Vineyard Hills Health Center
290 Heather Court, Templeton, CA 93465 · For profit - Corporation · 99 certified beds · (805) 434-3035 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- about 17% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
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
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.8% | 10.2% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.4% | 4.0% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.6% | 7.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.5% | 1.6% | 3.3% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents whose ability to walk worsened | 9.4% | 9.8% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 38.9% | 13.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 98.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.6% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.3% | 10.2% | 21.2% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.0% | 12.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.5% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 26.6% | 23.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 22.5% | 11.2% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.35 | 2.25 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.56 | 1.57 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
60.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 358 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 36.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 155 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 21% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 60.2%CMS range 56.2–65.5 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.4%CMS range 7.9–14.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 36.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 38.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 31.0% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.5% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.8%CMS range 4.3–9.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.92 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 99 beds and averages 91.9 residents a day — about 93% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.30 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.17 hrs/resident/day on weekends vs 5.18 on weekdays — 19% thinner on weekends. RN hours go from 0.35 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. 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.
16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.
- Potential for harm · Ecited before2025-06-27 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews and facility document review, the facility failed to follow the menu when: 1. Five residents (Residents 8, 13, 36, 38, 63) received mashed potatoes instead of whipped sweet potatoes when the facility ran out of whipped sweet potatoes for the lunch meal on June 24, 2025. 2. Four residents (Residents 4, 18, 57, 76) received roasted turkey that was greater than 3 ounces for the lunch meal on June 24, 2025. 3. A #6 scoop (5.33 ounces) instead of a #8 scoop (4 ounces) of the mashed potatoes and meatloaf were given to 16 residents (Residents 2, 3,11, 20, 21,29, 31,39, 41,47,62, 73, 80, 85, 341, 640) on the soft and bite diet (a texture-modified diet where foods are bite sized, soft, tender and moist with no thin liquid dripping from food) and five residents (Residents 5, 16, 22, 71, 81) on a minced and moist diet (a texture-modified diet that is soft and moist with no liquid dripping from the food and minimal chewing required) for the lunch meal on June 25, 2025. 4. Five residents (Residents 8,13,36,63) on a puree diet, (a textured-modified diet…
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.
- Potential for harm · D2025-06-27 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 inspection of the facility's Medication Storage Rooms, the facility's storage carts, and interviews with the facility's nursing staff, the facility failed to: 1. Follow the facility's policy when the Medication Storage Refrigerator was out of temperature range. 2. Follow the facility's policy when The Medication Storage Rooms and the Medication Storage Refrigerators were missing temperature checks for May and June. 3. Write the open date/expiration date on the pharmacy sticker for Resident 32's Insulin Pen located in the medication cart. 4. Indicate an open date on a blood glucose test strip container of when the container was first opened and placed in the medication cart. This failure resulted in medications not safely stored to ensure their integrity and has the potential for medication administration not to be effective. Findings: Inspection of the facility's Medication Storage Areas on 6/24/25 beginning at 11:30 a.m. and interviews with the facility's Nursing Staff revealed: 1. During a concurrent observation and interview on 6/24/25 at 11:30 a.m. with Assistant…
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.
- Potential for harm · D2025-06-27 · tag F0802 — failed to prepare enough nourishing food — isolatedProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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 staff had appropriate competencies and skill sets to carry out the functions of the food and nutrition services when one kitchen staff (Dietary Aide - DA ) did not use portion sizes when making sandwiches that were made to be given to residents as an alternate. This failure had the potential to result in residents receiving food items that did not have appropriate amounts of macro and micronutrients which could result in a decrease in nutritional status and weight loss. Findings: During a concurrent observation and interview, on 6/24/25, at 3:34 p.m., with Dietary Aide (DA) was observed making peanut butter and jelly sandwiches and tuna sandwiches. DA was spreading peanut butter with a spatula and the tuna with a spatula. The peanut butter was thinly spread on one slice of bread. No measurements for peanut butter or jelly or tuna were used. DA stated, she has worked at the facility for three months and that she is making…
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.
- Potential for harm · Dcited before2025-06-27 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
During a concurrent observation and interview on 6/24/2025, at 4:10 p.m. with LN3. observed the oxygen tubing for Resident 643 was not labeled with a date. LN3 confirmed there was no dated label on the oxygen tubing. LN3 stated, No, it's not there. During a review of the facility's policy and procedure (P&P) titled. Oxygen Procedure, undated, the P&P indicated in part, Purpose: Patients that require oxygen as ordered by a physician . The equipment will be maintained in a manner to ensure the best possible outcome for the patient. Protocol: . oxygen tubing and bag will be replaced weekly. Based on observation, interview and record review the facility failed to maintain infection control practices for three of 10 sampled residents when: 1. Oxygen tubing and nasal cannula (tubing device placed in a person's nose that delivers oxygen) was found on the floor of resident's room (Resident 55). 2. Oxygen tubing was not labeled for two residents (Resident 339 and Resident 643). These failures had the potential to transmit and spread infection to residents. Findings: 1. During an observation…
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.
