PACIFIC COAST MANOR
PACIFIC COAST MANOR, in CAPITOLA, California, holds 99 certified beds and has been certified for Medicare and Medicaid since 1969-04-01, averaging 96.1 residents a day.
Has PACIFIC COAST MANOR been cited for violations?
CMS lists 27 health-inspection deficiencies for PACIFIC COAST MANOR since 2019-12-05, 8 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-04-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-04-02 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-02-20 | F0644, F0761 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. | D |
| 2024-08-02 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2024-08-01 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D |
| 2024-05-09 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-12-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-09-11 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2023-06-16 | F0725, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | E |
| 2023-06-16 | F0552, F0640, F0644, F0658, F0689, F0700, F0755, F0758, F0761, F0813, F0909 | Ensure that residents are fully informed and understand their health status, care and treatments. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D |
| 2019-12-05 | F0558, F0658, F0686, F0757, F0761, F0812 | Reasonably accommodate the needs and preferences of each resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
How is PACIFIC COAST MANOR staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.39462 | 4.51570 |
| Total nursing staff turnover (%) | 49.6 | 36.7 |
| Average number of residents per day | 96.1 | 87.9 |
Who owns PACIFIC COAST MANOR, and what chain is it in?
PACIFIC COAST MANOR is registered with CMS as For profit - Limited Liability company, operates under the legal business name COVENANT CARE CAPITOLA, LLC and belongs to the COVENANT CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | COVENANT CARE CALIFORNIA, LLC | since 06/01/2004 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CENTRE CAPITAL INVESTORS V, LP, CENTRE COVENANT PURCHASER (B), LLC, CENTRE COVENANT PURCHASER (Q), LLC, CENTRE COVENANT PURCHASER (S), LLC, CENTRE V SECONDARY FUND, L.P., COVENANT CARE, LLC, COVENANT HOLDCO, LLC, COVENANT SUBCO, LLC, STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS, STOCKWELL FUND II LP, EVANS, MARY, LEVIN, ROBERT, SIMS, CHRISTINE, TOROK, ANDREW | since 07/17/2008 |
| 5% OR GREATER SECURITY INTEREST | MIDCAP FUNDING IV TRUST | since 02/20/2014 |
| CORPORATE OFFICER | ASHLEY, DAVA, CARNEY, KEVIN, EVANS, MARY, LEVIN, ROBERT, SIMS, CHRISTINE, TOROK, ANDREW | since 05/07/2018 |
| OPERATIONAL/MANAGERIAL CONTROL | ASHLEY, DAVA, EVANS, MARY, LEVIN, ROBERT, SIMS, CHRISTINE, SPARKS, CAROL | since 03/26/2018 |