Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
SUNGARDEN TERRACE
2045 SKYLINE DRIVE, Lemon Grove CA 91945
110 bedsLatest official report May 29, 2026Licensed
Additional info
- Telephone
- (619) 462-5831
- Licensee
- SD COMMERCIAL, LLC
- Administrator
- SUSAN O'SHAUGHNESSY
- Contact
- SUSAN O'SHAUGHNESSY
- License first date
- Mar 11, 2016
- License effective date
- Mar 11, 2016
- District office
- SAN DIEGO RO · (619) 767-2300
- Regional office
- 08
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- Apr 23, 2026
- Most recent deficiency
- May 29, 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 18 reports for this facility: 8 inspections, 10 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 8
- Recorded deficiencies
- 12
- Type A deficiencies
- 3
- Type B deficiencies
- 9
- Substantiated complaints
- 3
- Repeated topics
- 2
Fewer than the typical 9
2 in the last 12 months
Well above the typical 3
10 in the last 12 months
Most this size have none
1 in the last 12 months
Well above the typical 3
9 in the last 12 months
More than the typical 1
3 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.
Resident rights
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 · 0 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Each licensee shall furnish to the licensing agency such reports as the Department may require.. (2) Occurrences, such as epidemic outbreaks, poisonings,. which threaten the welfare, safety or health of residents .. shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement was not met, as evidenced by: Licensee did not follow reporting requirements for 1 of 44 residents. This posted a potential personal rights risk to persons in care.
Official plan of correction
Administrator agrees to complete a training with an outside source and provide proof of completion, which was completed prior to the POC date of today.
Deadline recorded: May 29, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 29, 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 Incidental Medical and Dental Care: “(a)(4) The licensee shall assist residents with self-administered medications as needed.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not assist 1 of 46 residents (R1) with self-administered medications as needed/prescribed, which posed a potential health risk to persons in care.
Official plan of correction
As of the date of deficiency issuance, R1 had passed away from natural causes. Per manager interview, Licensee continues to search for a replacement RSD. In the meantime, Licensee has arranged with Ron’s Pharmacy to hire a consultant pharmacist and/or nurse to perform a review of the facility’s medication management program and procedures, scheduled to occur the first week of May 2026. Licensee agreed during this time to also have this licensed professional conduct a medication training in-service for the facility’s current med techs, and to E-mail the training sign in sheet to LPA, by the POC due date.
Deadline recorded: May 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 23, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not ensure that R1 was provided care and supervision, which posed an immediate health, safety, and personal rights risk to 1 (R1) of 41 residents in care.
Official plan of correction
Licensee agrees to schedule an in-service training on the topics of care and supervision and protocols for staff by an outside source.Licensee will send proof of training, training materials and sign in sheet to CCL by POC due date of 04/02/2026
Deadline recorded: Apr 2, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 2, 2026
Correction not verified in available records
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 · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 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 reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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