- Potential for harm · Dcited before2025-06-27 · tag F0908 — failed to keep essential equipment working — isolatedKeep all essential equipment working safely.
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 maintain the walk-in freezer in safe operating condition when ice build up was present. This facility failure had the potential to affect the overall efficiency and temperature regulation within the freezer. Findings: During an observation on 06/24/2025 at 11:00 a.m., during the initial kitchen tour, of the walk-in freezer, condensation was present on the lower half of the outside of door. The baseboard, on the outside lower left, is lifted and bent. Tile flooring was cracked along baseboard. There was ice present on the floor on the left side when entering the freezer towards the back and on the lower back shelves. Ice was present on pipes near the condenser that was approximately six inches long and three inches wide at ceiling. During a review of the Registered Dietitian (RD) sanitation audits, dated January 2025 through June 2025 documented the following issues: January, February and March: torn freezer seal, ice buildup inside the freezer, and threshold in freezer loose. April: freezer gasket replaced,…
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.
- Potential for harm · D2025-06-27 · tag F0947 — failed to train nurse aides adequately — isolatedEnsure 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 — the official record, unedited, may be distressing
Based on interview and record review the facility failed to ensure that one certified nursing assistant (CNA1) received 12 hours of annual in-service which included dementia management as well as abuse prevention training and reporting. This failure had the potential to affect the quality of care and services provided to the residents. Findings: During a concurrent interview and record review on 6/26/25 at 4:09 p.m. with the Director of Staff Development (DSD), CNA1's Individual In-service Attendance Record was reviewed. The record indicated that CNA1 worked at the facility in 2023, 2024, and 2025, and is still employed at the facility, CNA1 did not attend 12 hours of in-services training that included dementia management as well as abuse prevention and reporting for the year of 2024. The DSD acknowledged and confirmed that CNA1 did not receive 12 hours of in-service training for the year of 2024.
- Potential for harm · E2024-06-06 · tag F0644 — patternCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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, record review, and facility policy review, the facility failed to submit a new preadmission screening and resident review (PASARR) level I screening when required for 2 (Resident #41 and Resident #45) of 4 sample residents reviewed for PASARRs. Findings included: An undated facility policy titled, PASARR Screening for MD [mental disorder] and ID [intellectual disorder], indicated, [Name] facilities do not admit any new resident with mental illness or mental retardation unless the State Menal Health Authority has determined that the individual requires the level of services provided by [name] facilities. This determination shall be based on an independent physical and mental evaluation of the resident. 1. A Face Sheet revealed the facility admitted Resident #45 on 01/04/2021. According to the Face Sheet, the resident had a medical history that included diagnoses of dementia, psychosis, and anxiety. A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/13/2024,…
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.
- Potential for harm · E2024-06-06 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and facility policy review, the facility failed to ensure the Pharmacist reported medication regimen irregularities to the physician for the extended use of as needed psychotropic medication for 5 (Residents #43, #45, #49, #54, and #115) of 6 sampled residents reviewed for unnecessary medications. Findings included: An undated facility policy titled Drug Regimen Review, Report Irregular, Act On revealed, The consultant pharmacist must devote sufficient number of hours during a regular scheduled visit, for the purpose of coordinating, supervising and reviewing the pharmaceutical services and review the drug regimen of each resident at least monthly. The review must include a review of the resident's medical chart. A report is made to each resident's attending physician and the facility's Medical Director and the Director of Nursing of any irregularities identified by the consultant and these reports must be acted upon. 1. A Face Sheet revealed the facility admitted Resident #43 on 12/16/2021. According to the Face Sheet, the resident had a medical…
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.
- Potential for harm · E2024-06-06 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and facility policy review, the facility failed to ensure as needed psychotropic medication was not ordered for more 14 days for 5 (Residents #43, #45, #49, #54, and #115) of 6 sampled residents reviewed for unnecessary medications. Specifically, Residents #43, #45, #49, #54, and #115 had physician orders for as needed lorazepam (Ativan), an antianxiety medication, with no indicated duration/stop date. Findings included: An undated facility policy titled, Drug Regimen is Free From Unnecessary Drugs/ Free from unnecessary Psychotropic Meds [medications]/ PRN [pro re nata, which meant an needed] Use, indicated, Each resident's drug regimen is free from unnecessary drugs. Drugs shall not be used in excessive doses, duplicate drug, for excessive duration, without adequate indication for use of the drugs, without adequate monitoring or in the presence of adverse consequences. The policy specified, Attending physician or prescribing practitioner should document the rationale for the extended time period in the medical record and indicate a specific…
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.
