Resident rights
Cited in 3 reports, with 4 deficiencies in total.
GROSSMONT GARDENS MEMORY CARE
4960 MILLS STREET, La Mesa CA 91942
64 bedsLatest official report Jun 17, 2026Licensed
Additional info
- Telephone
- (619) 644-1100
- Licensee
- VISTA LA MESA SENIOR LIVING, INC.
- Administrator
- NATALIE CARLBORG
- Contact
- NATALIE CARLBORG
- License first date
- Jun 7, 2023
- License effective date
- Jun 7, 2023
- District office
- SAN DIEGO RO · (619) 767-2300
- Regional office
- 08
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type A and 10 Type B deficiencies for this facility.
- Most recent inspection
- Jun 9, 2026
- Most recent deficiency
- Jun 17, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 91 San Diego County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 38 reports for this facility: 11 inspections, 23 complaint investigations, and 4 licensing or administrative records.
Those records contain 2 Type A and 10 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 11
- Recorded deficiencies
- 12
- Type A deficiencies
- 2
- Type B deficiencies
- 10
- Substantiated complaints
- 8
- Repeated topics
- 3
More than the typical 9
2 in the last 12 months
Well above the typical 3
9 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 3
7 in the last 12 months
Well above the typical 1
7 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Medical and dental care
Cited in 3 reports, with 3 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 2 visits
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
87507(c)Admission agreements shall be signed and dated.., and the licensee or the licensee’s designated representative no later than seven days following admission. This requirement was not met in evidence as: Based on record review, the licensee did not sign and date the admission agreement as required by Title 22, Section 87507(c), for 1 of 1 persons in care (R1), which poses a potential health and safety risk.
Official plan of correction
Licensee agrees to retrain all administrative staff on Title 22 admission agreement requirements, including documentation procedures. Proof of staff training, including sign-in sheets and the training materials used, shall be submitted to LPA by 6/17/2026
Deadline recorded: Jun 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 17, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jun 17, 2026 · Control 08-AS-20260508093615
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
87507(c)Admission agreements shall be signed and dated.., and the licensee or the licensee’s designated representative no later than seven days following admission. This requirement was not met in evidence as: Based on record review, the licensee did not sign and date the admission agreement as required by Title 22, Section 87507(c), for 1 of 1 persons in care (R1), which poses a potential health and safety risk.
Official plan of correction
Licensee agrees to retrain all administrative staff on Title 22 admission agreement requirements, including documentation procedures. Proof of staff training, including sign-in sheets and the training materials used, shall be submitted to LPA by 6/17/2026
Deadline recorded: Jun 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 17, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)
- Regulation authority
- CCR
What the official deficiency says
87211(a) (1) A written report shall be submitted to the.. person responsible for the resident within seven days of the occurrence..(d) Any incident which threatens the welfare, safety or health of any resident.. This is evidenced by: Based on staff interviews and record review, the licensee did not submit a written report of the incident within seven (7) days for 1 of 61 persons in care (R1), to the ALW placement agency which posses risk to the health, safety, and personal rights of persons in care.
Official plan of correction
Licensee agrees to retrain all administrative and reporting staff on Title 22 reporting requirements, including timelines and documentation procedures. Proof of staff training, including sign-in sheets and the training materials used, shall be submitted to LPA by 3/26/2026.
Deadline recorded: Mar 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 26, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(a) A plan for incidental medical ...(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met, as evidenced by: Based on record review and interviews, one (1) out of sixty (60) residents did not receive proper assistance with thier (R1) self administered medications, which posed a potential health and safety risk to residents in care.
Official plan of correction
Executive Director stated an In-service will be conducted on assiting residents with self-administered medications by POC date.
