All states › California › El Cajon › Granite Hills Healthcare & Wellness Centre
1340 E Madison Ave El Cajon, CA 92021 · San Diego County
All 12 nursing homes in El Cajon, CA (12 take Medicaid)
CMS certification number 555878 · See this home on Medicare Care Compare
Is Granite Hills Healthcare & Wellness Centre a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Granite Hills Healthcare & Wellness Centre as of October 2026.
CMS rates it 2 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.01 hours per resident per day at Granite Hills Healthcare & Wellness Centre, below the California median of 4.27 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 3.74 hours, 7% below its all-week average.
About this nursing home
Paying for care at Granite Hills Healthcare & Wellness Centre: Medicare and Medicaid
Granite Hills Healthcare & Wellness Centre is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 30, 2025 and found 11 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 53 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 53 citations at Granite Hills Healthcare & Wellness Centre across 17 inspection dates, 16 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on February 4, 2026. The most common areas cited were quality of life and care (15) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, February 4, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
February 4, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 14, 2025 · 2 citations · includes complaint inspection
DEnsure that residents are free from significant medication errors.
DEnsure 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.
March 21, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 30, 2025 · 12 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DAssist a resident in gaining access to vision and hearing services.
DProvide enough food/fluids to maintain a resident's health.
DProvide care or services that was trauma informed and/or culturally competent.
DImplement 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.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 27, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 29, 2024 · 1 citation · includes complaint inspection
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
September 24, 2024 · 1 citation · includes complaint inspection
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
September 17, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 2, 2024 · 1 citation · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
July 18, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 17, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 7, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
March 13, 2024 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
February 14, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 20, 2023 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
June 17, 2021 · 14 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DHave a plan that describes the process for conducting QAPI and QAA activities.
August 8, 2019 · 12 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Granite Hills Healthcare & Wellness Centre
- Inspectors cited the home at the actual-harm level on February 4, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 21, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $14,015 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 4, 2026 | Fine | $14,015 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near Granite Hills Healthcare & Wellness Centre
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.7 mi
Grossmont Hospital La MesaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 16m for patients treated and sent home
- 6.9 mi
- 9.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Granite Hills Healthcare & Wellness Centre › All nursing homes in El Cajon ›
Compare Granite Hills Healthcare & Wellness Centre with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Bradley Court · El Cajon · 5 stars · 1.7 mi
- Parkside Health and Wellness Center · El Cajon · 5 stars · 2.4 mi
- Stanford Court Skilled Nursing & Rehab Center · Santee · 5 stars · 3.8 mi
- Lakeside Special Care Center · Lakeside · 5 stars · 3.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.