SNF
COUNTRY MANOR LA MESA HEALTHCARE CENTER
CCN: 055910 · LA MESA, CA 91942 · San Diego County
Overview
- Address
- 5696 LAKE MURRAY BLVD, LA MESA, CA 91942
- Phone
- 6194607871
- Certified beds
- 99
- Avg daily residents
- 90 (91% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1968-03-22
- Setting
- Urban
4 /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.
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 | 4.04 | 4.04 | 3.86 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.52 | 0.71 | 0.49 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.13 | 0.90 | 1.08 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.39 | 2.44 | 2.28 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.65 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
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)
3.70
hrs / resident / day
RN (weekend)
0.45
hrs / resident / day
Total nurse (adjusted, weekend)
3.54
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
26.1%
annual
RN turnover
30.8%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.43
higher acuity than avg
Case-Mix Index Ratio
1.04
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) | 2025-01-16 | 10 | 9 | 1 | 52 | 1 | 52 |
| Cycle 2/3 (prior) | 2021-11-19 | 9 | 3 | 6 | 52 | 1 | 52 |
Total weighted health score
52.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (23)
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).
23 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-06 | 2025-03-24 |
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-01-17 | 2025-01-22 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-17 | 2025-01-22 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-01-17 | 2025-01-22 |
| 0584 | 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. | D | 2025-01-16 | 2025-02-03 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-01-16 | 2025-02-03 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-01-16 | 2025-02-03 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-01-16 | 2025-02-03 |
| 0758 | 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. | D | 2025-01-16 | 2025-02-03 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-16 | 2025-02-03 |
| 0849 | 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. | D | 2025-01-16 | 2025-02-03 |
| 0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-01-16 | 2025-02-03 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-01-16 | 2025-02-03 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-23 | 2024-10-01 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-23 | 2024-10-01 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-23 | 2024-10-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-11-19 | 2021-12-22 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2021-11-19 | 2021-12-22 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2021-11-19 | 2021-12-22 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2019-09-20 | 2019-11-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-09-20 | 2019-11-20 |
| 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 | 2019-09-20 | 2019-11-20 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2019-09-20 | 2019-11-20 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 15.0% Medicaid 42.7% Other 42.2%
Operating performance
Operating Margin
6.8%
Total Margin
9.0%
Occupancy Rate
90.7%
Cost per Resident Day
$49
Revenue & costs
Net Patient Revenue
$14.0M
Total Costs
$1.6M
Net Income
$1.3M
Balance sheet
Total Assets
$9.3M
Total Liabilities
$1.2M
Fund Balance
$8.1M
Current Ratio
9.19
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CAMBRIDGE HEALTHCARE SERVICES
- Chain ID
98- Facilities in chain
- 32
- Legal business name
- AG LA MESA, LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.3
Staffing
3.0
QM
3.9
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| AG FACILITIES OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/11/2003 |
| BH ALLIANCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/11/2003 |
| IRA E SMEDRA LIVING TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/11/2003 |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/11/2003 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 06/11/2018 |
Owner / manager individuals (11)
| Name | Role | Association |
|---|---|---|
| SMEDRA, IRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/11/2003 |
| ABESAMIS, WILFREDO | OPERATIONAL/MANAGERIAL CONTROL | since 04/07/2014 |
| BUTENKO, JULIE | OPERATIONAL/MANAGERIAL CONTROL | since 07/24/2023 |
| CAPELA, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | since 04/03/2023 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | since 04/25/2022 |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2012 |
| MEY, SOMRUTAI | OPERATIONAL/MANAGERIAL CONTROL | since 03/02/1992 |
| RAMOS, RHODORA | OPERATIONAL/MANAGERIAL CONTROL | since 01/02/2019 |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | since 12/14/2020 |
| VIDALES, MIGUEL | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2021 |
| WINTNER, JACOB | CORPORATE DIRECTOR | since 04/12/2011 |
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
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $49 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 9.19 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 42.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 15.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,280,396 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $13,958,376 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 6.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $9,327,027 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,595,828 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $8,094,647 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,232,380 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 9.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.08101 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.28316 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.49458 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.85875 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.53684 | 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 | 90.1 | 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 | 0.89608 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.43535 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.70631 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.03774 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.55884 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.0 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 98 | Chain ID |
| Provider Information | Chain Name | CAMBRIDGE HEALTHCARE SERVICES | Chain Name |
| Provider Information | City/Town | LA MESA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 055910 | 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 | 1968-03-22 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 32.7835 | Latitude |
| Provider Information | Legal Business Name | AG LA MESA, LLC | Legal Business Name |
| Provider Information | Location | 5696 LAKE MURRAY BLVD,LA MESA,CA,91942 | 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 | -117.03 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | 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 | 32 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.43039 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.03828 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | 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 | 5696 LAKE MURRAY BLVD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | COUNTRY MANOR LA MESA HEALTHCARE 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 | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 52 | 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 | 1 | 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 | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-16 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 52 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 10 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2021-11-19 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | 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 | 6 | 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 | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 9 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.45241 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 30.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.64775 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.13052 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.38772 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06021 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.51723 | 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 | 4.03546 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | 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 | 6194607871 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.69881 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 26.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 52.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 91942 | ZIP Code |