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Nursing HomeMedicaid

Somerset Subacute and Care

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

151 Claydelle Ave, El Cajon, CA 9202065 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 60 Google reviews

5
4
3
2
1
Somerset Subacute and Care Nursing Home in El Cajon, CA — Street View
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What this means for your family

This facility offers an excellent rehabilitation program and a very clean environment, which is ideal for short-term recovery. However, families must be extremely vigilant regarding patient safety and wound care, as multiple recent reports indicate serious lapses in monitoring and infection control.

Google Reviews

Google Reviews

60 reviews on Google
Families often praise the facility for its professional rehab department and the compassionate, attentive nature of the nursing and management teams. However, there are serious, recurring allegations regarding patient safety, specifically concerning unmonitored falls and the development of pressure wounds or infections like MRSA.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective and professional rehabilitation department
  • Clean and well-maintained facility
  • Strong communication from management and social services

Concerns

  • Patient safety issues including falls and lack of monitoring (mentioned by 2 reviewers)
  • Neglect regarding wound care and infection control (mentioned by 2 reviewers)
  • Inconsistent quality of care between different shifts or staff members (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(2)'22(7)'24(3)'26(9)

Distribution · 91 analyzed

5
77
4
1
3
0
2
3
1
10
26 reviews posted between Oct 7, 2025Oct 8, 2025 · 26 were 5-star

How They Respond to Reviews

17%response rate
Good

The owner provides personalized, warm responses to positive reviews by acknowledging specific staff members or details mentioned. For negative reviews, they use a professional, empathetic tone that focuses on inviting direct communication to resolve issues.

Questions for Your Tour

  • 1I noticed some great feedback about how communicative the management and social services teams are; how can we best stay in the loop regarding daily updates on our loved one?
  • 2What specific protocols are in place to ensure residents are closely monitored, especially during the night shifts or when they are at higher risk for falls?
  • 3Could you tell me more about your processes for wound care and how the nursing team ensures consistent infection control standards are met?
  • 4With the different shifts throughout the day, how do you ensure that the high level of attentive care mentioned in your positive reviews remains consistent for every resident?
  • 5What does a typical day look like for residents here in terms of social activities and engagement with the community?
  • 6In the event of a medical emergency after hours, what is the immediate procedure for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff is attentive and knowledgeable, and they consistently go above and beyond to ensure residents feel comfortable and supported during their recovery.

Post-acute patient's family · 2026★★★★★

My grandmother has been here since June 2025 and originally she was doing pretty good, but over the months her condition has deteriorated with multiple hospital stays since then and bad pressure wounds found on her

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

I broke my femur and had to be in there for almost 3 weeks. I was met with Lisa, Neil Eric and Christina, who were amazing. They got me settled very comfortably and then let me know everything was going to be great.

Rehab patient · 2025★★★★★
Source: 60 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.86hrs
OK
Registered nurses for medical care
Total Nursing
4.79hrs
OK
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.1%
Worse than Avg
Here
39.1%
US
19.5%
CA
13.7%
San diego
15.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
19.4%
CA
10.7%
San diego
12.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
14.4%
CA
10.4%
San diego
7.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
CA
7.0%
San diego
9.8%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
99.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.3%
Mixed vs Avgs
Here
10.3%
US
15.5%
CA
11.7%
San diego
10.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
CA
93.2%
San diego
96.4%
💉

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
96.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Mixed vs Avgs
Here
1.4%
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

17deficiencies
1penalties
Above state avg (15.4)
7 complaint-triggered
$26,728 in fines

Somerset Subacute and Care shows significant ongoing quality concerns with families filing 16 complaints across surveys, resulting in multiple deficiencies. Medication management, care planning, and safety supervision emerge as persistent problem areas, with issues recurring across multiple inspections from 2022 through 2025. While most deficiencies show correction dates, one serious privacy violation remains uncorrected as of 2025, and the pattern of repeated issues in core care areas suggests systemic challenges that warrant careful consideration.

Apr 9, 2026Complaint
1
0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Jan 7, 2026Complaint
1
0584Potential for harm · PatternCorrected

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.

Jul 16, 2025Complaint
1
0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Mar 13, 2025Routine
22
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement 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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Feb 5, 2025Complaint
1
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.

Dec 13, 2024Complaint
2
0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0843Potential for harm · IsolatedCorrected

Administration Deficiencies

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Federal Penalties

Fine

Mar 21, 2024

$26,728

Ownership & Operations

Who Operates This Facility

Owner / Operator

Somerset Subacute and Care

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

342 facilities nationwide

Chain avg rating: 3.2/5 · Rank 202 of 328

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Burnam, SoonManaging Control - Governing BodyMatthews, GlennManaging Control - Governing BodyMichlin, BernardManaging Control - Governing BodyWillits, AdamOfficer / DirectorBurnam, SoonOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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