- Potential for harm · Ecited before2024-06-06 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and facility policy review, the facility failed to ensure enhance barrier precautions (EBP) were implemented for 1 (Resident #40) of 2 sampled residents reviewed for urinary catheters and 2 (Resident #1 and Resident #117) of 2 sampled residents reviewed for pressure ulcer/injury. The facility further failed to ensure catheter tubing and a resident's genital area were cleaned during the provision of catheter care for 1 (Resident #40) of 2 sampled residents reviewed for urinary catheters. Findings included: A facility policy titled, Enhanced Barrier Precautions, revised in 08/2022, indicated, Enhanced barrier precautions (EBPs) re utilized to prevent the spread of multi-drug resistant organisms to residents. Policy Interpretation and Implementation 1. Enhanced barrier precautions are used as in infection prevention and control intervention to reduce the spread of multi-drug resistant organisms to residents. 2. EBPs employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise…
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.
Show the remaining 6 citations
- Potential for harm · D2024-06-06 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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, record review, and review of the facility policy, the facility failed to ensure the Ombudsman was notified when residents transferred to the hospital for 1 (Resident #63) of 1 sampled resident reviewed for hospitalization. Findings included: An undated facility policy titled Notice Requirements Before Transfer/Discharge, revealed Before a resident is transferred or discharged , [name] will notify the resident, and representative(s) of the transfer or discharge. This notice shall be in a language and manner they understand. A copy of the notice shall be sent to the Office of the State Long-Term Care Ombudsman. This notice shall be in writing and shall include the reason for transfer. Per the policy, In the above situations, notice will be made as soon as practical before transfer or discharge. An Face Sheet revealed the facility admitted Resident #63 on 03/01/2024. According to the Face Sheet, the resident had a medical history that included diagnoses of sepsis and alcoholic liver disease. An…
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.
- Potential for harm · D2024-06-06 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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, record review, and facility policy review, the facility failed to ensure a preadmission screening and resident review (PASARR) level I screening was accurate upon admission to the facility for 1 (Resident #41) of 4 sampled residents reviewed for PASARRs. Findings included: An undated facility policy titled, PASARR Screening for MD [mental disorder] and ID [intellectual disorder], indicated, [Name] facilities do not admit any new resident with mental illness or mental retardation unless the State Menal Health Authority has determined that the individual requires the level of services provided by [name] facilities. This determination shall be based on an independent physical and mental evaluation of the resident. A Face Sheet revealed the facility admitted Resident #41 on 05/14/2020. According to the Face Sheet, the resident had a medical history that included diagnoses of major depressive disorder, anxiety, and psychosis. A quarterly Minimum Data Set (MDS), with an Assessment Reference Date…
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.
- Potential for harm · D2023-12-13 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure 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 staff followed policy and procedure for reporting a change of condition to the physician for one of two sampled residents (Resident 1) . This facility failure resulted in delay of care for Resident 1. Findings: During a record review of Resident 1's Physical Therapy Progress Note, dated 9/25/23. The Physical Therapy Progress Note indicated, Resident 1 had diagnoses including, fracture (broken bone) of unspecified part of neck of left femur (thigh bone), subsequent encounter for closed fracture with routine healing, history of falling, chronic pain syndrome, cerebral infarction (occurs as a result of disrupted blood flow to the brain), and difficulty in walking. During an interview on 11/16/23 at 12:13 p.m. with Physical Therapist (PT 1), PT 1 stated she told licensed nurse (LN 1) that she wasn't getting Resident 1 up today (10/31/23) because something was wrong and she thought Resident 1 should have an x-ray. PT 1 stated LN 1 told her that LN 1 would notify the MD to get an x-ray. During a concurrent interview 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.
