Arroyo Grande, CA

Arroyo Grande Care Center

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1212 Farroll Avenue, Arroyo Grande, CA

(805) 489-8137

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

86

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Compass Health, Inc.

Operator or chain grouping

Approved since

1995-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing

LPN hours / resident day

1.06

Licensed practical nurse staffing

Aide hours / resident day

3.02

Nurse aide staffing

Weekend hours

3.72

Weekend nurse staffing

RN turnover

17%

Annual RN turnover

Total nurse turnover

17%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
2.3
1.4 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.6
0.2 pts worse
1.8
About the same
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.9%
1.6%
0.3 pts worse
3.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
6.8%
6.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
4.1%
1.2 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.1%
13.7%
1.4 pts worse
19.6%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.2%
14.2%
1 pts worse
16.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 3.7%
11.0%
7.3 pts better
16.3%
12.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 2.8%
10.7%
7.9 pts better
14.9%
12.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.0%
1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 0.3%
10.9%
10.6 pts better
19.8%
19.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
4.7%
4.7 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.9%
11.2%
8.7 pts worse
12.0%
7.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.5%
0.6 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.4%
93.2%
6.2 pts better
79.7%
19.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.7%
23.2%
7.5 pts worse
23.9%
6.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2024-06-27

3 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-06-27 · Fire 2021-08-12

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2021-08-12 · Fire 2019-10-10

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-27

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-08-06

E · Potential for more than minimal harm 2024-06-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-06

D · Potential for more than minimal harm 2024-06-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-06

D · Potential for more than minimal harm 2024-06-27

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-08-06

D · Potential for more than minimal harm 2021-08-12

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-08-23

D · Potential for more than minimal harm 2021-08-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-08-23

D · Potential for more than minimal harm 2021-08-12

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2021-08-23

D · Potential for more than minimal harm 2021-08-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-08-23

D · Potential for more than minimal harm 2021-08-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-08-23

E · Potential for more than minimal harm 2019-10-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-10-10

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-10-10

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-10-10

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-11-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-24

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-08-24

D · Potential for more than minimal harm 2025-07-24

F803 · Nutrition and Dietary Deficiencies

Health

Ensure 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.

Corrected 2025-08-24

D · Potential for more than minimal harm 2025-07-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-24

D · Potential for more than minimal harm 2025-02-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-03-09

D · Potential for more than minimal harm 2023-09-11

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2023-09-19

F · Potential for more than minimal harm 2021-08-12

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-08-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-08-12

E · Potential for more than minimal harm 2021-08-12

F803 · Nutrition and Dietary Deficiencies

Health

Ensure 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.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-08-12

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-08-12

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-08-12

Penalties and ownership

What sits behind the stars

Ownership

Woolpert, Mark

5% Or Greater Indirect Ownership Interest · Individual

24% 7 facilities 1997-07-07
Woolpert, Patricia

5% Or Greater Indirect Ownership Interest · Individual

24% 7 facilities 1979-07-07
Smith, Darren

5% Or Greater Indirect Ownership Interest · Individual

18% 7 facilities 2008-09-26
Mcmullen, Juanita

5% Or Greater Indirect Ownership Interest · Individual

10% 7 facilities 1997-07-07
Gerrish, Nancy

5% Or Greater Indirect Ownership Interest · Individual

5% 7 facilities 2005-01-01
Gerrish, William

5% Or Greater Indirect Ownership Interest · Individual

5% 7 facilities 2005-01-01
Alexander, Lacey

Operational/Managerial Control · Individual

0% 4 facilities 2006-04-09
Carder, Harold

Operational/Managerial Control · Individual

0% 1 facilities 2014-01-01
Compass Health Inc

5% Or Greater Direct Ownership Interest · Organization

0% 7 facilities 2007-11-19
Compass Health Inc

Operational/Managerial Control · Organization

0% 7 facilities 2007-11-19
Compass Holdings Inc

5% Or Greater Direct Ownership Interest · Organization

0% 7 facilities 2008-01-01
Downey, Susan

Operational/Managerial Control · Individual

0% 5 facilities 2018-10-31
Hamilton, Amy

Operational/Managerial Control · Individual

0% 4 facilities 2005-07-18
Hodge, Timothy

Operational/Managerial Control · Individual

0% 7 facilities 2024-04-23
Hodge, Timothy

Corporate Officer · Individual

0% 7 facilities 2004-04-23
Moya, Marie

Operational/Managerial Control · Individual

0% 7 facilities 2010-07-22
Moya, Marie

Corporate Director · Individual

0% 7 facilities 2019-03-14
Moya, Marie

Corporate Officer · Individual

0% 7 facilities 2010-07-22
Smith, Darren

Operational/Managerial Control · Individual

0% 7 facilities 2019-12-31
Smith, Darren

Corporate Director · Individual

0% 7 facilities 2019-03-14
Smith, Darren

Corporate Officer · Individual

0% 7 facilities 2008-09-26
Woolpert, Marcy

Operational/Managerial Control · Individual

0% 4 facilities 2021-01-01
Woolpert, Patrick

Operational/Managerial Control · Individual

0% 7 facilities 2019-03-14
Woolpert, Patrick

Corporate Director · Individual

0% 7 facilities 2019-03-14

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