina Individual | operational/managerial control | — | 2020-12-14 |
| Vidales, Miguel Individual | operational/managerial control | — | 2021-03-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Country Manor La Mesa Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in San Diego County.