- Potential for harm · F2021-06-10 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 observations, interviews, and facility document review, the facility failed to ensure food and ice were stored and served, and dishes and utensils were cleaned according to standards for food service safety when: 1. An ice machine was not kept in a sanitary condition putting residents at risk for foodborne illness. 2. A kitchen aid had long painted fingernails with no gloves while handling uncovered plates of food during meal service. 3. A potentially hazardous food capable of supporting bacterial growth associated with foodborne illness was not logged for proper cool down. 4. Dish machine water temperatures were low on several occasions. These failures had the potential to cause the growth of microorganisms and foodborne illness in a medically vulnerable resident population who consumed food at the facility. The facility census was 58. Findings: 1. During an observation on 6/8/21 at 10:53 a.m. of the ice machine in the kitchen in the presence of the Maintenance Supervisor (MS). MS removed the cover of the ice machine. Surveyor noted a pink substance along the bottom edge…
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.
- Potential for harm · Ecited before2021-06-10 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and facility document review, the facility failed to ensure the menus were followed when: 1) four residents (Resident #31, 1, 556, 357) on mechanical soft ground diet; 2) one resident (Resident #52) on a mechanical soft chopped diet; 3) two residents (Resident #356, 506) on a cut meat diet; and 4) two residents (Resident #55, 508) on a puree diet (diets with modified texture for people who have difficulty chewing or swallowing); did not receive the correct portion sizes of foods. This failure had the potential to result in not meeting the nutritional needs thus further compromising the medical status of the residents. Findings: During a review of the facility menu titled VHHC - Fall/Winter, 2020-2021 Diet Spreadsheet Cycle Day 23, indicated the serving size at lunch for Ham for the pureed and MS Grnd Meat (Mechanical Soft Ground Meat) diet was a #8 scoop (1/2 cup), for regular was 3 ounces, and for MS Chop Meat (Mechanical Soft Chopped Meats) was bites with no specified scoop size. During the observation of lunch meal service in the presence of…
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.
- Potential for harm · Dcited before2021-06-10 · tag F0908 — failed to keep essential equipment working — isolatedKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of facility documents, the facility failed to ensure the walk-in freezer was maintained in safe operating condition when ice was built up in the freezer. Findings: During an observation on 6/7/21 starting at 8:58 a.m., during the initial tour of the kitchen, surveyors noted ice build-up in the walk-in freezer on the vent above the door, in the door frame, and dripping from a pipe inside the freezer near the ceiling. On 06/08/21 03:08 p.m. ice build-up observed in same areas of walk-in freezer and when surveyors pointed it out to [NAME] 2, [NAME] 2 stated he was not aware of the ice in the walk in freezer and had not noticed it until surveyors pointed it out. On 06/08/21 03:10 p.m. during an interview with RD 1, she stated she was not sure how often the ice build-up occurs in the freezer but that it happens from time to time. During an interview on 06/09/21 at 9:18 a.m. with Kitchen Supervisor (KS), in presence of Registered Dietitian 1 (RD 1) and Registered Dietitian 2 (RD 2), KS indicated ice can build up in the freezer during defrost…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to COMPASS HEALTH, INC. — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 5.0 | ≈ chain avg |
| Health inspection | 5 of 5 | 5.0 | ≈ chain avg |
| Staffing | 4 of 5 | 3.7 | +0.3 vs chain |
| Quality measures | 4 of 5 | 4.7 | -0.7 vs chain |
The other 6 homes this chain runs (chain average 5.0★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| COASTAL LLC | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/1996 |
| COMPASS HEALTH INC | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/1996 |
| MARK AND PATRICIA WOOLPERT LIVING TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47% | since 08/25/2021 |
| COMPASS HOLDINGS INC | Organization | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 01/01/2008 |
| GERRISH, NANCY | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 08/25/2021 |
| GERRISH, WILLIAM | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 08/25/2021 |
| HAMILTON, AMY | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/18/2005 |
| HODGE, TIMOTHY | Individual | INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2004 |
| MCMULLEN, JUANITA | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 08/25/2021 |
| MOYA, MARIE | Individual | INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/22/2010 |
| SMITH, DARREN | Individual | INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/14/2019 |
| WOOLPERT, MARCY | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2021 |
| WOOLPERT, MARK | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 08/25/2021 |
| WOOLPERT, PATRICIA | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 08/25/2021 |
| WOOLPERT, PATRICK | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/14/2019 |
| ALEXANDER, LACEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/09/2008 |
| GOSSELIN, DEAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/01/2019 |
| PARZYCH, KEVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/20/2025 |
| CARDER, HAROLD | Individual | GENERAL PARTNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST | — | since 08/25/2021 |
| DORIA, JACK | Individual | GENERAL PARTNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST | — | since 08/25/2020 |
| LOCHRIDGE, VALLETTA | Individual | GENERAL PARTNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST | — | since 08/25/2021 |
CMS files one row per role, so the 53 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners 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.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the California Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 555220. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-27, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.