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OCEANVIEW POST ACUTE Inspection Report, Violations & Safety Grade (PACIFIC GROVE, California)

200 LIGHTHOUSE AVENUE, PACIFIC GROVE, California 93950

Phone: 8313752695

CMS Overall:4/5

Overview & Bed Count

Certified Beds
51
Avg Residents/Day
48.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Monterey
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.640.68-0.04
Total Nurse Hours per Resident per Day4.054.54-0.49
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover38.5%36.6%-

Health Citation History

47 health citations on record

DateCategoryDescriptionSeverity
2025-12-12Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E – Moderate Harm Potential
2025-12-12Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-12-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-12-12Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E – Moderate Harm Potential
2025-12-12Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2025-12-12Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-12-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-12-12Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2025-12-12Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B – Minimal Harm Potential
2025-09-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-11Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2025-04-04Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2024-10-02Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.D – Moderate Harm Potential
2024-10-02Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2024-08-28Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyD – Moderate Harm Potential
2024-08-28Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-08-14Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.D – Moderate Harm Potential
2024-08-14Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-08-05Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2024-05-24Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2024-05-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-05-24Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.E – Moderate Harm Potential
2024-05-24Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-05-24Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2024-05-24Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D – Moderate Harm Potential
2024-05-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-05-24Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-05-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-24Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B – Minimal Harm Potential
2024-03-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2022-06-10Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2022-06-10Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2022-06-10Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2022-06-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-06-10Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2022-06-10Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2022-06-10Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2022-06-10Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-06-10Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2022-06-10Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2022-06-10Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2022-06-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2022-06-10Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2022-06-10Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2022-06-10Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2022-06-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-06-10Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B – Minimal Harm Potential

Fire Safety Citation History

24 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-12Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2025-12-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-12-12Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-12-12Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2025-12-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-02-25Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2024-05-24Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-05-24Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.F – Moderate Harm Potential
2024-05-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-05-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.F – Moderate Harm Potential
2024-05-24Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2024-05-24Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2024-05-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-05-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-05-24Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2022-06-10Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2022-06-10Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2022-06-10Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2022-06-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2022-06-10Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2022-06-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2022-06-10Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2022-06-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2022-06-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-03-20Payment Denial-8 days starting 2024-04-18

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