Skilled nursing facility · CMS certification number 555871
Somerset Post Acute Care
EL CAJON, California · Medicare and Medicaid · 65 certified beds in Care Compare
Download Somerset Post Acute Care’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $26,728.00 · Payment denials: 0. The most recent penalty on file: March 21, 2024, Fine, $26,728. Every penalty on file ↓
Somerset Post Acute Care: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 16, 2025.
- Net patient revenue rose from $9,499,266 in fiscal year 2023 to $9,531,741 in fiscal year 2024.
- Its result from service to patients: $2.1M (2022), −$1.1M (2023), −$1.5M (2024).
- Its cost reports on file run from fiscal year 2011 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on June 16, 2025, 16 changes are listed on this record: a deficiency, 3 owner changes and 12 owner changes.
- Its net patient revenue of $9.5M ranks 769th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Somerset Post Acute Care: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1429184 | 2023 · report 1392331 | 2022 · report 1364348 | 2021 · report 1333732 | 2020 · report 1301748 | 2019 · report 1277400 | 2018 · report 1240177 | 2017 · report 1210757 | 2016 · report 1174444 | 2015 · report 1142112 | 2014 · report 1122988 | 2013 · report 1077093 | 2012 · report 1044966 | 2011 · report 1004249 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | July 22, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | November 30, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | — | — | — | — | 162 |
| Processed by CMS | June 16, 2025 | August 15, 2024 | September 9, 2023 | September 22, 2022 | September 30, 2021 | December 23, 2020 | August 8, 2019 | August 27, 2018 | August 22, 2017 | August 22, 2016 | April 29, 2016 | August 26, 2014 | August 1, 2013 | September 14, 2012 |
| Total patient revenue | $14,167,489 | $15,194,109 | $17,074,675 | $10,834,291 | $8,977,269 | $9,051,766 | $9,457,557 | $8,601,053 | $8,157,910 | $6,885,044 | $4,175,653 | $3,504,950 | $2,193,443 | — |
| Contractual allowances and discounts | $4,635,748 | $5,694,843 | $4,486,127 | −$2,449,793 | −$2,105,488 | $414,228 | $1,812,329 | $1,606,320 | $1,146,641 | $782,293 | $1,141,909 | $822,713 | $445,003 | — |
| Net patient revenue | $9,531,741 | $9,499,266 | $12,588,548 | $13,284,084 | $11,082,757 | $8,637,538 | $7,645,228 | $6,994,733 | $7,011,269 | $6,102,751 | $3,033,744 | $2,682,237 | $1,748,440 | — |
| Total operating expenses | $11,078,912 | $10,618,444 | $10,511,065 | $10,545,233 | $9,411,105 | $7,817,964 | $7,251,272 | $6,717,652 | $6,609,721 | $5,986,831 | $4,402,664 | $3,520,436 | $2,769,149 | — |
| Net income from service to patients | −$1,547,171 | −$1,119,178 | $2,077,483 | $2,738,851 | $1,671,652 | $819,574 | $393,956 | $277,081 | $401,548 | $115,920 | −$1,368,920 | −$838,199 | −$1,020,709 | — |
| Total other income | $2,402 | $1,345 | $9,600 | $14,829 | $1,299 | $7,968 | $27,736 | $8,988 | $3,578 | $1,873 | $13,851 | $18,146 | $4,465 | — |
| Net income after other income | −$1,544,769 | −$1,117,833 | $2,087,083 | $2,753,680 | $1,672,951 | $827,542 | $421,692 | $286,069 | $405,126 | $117,793 | −$1,355,069 | −$820,053 | −$1,016,244 | — |
| Net income | −$1,544,769 | −$1,117,833 | $2,087,083 | $2,753,680 | $1,672,951 | $827,542 | $421,692 | $286,069 | $405,126 | $117,793 | −$1,355,069 | −$820,053 | −$1,016,244 | — |
| Total facility beds, all components | 47 | 47 | 47 | 47 | 47 | 47 | 46 | 65 | 65 | 65 | 65 | 65 | 65 | — |
| Bed days available, all components | 17,202 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 682 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 11,815 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 1,433 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 13,930 | 15,083 | 15,017 | 15,697 | 16,202 | 16,477 | 16,300 | 16,094 | 15,323 | 14,904 | 11,645 | 10,988 | 7,347 | — |
| Medicare discharges | 17 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 26 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 29 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 72 | 108 | 114 | 146 | 119 | 143 | 128 | 160 | 239 | 190 | 126 | 158 | 88 | — |
| Average length of stay, Medicare, in days | 40.12 | 36.98 | 32.06 | 39.97 | 37.24 | 45.36 | 31.67 | 40.34 | 27.67 | 25.45 | 31.6 | 31.15 | — | — |
| Average length of stay, Medicaid, in days | 454.42 | 449.73 | 375.77 | 221.73 | 273.98 | 514.33 | 531.57 | 241.16 | 142.38 | 246.74 | 266.36 | 181.63 | 248.21 | — |
| Average length of stay, all patients, in days | 193.47 | 139.66 | 131.73 | 107.51 | 136.15 | 115.22 | 127.34 | 100.59 | 64.11 | 78.44 | 92.42 | 69.54 | 83.49 | — |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal year 2011.