Deadline recorded: Apr 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 3, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(i)(1)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (i)(1)Facilities shall have signal systems which shall meet the following criteria: All facilities licensed for 16 or more.. shall have a signal system... This requirement was not met in evidence as: Based on observation/interview/record review the licensee did not maintain a operational signal system for 60 of 60 persons in care which posed a potential Health, Safety, or Personal Rights risk to persons in care
Official plan of correction
The Administrator reported that the pager system has been repaired and all pagers have been placed back into service. The administrator conducted retraining on 2/27/2026. The staff has also initiated daily/montly random checks of the signal system to ensure it is functioning properly. Adminsitrator will provide a written letter to LPA to confirm such continous checks by 3/18/2026
Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 4, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Facilities must ensure a plan for medical care, and residents receive the necessary medical care for their conditions and needs. This requirement was not met, as evidenced by: Based on observations, interviews, and records reviewed, one (1) out of sixty (60) residents did not receive the necessary medical care for their (R1) condition, which posed an immediate safety risk to persons in care.
Official plan of correction
Licensee agrees to provide LPA with documentation of training dates within 24 hours by an approved vendor.
Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 30, 2026
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
(f) Basic services shall at a minimum include:(4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing... This requirement was not met as evidenced by: Based on records and interviews, the licensee did not provide personal assistance and care as needed in one (1) of eighty-seven (87) persons in care (R1), which posed an immediate safety risk to persons in care.
Official plan of correction
Licensee agrees to provide LPA with documentation of training dates within 24 hours by an approved vendor.
Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 30, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Residents in all residential care facilities for the elderly shall have...the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature…This requirement was not met as evidence by; Based on interviews and records reviewed licensee did not provide resident rights to two (2) of sixty three (62) persons in care which posed a potential Health and Safety risk to person in care.
Official plan of correction
The facility agrees to conduct a training on personal rights with all staff by 12/17/2025. The facility will send LPA the sign in sheet with the training contents by 12/117/25
Deadline recorded: Dec 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 17, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Type B CCR 87465(a)(1)A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical …The licensee shall arrange, or assist in arranging, for medical…appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on records review and interviews, facility personnel did not provide basic care services to (R1) one out of 62 residents. This posed a potiential health risk to a resident in care.
Official plan of correction
Administrator agrees to conduct a incidental medical and dental needs and service care plan training for and Resident Care Coordinator and the Assessment Nurse by 12/17/2025.
Deadline recorded: Dec 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 17, 2025
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities: “(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff...” This requirement was not met, as evidenced by: Based on records and interviews, Licensee’s staff (S1) did not treat 2 of 56 residents (R1 and R3) with dignity, which posed a potential personal rights risk to persons in care.
Official plan of correction
Per manager interview and personnel records, S1’s employment at the facility ended on 01/04/2023. Licensee agreed to retrain its remaining direct care staff on Resident’s Personal Rights (as articulated in CDSS form LIC 613C-2), and to submit the training sign-in sheet to LPA, by the POC due date.
Deadline recorded: Feb 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 4, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: “(a)…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in…personal care and assistance…” This requirement was not met, as evidenced by: Based on records and interviews, Licensee’s staff (S1) did not uphold the personal privacy of 1 of 56 residents (R3), which posed a potential personal rights risk to persons in care.
Official plan of correction
Per manager interview and personnel records, S1’s employment at the facility ended on 01/04/2023. Licensee agreed to retrain its remaining direct care staff on Resident’s Personal Rights (as articulated in CDSS form LIC 613C-2), and to submit the training sign-in sheet to LPA, by the POC due date.
Deadline recorded: Feb 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 4, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews the licensee did not ensure residents had comfortable accommodations for 10 out of 52 [R1-R10] residents in care which posed a potential health and personal rights risk to residents.
Official plan of correction
Executive Director stated an In-service will be conducted on Personal Rights to include ensuring residents sleep is not interered with. ED also stated additional staff has been hired for the NOC shift.
Deadline recorded: Nov 3, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Nov 3, 2023
Deficiency Dismissed Type B 11/03/2023 Section Cited CCR 87468.1(a)(2)
Plan of correction recorded
Correction deadline recordedDeadline Nov 3, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
1 complaint has no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Sep 23, 2025 · Control 08-AS-20230710151120
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology