Granite Hills Healthcare & Wellness Centre, LLC
1340 E Madison Ave, El Cajon, CA 92021 · (619) 447-1020
For profit - Limited Liability company · 99 certified beds
Granite Hills Healthcare & Wellness Centre, LLC has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2025, found 12 citations (the California average is 15.6). It was fined 1 time in the last three years, $14,015 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 30, 2025 found 12 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 30, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.January 30, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 30, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Have a plan that describes the process for conducting QAPI and QAA activities.January 30, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.January 30, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 30, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assist a resident in gaining access to vision and hearing services.January 30, 2025 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.January 30, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.January 30, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 30, 2025 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 30, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 30, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 4, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.August 14, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 30, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 27, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Let each resident or the resident's legal representative access or purchase copies of all the resident's records.October 29, 2024 · F0573 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.September 24, 2024 · F0626 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 17, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 2, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 18, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 17, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.May 7, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 14, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 20, 2023 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $14,015February 4, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.06 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.42 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 1.06 | 1.20 | 0.86 |
| Nurse aides | 2.57 | 2.65 | 2.32 |
| Total nursing staff turnover | Not available | 36.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 99 |
| Average residents per day | 90.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Bradley Court El Cajon · ★★★★★ 5 out of 5 stars
- Parkside Health and Wellness Center El Cajon · ★★★★★ 5 out of 5 stars
- Victoria Post Acute Care El Cajon · ★★★★★ 5 out of 5 stars
- The Royal Home El Cajon · ★★★★★ 4 out of 5 stars
- Somerset Post Acute Care El Cajon · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Granite Hills Healthcare & Wellness Centre, LLC on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.