Nursing homeActive
Country Manor La Mesa Healthcare Center
5696 Lake Murray Blvd, La Mesa, CA 91942619460787199 certified beds · 91 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
23
● 0● 23● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-03-06
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-03-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-17 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-01-16 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2024-09-23 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2021-11-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2019-09-20 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 055910-20250306-F684
F551Give the resident's representative the ability to exercise the resident's rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-22Record 055910-20250117-F551
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-22Record 055910-20250117-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-22Record 055910-20250117-F692
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F584
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F677
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F699
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F849
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F865
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 055910-20250116-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 055910-20240923-F658
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 055910-20240923-F686
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 055910-20240923-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-12-22Record 055910-20211119-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-12-22Record 055910-20211119-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-22Record 055910-20211119-F919
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-20Record 055910-20190920-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-20Record 055910-20190920-F684
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-20Record 055910-20190920-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-20Record 055910-20190920-F806
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.58
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.12
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.81
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover27%
Facility
California
National
California 37% · National 46%
Registered nurse turnover25%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.9% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.2% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 4.0% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.8% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.7% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ag Facilities Operations, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Ira E Smedra Living Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | — | — |
| Win Win Enterprises, LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | — | — |
| Abesamis, Wilfredo Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Butenko, Julie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cambridge Healthcare Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Capela, Heidi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hassell, Lance Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lutz, Linda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mey, Somrutai Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ramos, Rhodora Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Salazar, Paulina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vidales, Miguel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Abesamis, Wilfredo Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Butenko, Julie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cambridge Healthcare Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Capela, Heidi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hassell, Lance Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hassell, Lance Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lutz, Linda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mey, Somrutai Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mey, Somrutai Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Murray Med Partnership Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Preferred Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ramos, Rhodora Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Salazar, Paulina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vidales, Miguel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Vidales, Miguel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wintner, Jacob Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Cambridge Healthcare Services — 32 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for San Diego.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Arbor Hills Nursing Center La Mesa | 0.6 mi | 2026-02-12 | 1261 |
| Parkway Hills Nursing & Rehabilitation La Mesa | 0.6 mi | 2026-04-27 | 2330 |
| Grossmont Gardens Healthcare Center La Mesa | 0.7 mi | 2026-02-12 | 0160 |
| Grossmont Post Acute Care La Mesa | 1.2 mi | 2026-05-14 | 0111 |
| Grossmont Hospital D/P SNF La Mesa | 1.2 mi | 2025-06-20 | 0100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |