Cycle 1
Health 2024-09-13 · Fire 2024-09-13
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Pacific Grove, CA
Canterbury Woods
5-star overall rating with 4-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
651 Sinex Avenue, Pacific Grove, CA
(831) 373-3111
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
18
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Front Porch
Operator or chain grouping
Approved since
1972-11-09
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
9 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.12
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.51
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.39
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.02
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.63
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
5.24
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
5.73
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
842
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.06
Composite VBP score used to determine payment impact.
Payment multiplier
1.0179
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.01
Baseline 19.88% · Performance 19.11% · Measure score 5.01 · Achievement 5.01 · Improvement 2.20
Healthcare-associated infections
3.90
Baseline 5.98% · Performance 6.67% · Measure score 3.90 · Achievement 3.90 · Improvement 0
Total nurse turnover
10
Baseline 37.50% · Performance 10.71% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.04% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 5.56% · Lower 95% interval 6.14% |
| Discharge to community | 61.96% |
50.57%
11.4 pts better
|
Better than the National Rate · Eligible stays 151 · Observed rate 58.28% · Lower 95% interval 53.15% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 109 · Denominator 109 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 109 |
| Discharge self-care score | 65.67% |
53.69%
12 pts better
|
Numerator 44 · Denominator 67 |
| Discharge mobility score | 73.13% |
50.94%
22.2 pts better
|
Numerator 49 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 0.92% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 109 · Adjusted rate 1.14% |
| Healthcare-associated infections requiring hospitalization | 6.67% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 5% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 46.88% |
8.2%
38.7 pts better
|
Numerator 15 · Denominator 32 |
| Staff flu vaccination coverage | 51.35% |
42%
9.4 pts better
|
Numerator 19 · Denominator 37 |
| Discharge function score | 73.13% |
56.45%
16.7 pts better
|
Numerator 49 · Denominator 67 |
| Transfer of health information to provider | 98.65% |
95.95%
2.7 pts better
|
Numerator 73 · Denominator 74 |
| Transfer of health information to patient | 96.55% |
96.28%
0.3 pts better
|
Numerator 28 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 47.3% |
25.2%
22.1 pts better
|
Numerator 35 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.0% |
6.8%
1.2 pts worse
|
11.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.0% |
| 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 · 4Q avg 0.0% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
10.9%
1.6 pts worse
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
94.0%
5.1 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 100.0% · Q4 97.6% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
11.2%
3.6 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.4% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
93.2%
4.6 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.8% |
23.2%
11.6 pts worse
|
23.9%
10.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.8% · Observed 28.2% · Expected 19.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-21 · Fire 2023-07-21
12 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2020-02-11 · Fire 2020-02-11
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-11-24
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-12-16
F · Potential for more than minimal harm
2025-11-24
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-12-16
F · Potential for more than minimal harm
2024-09-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-29
F · Potential for more than minimal harm
2024-09-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-29
E · Potential for more than minimal harm
2024-09-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-29
E · Potential for more than minimal harm
2023-07-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-09
E · Potential for more than minimal harm
2023-07-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-09
E · Potential for more than minimal harm
2023-07-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-09
E · Potential for more than minimal harm
2023-07-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-21
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-08-09
C · Minimal harm
2023-07-21
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-08-09
E · Potential for more than minimal harm
2020-02-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-09-01
E · Potential for more than minimal harm
2020-02-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-09-01
E · Potential for more than minimal harm
2020-02-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-09-01
D · Potential for more than minimal harm
2020-02-11
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2020-09-01
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-09-13
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-27
E · Potential for more than minimal harm
2024-09-13
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-09-13
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-09-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-09-13
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-09-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-09-13
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 2024-09-27
D · Potential for more than minimal harm
2024-09-13
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 2024-09-27
D · Potential for more than minimal harm
2024-09-13
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 2024-09-27
D · Potential for more than minimal harm
2024-09-13
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-09-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-27
F · Potential for more than minimal harm
2023-07-21
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-08-11
F · Potential for more than minimal harm
2023-07-21
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 2023-08-11
E · Potential for more than minimal harm
2023-07-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
E · Potential for more than minimal harm
2023-07-21
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-08-11
E · Potential for more than minimal harm
2023-07-21
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 2023-08-11
E · Potential for more than minimal harm
2023-07-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-07-21
F584 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-07-21
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-07-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-07-21
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-07-21
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-07-21
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 2023-08-11
E · Potential for more than minimal harm
2020-02-11
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 2020-02-27
D · Potential for more than minimal harm
2020-02-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-27
D · Potential for more than minimal harm
2020-02-11
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 2020-02-27
Penalties and ownership
What sits behind the stars
Ownership
Front Porch Communities And Services
5% Or Greater Direct Ownership Interest · Organization
Akopyan, Gevork
Operational/Managerial Control · Individual
Banner, Ryan
Operational/Managerial Control · Individual
Behnam, Shaida
Operational/Managerial Control · Individual
Cairns, Dawn
Operational/Managerial Control · Individual
Duranteau, Nancy
Corporate Director · Individual
Forte, Vincent
Corporate Director · Individual
Handy, Joanne
Corporate Director · Individual
Herzig, Randy
Operational/Managerial Control · Individual
Jacobs, Laura
Corporate Director · Individual
Kelly, Sean
Operational/Managerial Control · Individual
Kelly, Sean
Corporate Officer · Individual
Kroeker, Kevin
Corporate Director · Individual
Mcgovern, Marion
Corporate Director · Individual
Mcmullin, Mary
Operational/Managerial Control · Individual
Nabor-Andoy, Merza
Operational/Managerial Control · Individual
Olson, Kari
Operational/Managerial Control · Individual
Proctor, Deborah
Corporate Director · Individual
Salvador, Eduardo
Operational/Managerial Control · Individual
Salvador, Eduardo
Corporate Officer · Individual
Spencer, Peter
Corporate Director · Individual
Tonnu, Diemlan
Corporate Director · Individual
Vranich, Rachel
Corporate Officer · Individual
Wesson, Oliver
Corporate Director · Individual
Whittaker, Susan
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Forest Hill Manor Health Center
Pacific Grove, CA
3-star overall rating with 3-star inspections with $11,423 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Oceanview Post Acute
Pacific Grove, CA
3-star overall rating with 3-star inspections with $9,440 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Cypress Ridge Care Center
Monterey, CA
4-star overall rating with 3-star inspections with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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