Country Hills Post Acute

Name: Country Hills Post Acute: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

El Cajon, San Diego County, California · CCN 555431 · For-profit (LLC) · part of Pacs Group (274 facilities, chain average 2.9 stars)

CMS rates Country Hills Post Acute 1 of 5 overall as of August 2026. 305 certified beds, 293 residents a day on average. 73 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $122,210.

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	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★★☆☆ 3 of 5
Quality measures	★★★★☆ 4 of 5
Quality: long-stay / short-stay	5 / 3 of 5

Staffing

Total nurse staffing	3.90768 hours per resident per day
Registered nurses	0.24218 hours per resident per day
Weekend total	3.68889 hours per resident per day
Nursing staff turnover	58.2% (registered nurses 36%)
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
2026-05-28 complaint survey	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-15
2026-05-20 complaint survey	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-02
2026-04-23 complaint survey	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 2026-04-24
2026-03-19 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 2026-04-15
2026-03-18 complaint survey	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2026-04-16
2026-03-18 complaint survey	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · tag F0627	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-15
2026-03-18 complaint survey	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-16
2026-03-03 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-17
2026-02-17 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-11
2025-08-27 complaint survey	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · tag F0573	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-26
2025-07-29 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-05
2025-07-29 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-05
2025-07-29 complaint survey	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 2025-09-05
2025-07-29 complaint survey	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-05
2025-06-10 complaint survey	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-07-10
2025-04-07 complaint survey	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. Nursing and Physician Services Deficiencies · tag F0726	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-06
2025-04-07 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 2025-05-06
2025-04-07 complaint survey	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-06
2025-03-14	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	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	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 Deficiencies · tag F0657	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-03-14	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 2025-04-13
2025-03-14	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 Deficiencies · tag F0625	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-03-14	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 2025-04-13
2025-03-14	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-03-14	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-03-14	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 2025-04-13
2025-03-14	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-03-14	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 2025-04-13
2025-03-14	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 2025-04-13
2025-03-14	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 2025-04-13
2025-03-14	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-13
2025-02-21 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-21 complaint survey	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2024-03-29	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-04-29
2024-03-29	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-04-29
2024-03-29	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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 2024-04-29
2024-03-29	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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 2024-04-29
2024-03-29	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 2024-04-29
2024-03-29	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 2024-04-29
2024-03-29	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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. Nursing and Physician Services Deficiencies · tag F0726	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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 2024-04-29
2024-03-29	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 2024-04-29
2024-03-29	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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. Nutrition and Dietary Deficiencies · tag F0803	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	Keep all essential equipment working safely. Environmental Deficiencies · tag F0908	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-29
2024-03-29	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 2024-04-29
2024-01-24 complaint survey	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-02-12
2024-01-24 complaint survey	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 2024-02-12
2023-10-19 complaint survey	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. Resident Rights Deficiencies · tag F0622	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-29
2022-04-21	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-06-06
2022-04-21	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 2022-06-06
2022-04-21	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-06-06
2022-04-21	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-06-06
2022-04-21	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 2022-06-06
2022-04-21	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-06-06
2022-04-21	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-06-06
2022-04-21	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-06-06
2022-04-21	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 2022-06-06
2022-04-21	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-06-06
2022-04-21	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-06-06

Fines and payment denials

Date	Penalty	Amount
2026-02-17	Fine	$122,210

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
Michlin, Bernard Individual	contracted managing employee	—	2019-04-01
Apt, Frederick Individual	corporate officer	—	2024-01-01
Hancock, Mark Individual	corporate officer	—	2024-01-01
Jergensen, Joshua Individual	corporate officer	—	2024-01-01
Mitchell, John Individual	corporate officer	—	2024-01-01
Graf, Zachary Individual	w-2 managing employee	—	2024-04-01

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 Hills Post Acute.

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.