Somerset Post Acute Care: nurse staffing hours by quarter →
Who owns Somerset Post Acute Care, as filed with CMS
Care Compare
- ADP OF THE SNF: AVOCADO HEALTH HOLDINGS LLC (organization), since 12/01/2014; ENSIGN SERVICES INC (organization), since 12/01/2014; MATTHEWS, GLENN (individual), since 07/10/2025; MICHLIN, BERNARD (individual), since 07/10/2025; STANDARD BEARER HEALTHCARE OP, LP (organization), since 12/01/2014; THE ENSIGN GROUP INC (organization), since 12/01/2014
- CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 09/01/2017
- CORPORATE OFFICER: BURNAM, SOON (individual), since 09/10/2014; KEETCH, CHAD (individual), since 03/01/2011
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 07/10/2025
- MANAGING CONTROL - GOVERNING BODY: BURNAM, SOON (individual), since 09/10/2014; MATTHEWS, GLENN (individual), since 12/01/2014; MICHLIN, BERNARD (individual), since 04/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: MATTHEWS, GLENN (individual), since 12/01/2014; MICHLIN, BERNARD (individual), since 04/01/2024; TWOMAGNETS LLC (organization), since 12/01/2014
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CLAYDELLE HEALTHCARE LLC (enrollment ID O20141216002222).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 09/10/2014
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
- ADP OF THE SNF: AVOCADO HEALTH HOLDINGS LLC (organization), since 12/01/2014; BERNARD ARON MICHLIN (individual), since 07/10/2025; ENSIGN SERVICES INC (organization), since 12/01/2014; GLENN MATTHEWS (individual), since 07/10/2025; STANDARD BEARER HEALTHCARE OP, LP (organization), since 12/01/2014; THE ENSIGN GROUP INC (organization), since 12/01/2014
- CORPORATE DIRECTOR: ADAM WILLITS (individual), 0.00%, since 09/01/2017
- CORPORATE OFFICER: CHAD KEETCH (individual), 0.00%, since 03/01/2011; SOON BURNAM (individual), 0.00%, since 09/10/2014
- MANAGING CONTROL - GOVERNING BODY: BERNARD ARON MICHLIN (individual), since 04/01/2024; GLENN MATTHEWS (individual), since 12/01/2014; SOON BURNAM (individual), since 09/10/2014
- OPERATIONAL/MANAGERIAL CONTROL: BERNARD ARON MICHLIN (individual), since 04/01/2024; GLENN MATTHEWS (individual), 0.00%, since 12/01/2014; TWOMAGNETS LLC (organization), since 12/01/2014
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE SOUTH LLC; THE ENSIGN GROUP INC; AVOCADO HEALTH HOLDINGS LLC; ENSIGN SERVICES INC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC; TWOMAGNETS LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: BERNARD ARON MICHLIN; GLENN MATTHEWS; ADAM WILLITS; CHAD KEETCH; SOON BURNAM; BERNARD ARON MICHLIN; GLENN MATTHEWS; SOON BURNAM; BERNARD ARON MICHLIN; GLENN MATTHEWS.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: CRAIG FITCH (CORPORATE OFFICER); MATTHEW FLAKE (CORPORATE OFFICER); GLENN MATTHEWS (W-2 MANAGING EMPLOYEE); first listed: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY), associated since September 10, 2014; AVOCADO HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since December 1, 2014; BERNARD ARON MICHLIN (ADP OF THE SNF), associated since July 10, 2025; BERNARD ARON MICHLIN (MANAGING CONTROL - GOVERNING BODY), associated since April 1, 2024; BERNARD ARON MICHLIN (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2024; STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF), associated since December 1, 2014; CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; GLENN MATTHEWS (ADP OF THE SNF), associated since July 10, 2025; GLENN MATTHEWS (MANAGING CONTROL - GOVERNING BODY), associated since December 1, 2014; TWOMAGNETS LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2014; ENSIGN SERVICES INC (ADP OF THE SNF), associated since December 1, 2014; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since December 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- August 21, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Oct2026.csv
Inspections of Somerset Post Acute Care
- Cycle 1: health March 13, 2025 (17 deficiencies), fire safety March 13, 2025 (8)
- Cycle 2: health March 21, 2024 (16 deficiencies), fire safety March 21, 2024 (2)
- Cycle 3: health June 23, 2022 (11 deficiencies), fire safety June 23, 2022 (5)
Deficiencies cited at Somerset Post Acute Care
44 deficiencies on file, by tag, newest citation first
