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Nursing homeFAID #680

Lemon Grove Care and Rehabilitation Center

8351 BROADWAY, LEMON GROVE, CA, 91945

(619) 463-0294

ensignservices.net

158 licensed beds

★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of LEMON GROVE CARE AND REHABILITATION CENTER

Photo via Google · Lemon Grove Care & Rehabilitation Center

Address

8351 Broadway

Lemon Grove, CA 91945

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Public record summary

What we can show you for free.

Bed capacity

158

CMS facility ID

055182

Care type

Nursing home

County

San Diego

Facility name

Lemon Grove Care and Rehabilitation Center

Street address

8351 BROADWAY

City / state / ZIP

Lemon Grove, CA 91945

Phone

(619) 463-0294

Website

ensignservices.net

About this facility — Lemon Grove Care and Rehabilitation Center

Lemon Grove Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Lemon Grove, California. It is licensed for 158 beds — well above the median for skilled nursing facilities in California (98 beds).

It is one of 12 senior care facilities in Lemon Grove and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Lemon Grove Care and Rehabilitation Center 64 times across 13 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Corporation

Registered owners & officers

Burnam, Soon

Officer — since 2019

Ensign Services Inc

Additional disclosable party — since 2003

Kambo, Amanpreet

Governing body · Operational control · Additional disclosable party — since 2017

Keetch, Chad

Officer — since 2011

Lincare Inc

Operational control — since 2003

Mcs Pgch Llc

Additional disclosable party — since 2003

Muralidhara, Sowmya

Governing body · Operational control · Additional disclosable party — since 2025

Port, Barry

Officer — since 2015

Willits, Adam

Officer — since 2019

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1967-01-01

CMS overall rating

3 of 5 stars

Health deficiencies

24 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-12-18

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$440 per day (≈ $13,380/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

78% Medicaid · 10% Medicare · 12% private/other

Occupancy

94% (fiscal year 2023)

Vs. state median

14% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

158

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-18Health inspection24 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-17

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-01-17

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-01-17

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-01-17

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-17

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-01-17

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-17

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-01-17

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-17

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-17

F-0693

D · No harm found

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.

Corrected 2026-01-17

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-17

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-17

F-0757

E · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-01-17

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-17

F-0761

D · No harm found

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.

Corrected 2026-01-17

F-0802

D · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2026-01-17

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2026-01-17

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-17

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2026-01-17

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-01-17

F-0887

D · No harm found

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.

Corrected 2026-01-17

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2026-01-17

F-0911

B · No harm found

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Corrected 2026-01-17

2024-12-27Health inspectionComplaint-triggered1 citation

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-01-08

10 earlier / fire-safety inspections (39 citations)

2024-12-12Health inspectionComplaint-triggered2 citations

F-0620

D · No harm foundFrom a complaint

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.

Corrected 2024-12-22

F-0622

D · No harm foundFrom a complaint

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.

Corrected 2024-12-22

2024-10-17Health inspectionComplaint-triggered1 citation

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-05

2024-09-05Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-25

2024-08-15Health inspection11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-05

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-05

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-05

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-09-05

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-09-05

F-0726

D · No harm found

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.

Corrected 2024-09-05

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-05

F-0761

E · No harm found

Corrected 2024-09-05

F-0804

D · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-09-05

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-05

2024-02-08Health inspectionComplaint-triggered4 citations

F-0600

E · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-05

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-05

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-05

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-03-05

2023-08-17Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-09-12

2022-03-17Health inspection9 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-05-11

F-0624

D · No harm found

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2022-05-11

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-05-11

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-05-11

F-0690

E · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-05-11

F-0693

D · No harm found

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.

Corrected 2022-05-11

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-05-11

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-05-11

F-0911

D · No harm found

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Corrected 2022-05-11

2025-12-18Fire-safety inspection3 citations

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-12-29

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-12-29

K-0541

D · No harm found

Install properly constructed and protected linen or trash chutes.

Corrected 2025-12-29

2024-08-15Fire-safety inspection1 citation

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-09-08

2022-03-17Fire-safety inspection6 citations

E-0023

D · No harm found

Establish policies and procedures for medical documentation.

Corrected 2022-04-07

E-0031

D · No harm found

Provide emergency officials' contact information.

Corrected 2022-04-07

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2022-04-07

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-04-07

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2022-04-07

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-04-07

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055182.

Visitor reviews

What people say on Google.

4.0146 ratings on Google

★Marylou Pelayo · 2026-06-22 · via Google
“My experience with this facility was extremely disappointing and concerning. Communication between staff and patients was often poor, making it difficult for patients and families to get clear information about care. I witnessed patients being ignored or not attended to in a timely manner, while others who were more vocal seemed to receive significantly more attention. I was particularly trouble…”

★★rita bacusa · 2026-04-09 · via Google
“On 4/8/26, around noon, I visited patient Cynthia Gill in room 108. She had pressed the call light to request assistance with her catheter, which was causing her discomfort due to its heaviness. Unfortunately, during my three-hour visit, no nurses attended to her needs except for the IV nurse who administered antibiotics. After completing the IV treatment, I informed the staff outside, as the devi…”

★L Yarbrough · 2026-05-26 · via Google
“Could you please specify the nature of your business? On what grounds do you consider this food fit for consumption? How do you justify serving such food to your patients? This raises serious concerns regarding standards and ethics.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 64 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered