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Complaint Investigation

Granite Hills Healthcare & Wellness Centre, Llc

August 14, 2025 · El Cajon, CA · 1340 E Madison Ave
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 555878
Healthcare Facility
Granite Hills Healthcare & Wellness Centre, Llc
El Cajon, CA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0760
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/14/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Granite Hills Healthcare & Wellness Centre, LLC

1340 E Madison Ave El Cajon, CA 92021

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, interview, and record review, the facility failed to ensure one of four medication carts and narcotic storage boxes was locked, secured, and inaccessible to unauthorized 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.

Facility ID:

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 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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