every one from a health inspection; 8 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0689, quality of life and care: August 21, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2026); February 5, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected February 28, 2025).
- F 0583, resident rights: April 9, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected April 16, 2026); July 16, 2025 (E, from a complaint, Deficient, Provider has no plan of correction); March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025).
- F 0584, resident rights: January 7, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected February 5, 2026).
- F 0558, resident rights: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); March 21, 2024 (D, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0656, resident assessment and care planning: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0658, resident assessment and care planning: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); March 21, 2024 (D, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0684, quality of life and care: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0686, quality of life and care: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); March 21, 2024 (G, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0690, quality of life and care: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025).
- F 0698, quality of life and care: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025).
- F 0755, pharmacy service: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); March 21, 2024 (E, Deficient, Provider has date of correction, corrected April 19, 2024); December 8, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 28, 2023).
- F 0758, pharmacy service: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0759, pharmacy service: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); March 21, 2024 (D, Deficient, Provider has date of correction, corrected April 19, 2024); June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0761, pharmacy service: March 13, 2025 (D, Deficient, Provider has date of correction, corrected April 3, 2025); March 21, 2024 (E, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0812, nutrition and dietary: March 13, 2025 (E, Deficient, Provider has date of correction, corrected April 3, 2025); June 23, 2022 (E, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0880, infection control: March 13, 2025 (E, Deficient, Provider has date of correction, corrected April 3, 2025); June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0626, resident rights: December 13, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected January 15, 2025).
- F 0843, administration: December 13, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected January 15, 2025).
- F 0557, resident rights: March 21, 2024 (D, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0688, quality of life and care: March 21, 2024 (E, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0725, nursing and physician services: March 21, 2024 (D, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0732, nursing and physician services: March 21, 2024 (B, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0867, administration: March 21, 2024 (E, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0882, infection control: March 21, 2024 (D, Deficient, Provider has date of correction, corrected April 19, 2024).
- F 0550, resident rights: June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0604, freedom from abuse, neglect, and exploitation: June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0692, quality of life and care: June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
- F 0842, resident assessment and care planning: June 23, 2022 (D, Deficient, Provider has date of correction, corrected July 25, 2022).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 21, 2024 | Fine | $26,728 | 130478 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Somerset Post Acute Care in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: CLAYDELLE HEALTHCARE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2011-07-22
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: San Diego
- Telephone Number: 6194420245
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 42.6
- Overall Rating: 3
- Health Inspection Rating: 3
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in EL CAJON
Report a figure on Somerset Post Acute Care’s record that differs from its CMS file, quoting 555871.