01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-16 | 9 | 2025-01-16 | 6 |
| Cycle 2 | 2021-11-19 | 10 | 2021-11-19 | 2 |
| Cycle 3 | 2019-09-20 | 4 | 2019-09-20 | 5 |
CMS CCN 0559102026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Country Manor La Mesa Healthcare Center
5696 Lake Murray Blvd · La Mesa, CA 91942 · San Diego County
Certified beds99CMS provider file
Recent citation rows36current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
36 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-03-06 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-24 · complaint2025-01-17 · HEALTHF0551Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Correction field: Deficient, Provider has date of correction · 2025-01-22 · complaint2025-01-17 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-01-22 · complaint2025-01-17 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-01-22 · complaint2025-01-16 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0865Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-032025-01-16 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-02-052025-01-16 · FIREK0345Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-02-052025-01-16 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-02-052025-01-16 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-02-052025-01-16 · FIREK0700Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Correction field: Deficient, Provider has date of correction · 2025-02-052025-01-16 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-02-052024-09-23 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-09-23 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-09-23 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2021-11-19 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2021-12-222021-11-19 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2021-12-2203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AG FACILITIES OPERATIONS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/11/2003
- IRA E SMEDRA LIVING TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST48% · since 08/11/2003
- WIN WIN ENTERPRISES, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST48% · since 08/11/2003
- MEY, SOMRUTAIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/02/1992
- VIDALES, MIGUELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/01/2021
- WINTNER, JACOBIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/12/2011
- CAMBRIDGE HEALTHCARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/11/2018
- ABESAMIS, WILFREDOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/07/2014
- BUTENKO, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/24/2023
- CAPELA, HEIDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/03/2023
- HASSELL, LANCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/25/2022
- LUTZ, LINDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2012
- MEY, SOMRUTAIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/02/1992
- RAMOS, RHODORAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/02/2019
- SALAZAR, PAULINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/14/2020
- VIDALES, MIGUELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2021
- HASSELL, LANCEIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 07/31/2025
- CAMBRIDGE HEALTHCARE SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/12/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.12per resident day
RN hours0.58per resident day
Weekend nurse hours3.81per resident day
Staff turnover27.0%CMS reported field
06 / LOCAL RECORDS
Open the La Mesa ledger →Other published facilities nearby
Arbor Hills Nursing Center100 beds · CMS overall 5/550 citation rowsCommunity Care Center119 beds · CMS overall 4/539 citation rowsGrossmont Hospital D/P Snf30 beds · CMS overall 5/518 citation rowsGrossmont Gardens Healthcare Center— beds · CMS overall —/522 citation rowsGrossmont Post Acute Care90 beds · CMS overall 4/543 citation rowsLa Mesa Healthcare Center94 beds · CMS overall 5/557 citation rowsParkway Hills Nursing & Rehabilitation60 beds · CMS overall 3/574 citation rows