Arbor Hills Nursing Center
A nursing home in La Mesa, California 91942
7800 Parkway Drive, La Mesa, California 91942. (619) 460-2330.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 6 health citations at the latest inspection cycle California average: 15.7
- 4.12 nurse hours per resident per day California average: 4.54
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
6 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Feb 12, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Nov 1, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
28 citations in 7 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 28 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 12, 2026: standard inspection6 citations
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Observe each nurse aide’s job performance and give regular training.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Apr 10, 2025: complaint inspection1 citation
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Mar 18, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 1, 2024: standard inspection16 citations
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide care or services that was trauma informed and/or culturally competent.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Implement 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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide and implement an infection prevention and control program.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Nov 1, 2024: standard and complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 14, 2024: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 20, 2024: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 9, 2024: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 1, 1978.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 100 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $12,831 in all.
- No Medicare payment denials in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 1, 2024 | Fine | $12,831 |
Who does the caring?
4.12 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 4.12 | 4.54 |
| Of which registered nurses | 0.67 | 0.68 |
| At weekends | 3.65 | 4.10 |
| Nursing staff turnover | 45.3% | 36.6% |
| Registered nurse turnover | 40% | 37.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Life Generations Healthcare, LLC owns 100% directly since Feb 1, 1998.
- Life Generations Healthcare, LLC runs it.
- 8 owners or officers are people: Thomas Olds (owns 5% or more directly, 78.13%); Fred Smith (owns 5% or more through other companies, 12.69%); Lois A Mastrocola (owns 5% or more directly, 9.18%); Lois A Mastrocola (corporate officer); Lois A Mastrocola (corporate director); Lois A Mastrocola (managing employee (on the payroll)); Thomas Olds (corporate officer); Thomas Olds (corporate director).
- Part of Generations Healthcare (27 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Life Generations Healthcare, LLC | Owns 5% or more directly | 100% | Feb 1, 1998 |
| Life Generations Healthcare, LLC | Runs it (operational or managerial control) | Feb 1, 1998 | |
| Bmo Bank, N.A. | Holds 5% or more security interest | Sep 20, 2023 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 2.7 miles, this one had the 10th most health citations at the latest inspection cycle (6; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Arbor Hills Nursing Center This nursing home | 6 | |
| Parkway Hills Nursing & Rehabilitation | 0.0 | 16 |
| Country Manor La Mesa Healthcare Center | 0.6 | 9 |
| Grossmont Gardens Healthcare Center | 0.6 | Not given |
| Grossmont Hospital D/P SNF | 1.2 | 5 |
| Community Care Center | 1.2 | 11 |
| Grossmont Post Acute Care | 1.3 | 9 |
| Lemon Grove Care and Rehabilitation Center | 1.9 | 24 |
| La Mesa Healthcare Center | 2.0 | 11 |
| Brighton Place Spring Valley | 2.3 | 13 |
| Amaya Springs Health Care Center | 2.7 | 8 |
| Bella Vista Health Center | 2.7 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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