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Complaint Investigation

Country Hills Post Acute

May 28, 2026 · El Cajon, CA · 1580 Broadway
Citations 1
CMS Rating 1/5
Beds 305
Provider ID 555431
Healthcare Facility
Country Hills Post Acute
El Cajon, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

COUNTRY HILLS POST ACUTE in EL CAJON, CA — inspection on May 28, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0690
Quality of Life and Care Deficiencies

physician orders dated 2/19/26 indicated Monitor proper placement, no kinking, or compression that

resting in bed watching tv. Resident 18 was alert and oriented and agreeable to interview. Resident 18

catheter bag was observed lying flat on the ground.On 5/15/26 at 2:40 P.M. a concurrent observation of Resident 18's catheter bag and interview with LN 6, (Resident 18's medication nurse) was conducted. Resident 18's catheter bag was observed lying flat on the ground. LN 6 stated the expectation was that the urinary catheter bag should be below resident's bladder, and secured to the bed frame, to prevent bacteria from the floor infecting resident's catheter.On 5/15/26 at 2:45 P.M., a concurrent observation of Resident 18's catheter bag and interview with Certified Nursing Assistant (CNA )5, Resident 18's CNA, was conducted. Resident 18's catheter bag was observed on the ground.

CNA 5 stated the expectation was that the urinary catheter bag should be below resident's bladder, and secured to the bed frame, to prevent the bag from getting stepped on and prevent bacteria from the floor infecting resident's catheter.On 5/15/26 at 4:30 P.M., an interview with the Infection Preventionist (IP) and observation of picture of Resident 18's catheter bag was conducted.

The IP stated the expectation is catheter bag should be secured to the bed's frame below resident's bladder and above the floor to prevent bacteria on the floor from causing a UTI and complications of UTI, such as sepsis.On 5/28/26 at 11:20 A.M., an interview with the Director of Nursing (DON) was conducted.

The DON stated that catheter bags should be secured to bedside below the bladder and not on the floor to prevent unwanted infections and accidental pulling on the catheter.Review of facility policy and procedure titled Catheter Care, Urinary dated 2001, indicated General Guidelines .4 Ensure that the catheter remains secured with a securement devices to reduce friction and movement of insertion site.Catheter Evaluation.2.

Nursing and the interdisciplinary team should assess and document the ongoing need for a catheter in place.Infection Control.1.

Use aseptic technique when handling or manipulating the drainage system. 2. Be sure the catheter tubing and drainage bag are kept off the floor.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EL CAJON, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COUNTRY HILLS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.