Catalina Island Health

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below; CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Fcited before2026-06-11 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to submit complete and verifiable Payroll-Based Journal ([PBJ] a mandatory, auditable data system used by the Centers for Medicare & Medicaid Services {CMS}) staffing data to CMS for quarter 2 of 2026 (1/1/2026, through 3/31/2026).The facility's failure to submit required staffing information had the potential to affect CMS oversight of nursing staffing levels and the facility's ability to demonstrate compliance with federal staffing reporting requirements, which could impact the care and services provided to residents.Findings:During a review of the facility's PBJ staffing data report dated 06/05/2026, the PBJ staffing data report indicated no staffing data had been submitted to CMS for quarter 2 of 2026 (1/1/2026, through 3/31/2026).During an interview on 06/10/2026, at 8:48 a.m., with the Director of Nursing (DON), the DON stated many of the facility's nursing staff were agency/travel personnel. The DON stated the facility needed to integrate traveler staffing information into the payroll system and upload the information…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store food in a safe and sanitary manner. The facility had four residents receiving an oral diet. The facility failed to:1.Ensure open bags of frozen french fries and frozen ravioli were labeled with open dates.2.Ensure open containers of hot sauce, ground white pepper, dash original seasoning, chili powder, cayenne pepper, corn tortillas, white bread, dry pasta, cheese and garlic croutons, vanilla wafers, and shortbread cookies were labeled with open dates.3.Ensure an open container of liquid whole eggs and a clear plastic tub of peaches stored in the refrigerator were labeled with open dates.These failures had the potential to place residents at risk for developing foodborne illnesses (illnesses resulting from eating contaminated or spoiled foods) and could reduce the quality of food served in the facility.Findings:During a concurrent initial kitchen observation and interview on 6/09/2026 at 9:10 a.m. with the Dietary Supervisor (DS), multiple open food items in the dry storage area, refrigerator, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure the Ombudsman (an advocate for residents of nursing homes, board and care centers, and assisted living facilities) was notified for one of four sampled residents (Resident 4) who was hospitalized on [DATE].This failure violated the rights of Resident 4 by not notifying the Ombudsman to ensure Resident 4's discharge was safe and appropriate.Findings:During a review of Resident 4's admission Record, the admission Record indicated, Resident 4 was admitted to the facility on [DATE] and readmitted on [DATE]. Resident 4 had a diagnosis including hypertension (high blood pressure), myocardial infarction (heart attack) and angina (chest pain).During a review of Resident 4's History and Physical (H&P), dated 5/17/26, the H&P indicated, Resident 4 did have the capacity to understand and make decisions.During a review of Resident 4's Minimum Data Set ( MDS-resident assessment tool) dated 6/9/26, the MDS indicated, Resident 4's cognition…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-11 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure annual performance evaluations were conducted for three sampled staff members Certified Nursing Assistant (CNA 1, CNA 2, CNA 3) and one Licensed Vocational Nurse (LVN 2).This deficient practice had the potential to affect the facility's ability to assess staff performance, identify training needs, and ensure staff competency in providing quality care to residents.Findings:During a concurrent interview and record review on 6/10/2026 at 11:28 a.m., with the Director of Human Resources (DHR), personnel files were reviewed for the following employees:CNA 1 - Hire date: 8/21/2017CNA 2 - Hire date: 12/4/1997CNA 3 - Hire date: 7/2023 and rehired 05/01/2025LVN 2 - Hire date: 4/20/2024Personnel records indicated all four employees lacked documented annual performance evaluations for calendar years 2024 and 2025.The DHR stated she had been in her position for approximately two months and had recently realized the importance of ensuring employee performance evaluations were completed annually.During an interview on 06/10/2026…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure medications and biologicals (group of medications) were properly labeled and stored in the medication storage rooms. The facility failed to:1.Ensure three open packages of house supply albuterol sulfate inhalation solution (breathing treatment), not assigned to a specific resident, were labeled with an open date while stored in a cupboard.2.Ensure the medication room refrigerator functioned properly, as ice buildup was observed on the back wall of the refrigerator and multiple boxes of insulin (used to control blood sugar) and tetanus vaccines (used to protect against bacterial infections) were stored in a pool of standing water inside the refrigerator.These failures had the potential to result in decreased medication potency, ineffective treatment, and adverse health outcomes for residents who rely on properly stored medications and biologicals.Findings:During an observation on 6/09/2026 at 3:23 p.m. in the medication storage room, observed three open packages of albuterol sulfate inhalation solution…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-11 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility's Quality Assessment and Assurance (QAA-ongoing, facility-wide management process used to monitor clinical and administrative services, to ensure resident care meets established standards) Committee failed to provide effective oversight and monitoring to ensure sustained compliance with the facility's Plan of Correction (POC) for deficiencies cited during the previous recertification survey. Specifically, the QAA Committee failed to identify, monitor, and implement corrective actions to prevent the recurrence of deficiencies related to Payroll-Based Journal (PBJ- a mandatory, auditable data system used by the Centers for Medicare & Medicaid Services [CMS]) reporting, nurse aide performance reviews, and food labeling and storage practices.This deficient practice resulted in repeat deficiencies in the same areas during the current recertification survey.Findings:During a review of the facility's Statement of Deficiencies from the 2025 recertification survey revealed citations related to PBJ reporting, nurse aide performance reviews,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0947 — failed to train nurse aides adequately — isolated
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to ensure Certified Nurse Assistants (CNAs) completed a minimum of 12 hours of annual in-service education for CNA 1, CNA 2, and CNA 3.This failure to provide the required annual in-service training has the potential to affect the CNAs' knowledge, skills, and competence in providing safe and effective care to residents.Findings:During a review of employee training records conducted on 06/10/2026 at 11:28 a.m., with the Director of Human Resources (DHR) and License Vocational Nurse (LVN 1), the records indicated CNA 1, CNA 2, and CNA 3 had not completed the required 12 hours of annual in-service training for the review period.During a concurrent interview and record review on 06/10/2026 at 1:12 p.m., with the Director of Nursing (DON) reviewed the training records for CNA 1, CNA 2, and CNA 3. The DON stated CNA 1, CNA 2, and CNA 3 had not completed the required 12 hours of annual in service education. The DON stated annual in service training was required to ensure staff maintained competency and provided safe, quality care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-05-08 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to submit Payroll Based Journal (PBJ- auditable and verifiable staffing data from nursing facilities) staffing data to the Centers for Medicare & Medicaid Services (CMS). This failure had the potential to affect the care and services of the residents. Findings: During a review of the facility's PBJ staffing data report dated 5/2/2025, the PBJ indicated that no data had been reported for the month October 1 through December 31. During an interview on 5/8/25 at 8:51 a.m., with the Director of Nursing (DON), the DON stated the facility updated their firewall ( a physical structure or network security system designed to prevent the spread of unauthorized access) year 2024. The DON stated that it might be the reason why staffing data was not transmitted to CMS. The DON stated she will work on finding the data. During a review of the facility's policy and procedure (P&P) titled Reporting Direct Care Staffing Information (Payroll-Based Journal) dated 11/26/2022 indicated Direct care staffing information is reported electronically to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-08 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure annual skills competencies (a measurable pattern of knowledge, skills, abilities, behaviors, and other characteristics in performing that an individual need to perform work roles or occupational functions successfully) were completed for four facility staff (Certified Nursing Assists (CNA) CNA 1, CNA 2, Licensed Vocational Nurse (LVN), LVN 1 and Registered Nurse (RN), RN 3). This deficient practice had the potential for the facility not to be able to assess the skills necessary to provide nursing services to assure resident safety and to ensure facility staff will be performed within the acceptable standards of practice. Findings: During a concurrent interview and record review on 5/7/2025 at 1:33 p.m. with Human Resources (HR) reviewed CNA 1, CNA 2, LVN 1 and RN 3's employee files. HR stated that CNA1 was hired on 12/4/1997, CNA 2 was hired on 6/12/2017, LVN 1 was hired on 2/4/2024 and RN 3 was hired on 11/15/2022. HR stated no annual skills competency for 2024 or 2025 were found for CNA1, CNA 2, LVN 1 and RN 3. HR…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-08 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure two of two sampled residents (Resident 1 and Resident 2) were free of unnecessary medicines by failing to: 1. Monitor adverse effects of Aspirin( medicine used to reduce pain, fever and help prevent blood clots by thinning out the blood) for Resident 1. 2.Ensure behavior monitoring was done for the use of Lexapro ( medication used to treat depression) for Resident 2. These failures had the potential to result in Resident 1 and Resident 2 developing an adverse reaction ( unwanted and undesirable effects ) to the medications unrecognized and not identified by staff. Findings: 1. During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was originally admitted to the facility on [DATE] and was readmitted on [DATE] with diagnoses including dementia (a progressive state of decline in mental abilities), anemia (a condition where the body does not have enough healthy red blood cells) chronic atrial fibrillation(…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in CA