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Nursing HomeMedicaid

Magnolia Post Acute Care

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

635 S Magnolia Ave, El Cajon, CA 9202099 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 132 Google reviews

5
4
3
2
1
Magnolia Post Acute Care Nursing Home in El Cajon, CA — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation, as the physical therapy team is consistently rated as top-tier. However, families should remain vigilant regarding medication schedules and call light responsiveness, as several reviewers have reported delays in essential care.

Google Reviews

Google Reviews

132 reviews on Google
Families considering Magnolia Post Acute Care will find a facility highly praised for its exceptional physical therapy team and compassionate nursing staff. While many reviewers highlight a clean and welcoming environment, there are serious, recurring allegations regarding medication delays, unresponsive call lights, and inconsistent hygiene care.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean7.0Activities9.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • Excellent physical and occupational therapy departments
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Professional and helpful maintenance and administrative staff

Concerns

  • Unresponsive call lights and slow staff response times (mentioned by 5 reviewers)
  • Delays or issues with medication administration (mentioned by 4 reviewers)
  • Unprofessional or rude behavior from specific administrative/social work staff (mentioned by 3 reviewers)
  • Issues with facility cleanliness or unpleasant odors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(4)'19(3)'21(20)'23(22)'25(22)'26(3)

Distribution · 134 analyzed

5
100
4
3
3
1
2
3
1
27
12 reviews posted between Dec 12, 2024Dec 14, 2024 · 9 were 5-star

How They Respond to Reviews

35%response rate
Good

The owner provides highly personalized responses to positive reviews, often addressing specific family members or staff mentioned. For negative reviews, the owner uses a professional, non-defensive tone that prioritizes investigation and direct communication.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy departments; could you tell us more about how those teams work with residents?
  • 2What specific steps are in place to ensure that medication is administered accurately and on a consistent schedule?
  • 3How does the nursing team manage call lights to ensure that residents receive timely assistance when they press them?
  • 4Could you describe the daily dining experience and what kind of meal variety is offered to the residents?
  • 5In the event of a medical emergency during the night, what is the protocol for getting immediate care for a resident?
  • 6What kind of social activities or daily outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy department is excellent. They are all caring, understanding in all of the different ailments from all kinds of different patients.

Rehab patient · 2026★★★★★

They are going to put makeup on for her and do her hair and celebrate with sugarless ice Cream on her 90th birthday next week!

Long-term resident's family · 2025★★★★★

My friend was denied medical attention by Magnolia, after calling 911. I had to threaten to have the place shut down before they'd let the paramedics help him.

Visitor · 2024☆☆☆☆
Source: 132 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
61%
Registered nurses for medical care
Total Nursing
4.07hrs
99%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.8%
Worse than Avg
Here
19.8%
US
12.1%
CA
7.0%
San diego
8.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
15.4%
CA
11.6%
San diego
11.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
19.4%
CA
10.7%
San diego
11.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
CA
13.7%
San diego
15.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.3%
CA
10.5%
San diego
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
14.4%
CA
10.4%
San diego
8.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
79.7%
CA
93.2%
San diego
95.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
San diego
97.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Near state avg (15.4)
13 complaint-triggered
$180,730 in fines

This facility has a concerning pattern of family-filed complaints, with 14 complaint-triggered deficiencies including serious issues like resident abuse and neglect that have recurred as recently as December 2025. The main problem areas are resident protection from abuse and neglect, care planning, and medication management, with abuse-related violations appearing multiple times across different years, suggesting ongoing rather than isolated issues.

Dec 11, 2025Complaint
4
0600Actual harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Aug 29, 2025Routine
9
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 22, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Apr 30, 2025Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Jun 13, 2024Routine
10
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0006Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

May 24, 2024Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Federal Penalties

Fine

Dec 11, 2025

$117,475

Ownership & Operations

Who Operates This Facility

Owner / Operator

Magnolia Post Acute Care

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 183 of 328

Ownership & Management

Key personnel

Jalil, AnmarManaging Control - Governing BodyWilliams, MichaelManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorPort, BarryOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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