El Cajon · 92021
The Royal Home
12436 Royal Road
El Cajon, CA 92021
Country Hills Post Acute
⌖ El Cajon, CA · San Diego County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds305
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Country Hills Post Acute
Country Hills Post Acute is a 305-bed for-profit nursing home in El Cajon, CA. Medicare rates it 1 out of 5 stars overall (much below average); the average in California is 3.2. At its last full inspection (Mar 2025), inspectors found 30 problems, more than the California average of 15.6. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 54 min a day with each resident, less than the California average of 4 hr 31 min. About 58% of its nursing staff left in the past year. Medicare fined it $122,210 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility nameCountry Hills Post Acute
LocationSan Diego County, California
Phone(619) 441-8745
Address1580 Broadway, El Cajon, CA 92021 · San Diego County
CMS provider number555431
Ownership typeFor-profit (limited liability company)
Operating companyPacs Group · 275 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 3, 1990 (36 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
6 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Mar 2026 (within the past year). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $122,210Federal penalties from the last three years, most recently in Feb 2026 (within the past year). The national average is $30,972 per home.Ask about this
- Health citations at last inspection30 (Mar 2025)California average: 15.6. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident3 hr 54 min a dayCalifornia average: 4 hr 31 minWorse than state average
- Registered nurse time per resident15 min a dayCalifornia average: 40 minWorse than state average
- Nursing staff turnover58% a yearCalifornia average: 37%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the California average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital20.0%State average: 23.0%About average
- Needed an emergency room visit11.1%State average: 11.2%About average
- Newly given antipsychotic drugs2.1%State average: 1.5%Worse than average
Physical therapist time: about 5 minutes per resident a day. That is about the same as the state average of 6 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury3.3%State average: 1.6%Worse than average
- Pressure sores (bedsores)5.2%State average: 4.3%Worse than average
- Given antipsychotic drugs9.0%State average: 12.0%Better than average
- Hospital stays per 1,000 resident days2.4State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the California average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In California, Medicaid pays for 7% of resident days at a typical home.
- 5% Medicaid
- 13% Medicare
- 82% Private pay, insurance and other
Beds in use, on average97%California typical: 90%
Cost of care per resident day$441California typical: $464
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 11 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 4 | 3 | 3.6 |
| Jan 2020 | 3 | 3 | 3 | 3 | 3.5 |
| Jan 2021 | 3 | 3 | 3 | 3 | 3.8 |
| Jan 2022 | 3 | 3 | 3 | 4 | 3.7 |
| Jan 2023 | 3 | 3 | 3 | 4 | 3.7 |
| Jan 2024 | 3 | 3 | 3 | 4 | 3.6 |
| Feb 2025 | 3 | 3 | 3 | 2 | 3.9 |
| Feb 2026 | 1 | 1 | 3 | 3 | 4.0 |
| Sep 2026 | 1 | 1 | 3 | 4 | 3.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near El Cajon
Looking at more than one home? Here are other facilities from the directory in El Cajon and the nearby area.
El Cajon · 92021
Bradley Court
675 E Bradley
El Cajon, CA 92021
El Cajon · 92021
Granite Hills Healthcare & Wellness Centre
1340 E Madison Ave
El Cajon, CA 92021
Explore the area
View more homes nearby
Browse nursing homes in El Cajon and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.