Granite Hills Healthcare & Wellness Centre, Llc
GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC in EL CAJON, CA — inspection on August 14, 2025.
Found 2 citations. 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
During a record review on 7/14/25, the facility's policy titled Medication-Administration revised 1/1/12 indicated, Purpose.To ensure the accurate administration of medications for residents in the facility.No medication will be used for any patient other than the patient for whom it was prescribed.The Licensed Nurse will verify the resident's identity before administering the medication.Nursing Staff will keep in mind the seven rights of medication when administering medication.The seven rights of medication are: i.
The right medication. Ii.
The right amount.
Iii.
The right resident. Iv.
The right time. V.
The right route. Vi.
Resident has right to know what the medication does.
Vii.
Resident has the right to refuse the medication.
555878 08/14/2025
Granite Hills Healthcare & Wellness Centre, LLC 1340 E Madison Ave El Cajon, CA 92021
Based on observation, interview, and record review, the facility failed to ensure one of four
staff, residents and visitors.This failure had the potential for visitors, residents, and unauthorized staff to access medications and narcotics stored in the medication carts.Findings:On 7/2/25 at 10:21 A.M., an observation was conducted in the west station hallway. A medication cart was in front of a resident room.
The cart was unattended and was unlocked with the key observed inserted into one of the cart's drawers. On 7/2/25 at 10:28 A.M., a concurrent observation and interview was conducted with Licensed Nurse (LN) 2. LN 2 was observed walking out of a resident's room and opened the top drawer of the medication cart. LN 2 removed the keys from the cart drawer and placed the keys in her pocket. LN 2 stated she left the medication cart unlocked and the keys were in the narcotic storage box. LN 2 stated, I thought I was only going to be in the room for a few seconds. LN 2 stated she should not have left the keys in the narcotic storage drawer, which contained several packages of narcotics. LN 2 stated .we won't know who will go in there especially when there's narcotics in the drawer.On 7/2/25 at 4:25 P.M., an interview was conducted with the Interim Director of Nursing (IDON).
The IDON stated the medication carts and narcotic boxes should always be locked when unattended.
The IDON stated, .I tell my nurses, you never know who is around, who could grab a key, grab stuff out of the drawer.
People have dementia, they can grab something, narcotics out of the drawer. A review of the facility's policy titled Medication Storage in the Facility revised 01/25 indicated, Medications and biologicals are stored safely, securely, and properly.The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized.
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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.