Overview

Address
8351 BROADWAY, LEMON GROVE, CA 91945
Phone
6194630294
Certified beds
158
Avg daily residents
146 (92% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
3 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.01 3.52 4.40 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.44 0.62 0.48 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.13 0.78 1.24
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.44 2.12 2.68
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.56
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.11

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.65
hrs / resident / day
RN (weekend)
0.32
hrs / resident / day
Total nurse (adjusted, weekend)
4.01
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
42.3%
annual
RN turnover
35.7%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.25
higher acuity than avg
Case-Mix Index Ratio
0.90
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-12-18 24 24 0 140 1 140
Cycle 2/3 (prior) 2024-08-15 38 11 27 188 1 188
Total weighted health score
152.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (71)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
69 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-12-18 2026-01-17
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-12-18 2026-01-17
0610 Respond appropriately to all alleged violations. D 2025-12-18 2026-01-17
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-12-18 2026-01-17
0641 Ensure each resident receives an accurate assessment. D 2025-12-18 2026-01-17
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-12-18 2026-01-17
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-12-18 2026-01-17
0679 Provide activities to meet all resident's needs. D 2025-12-18 2026-01-17
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-12-18 2026-01-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-18 2026-01-17
0693 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. D 2025-12-18 2026-01-17
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-12-18 2026-01-17
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-12-18 2026-01-17
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2025-12-18 2026-01-17
0759 Ensure medication error rates are not 5 percent or greater. E 2025-12-18 2026-01-17
0761 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. D 2025-12-18 2026-01-17
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. D 2025-12-18 2026-01-17
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-12-18 2026-01-17
0880 Provide and implement an infection prevention and control program. F 2025-12-18 2026-01-17
0881 Implement a program that monitors antibiotic use. E 2025-12-18 2026-01-17
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-12-18 2026-01-17
0887 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. D 2025-12-18 2026-01-17
0908 Keep all essential equipment working safely. E 2025-12-18 2026-01-17
0911 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. B 2025-12-18 2026-01-17
0641 Ensure each resident receives an accurate assessment. D 2024-12-27 2025-01-08
0620 Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. D 2024-12-12 2024-12-22
0622 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. D 2024-12-12 2024-12-22
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-10-17 2024-11-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-09-05 2024-09-25
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-08-15 2024-09-05
0583 Keep residents' personal and medical records private and confidential. D 2024-08-15 2024-09-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-08-15 2024-09-05
0679 Provide activities to meet all resident's needs. D 2024-08-15 2024-09-05
0699 Provide care or services that was trauma informed and/or culturally competent. D 2024-08-15 2024-09-05
0726 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. D 2024-08-15 2024-09-05
0759 Ensure medication error rates are not 5 percent or greater. D 2024-08-15 2024-09-05
0761 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. E 2024-08-15 2024-09-05
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2024-08-15 2024-09-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-08-15 2024-09-05
0880 Provide and implement an infection prevention and control program. D 2024-08-15 2024-09-05
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. E 2024-02-08 2024-03-05
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-02-08 2024-03-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-02-08 2024-03-05
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-02-08 2024-03-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-08-17 2023-09-12
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-07-12 2023-09-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-07-12 2023-09-25
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2023-07-12 2023-09-06
0836 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. D 2023-07-12 2023-09-25
0850 Hire a qualified full-time social worker in a facility with more than 120 beds. D 2023-07-12 2023-09-06

Showing 50 most recent of 71. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$7,443
Date Type Fine amount
2023-07-12 Fine $7,443

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.6% Medicaid 78.3% Other 12.1%

Operating performance

Operating Margin
19.2%
Total Margin
19.2%
Occupancy Rate
93.5%
Cost per Resident Day
$40

Revenue & costs

Net Patient Revenue
$24.2M
Total Costs
$2.2M
Net Income
$4.6M

Balance sheet

Total Assets
$28.1M
Total Liabilities
$6.4M
Fund Balance
$21.7M
Current Ratio
8.76

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE ENSIGN GROUP

Chain ID
507
Facilities in chain
329
Legal business name
LEMON GROVE HEALTH ASSOCIATES, LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3

Owner / manager organizations (3)

Organization Role Association
FLAGSTONE HEALTHCARE SOUTH LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/30/2006
THE ENSIGN GROUP INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/30/2006
LINCARE INC OPERATIONAL/MANAGERIAL CONTROL since 06/01/2003

Owner / manager individuals (6)

Name Role Association
KAMBO, AMANPREET OPERATIONAL/MANAGERIAL CONTROL since 02/27/2017
MURALIDHARA, SOWMYA OPERATIONAL/MANAGERIAL CONTROL since 02/15/2025
BURNAM, SOON CORPORATE OFFICER since 02/28/2019
KEETCH, CHAD CORPORATE OFFICER since 03/01/2011
PORT, BARRY CORPORATE OFFICER since 01/22/2015
WILLITS, ADAM CORPORATE OFFICER since 04/29/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $40 metrics.cost_per_resident_day
Cost Report Current Ratio 8.76 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 78.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.6% metrics.medicare_day_share
Cost Report Net Income ($) $4,649,518 metrics.net_income
Cost Report Net Patient Revenue ($) $24,207,682 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 93.5% metrics.occupancy_rate
Cost Report Operating Margin (%) 19.2% metrics.operating_margin
Cost Report Total Assets ($) $28,119,803 metrics.total_assets
Cost Report Total Costs ($) $2,178,802 metrics.total_costs
Cost Report Total Fund Balances ($) $21,678,614 metrics.fund_balance
Cost Report Total Liabilities ($) $6,441,189 metrics.total_liabilities
Cost Report Total Margin (%) 19.2% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.23815 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.68144 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.47762 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.39721 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.00950 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 145.8 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.78072 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.12183 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61538 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.51794 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.10069 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 507 Chain ID
Provider Information Chain Name THE ENSIGN GROUP Chain Name
Provider Information City/Town LEMON GROVE City/Town
Provider Information CMS Certification Number (CCN) 055182 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish San Diego County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 32.7475 Latitude
Provider Information Legal Business Name LEMON GROVE HEALTH ASSOCIATES, LLC Legal Business Name
Provider Information Location 8351 BROADWAY,LEMON GROVE,CA,91945 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -117.02 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 158 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 329 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.24625 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.90462 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 8351 BROADWAY Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name LEMON GROVE CARE AND REHABILITATION CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 470 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 140 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 24 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-18 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 140 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 24 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 11 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-08-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 188 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 27 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 188 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 38 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.31762 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 35.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.56335 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12816 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.44323 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10798 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.43519 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.00658 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6194630294 Telephone Number
Provider Information Total Amount of Fines in Dollars 7443.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.65332 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 42.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 152.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 91945 ZIP Code