Home›Browse›California›El Cajon›Somerset Post Acute Care

Nursing homeFAID #13853

Somerset Post Acute Care

151 CLAYDELLE AVE, EL CAJON, CA, 92020

(619) 442-0245

ensignservices.net

65 licensed beds

★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

151 Claydelle Ave

El Cajon, CA 92020

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

555871

Care type

Nursing home

County

San Diego

Facility name

Somerset Post Acute Care

Street address

151 CLAYDELLE AVE

City / state / ZIP

El Cajon, CA 92020

Phone

(619) 442-0245

Website

ensignservices.net

About this facility — Somerset Post Acute Care

Somerset Post Acute Care is a Medicare/Medicaid-certified skilled nursing facility in El Cajon, California. It is licensed for 65 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 55 senior care facilities in El Cajon 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 Somerset Post Acute Care 58 times across 12 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $26,728 in fines. 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

Avocado Health Holdings Llc

Additional disclosable party — since 2014

Burnam, Soon

Governing body · Officer — since 2014

Ensign Services Inc

Additional disclosable party — since 2014

Keetch, Chad

Officer — since 2011

Matthews, Glenn

Governing body · Operational control · Additional disclosable party — since 2014

Michlin, Bernard

Governing body · Operational control · Additional disclosable party — since 2024

Port, Barry

Owner of a disclosable party — since 2025

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2014

The Ensign Group Inc

Additional disclosable party — since 2014

Twomagnets Llc

Operational control — since 2014

Willits, Adam

Director — since 2017

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

2011-07-22

CMS overall rating

3 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$26,728 total

Last standard inspection

2025-03-13

Nurse staffing

4.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$1,007 per day (≈ $30,610/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

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

Occupancy

88% (fiscal year 2023)

Vs. state median

96% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · 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 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-09Health inspectionComplaint-triggered1 citation

F-0583

E · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2026-04-16

2026-01-07Health inspectionComplaint-triggered1 citation

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2026-02-05

10 earlier / fire-safety inspections (56 citations)

2025-07-16Health inspectionComplaint-triggered1 citation

F-0583

E · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

2025-03-13Health inspection14 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-03

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-03

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 2025-04-03

F-0658

D · No harm found

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

Corrected 2025-04-03

F-0684

D · No harm found

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

Corrected 2025-04-03

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-03

F-0690

D · 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 2025-04-03

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-04-03

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-03

F-0758

D · No harm found

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.

Corrected 2025-04-03

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-03

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 2025-04-03

F-0812

E · 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 2025-04-03

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-03

2025-02-05Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-02-28

2024-12-13Health inspectionComplaint-triggered2 citations

F-0626

D · No harm foundFrom a complaint

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2025-01-15

F-0843

D · No harm foundFrom a complaint

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Corrected 2025-01-15

2024-03-21Health inspection12 citations

F-0557

D · No harm found

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-04-19

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-19

F-0658

D · No harm found

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

Corrected 2024-04-19

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-19

F-0688

E · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-04-19

F-0725

D · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-19

F-0732

B · No harm found

Post nurse staffing information every day.

Corrected 2024-04-19

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-19

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-19

F-0761

E · No harm found

Corrected 2024-04-19

F-0867

E · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-04-19

F-0882

D · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-04-19

2023-12-08Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-28

2022-06-23Health inspection10 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 2022-07-25

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-07-25

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 2022-07-25

F-0684

D · No harm found

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

Corrected 2022-07-25

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-07-25

F-0758

D · No harm found

Corrected 2022-07-25

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-07-25

F-0812

E · 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 2022-07-25

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 2022-07-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-07-25

2025-03-13Fire-safety inspection8 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2025-03-19

K-0353

C · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-19

K-0355

D · No harm found

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

Corrected 2025-03-21

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-03-21

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-03-19

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-19

K-0918

C · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-20

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-19

2024-03-21Fire-safety inspection2 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2024-03-27

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-03-27

2022-06-23Fire-safety inspection5 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-07-19

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-07-19

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-07-19

K-0700

D · No harm found

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2022-07-19

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-07-19

Federal penalties

2024-03-21Fine$26,728

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 555871.

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 58 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

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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

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