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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

1.12

Registered nurse staffing

LPN hours / resident day

1.51

Licensed practical nurse staffing

Aide hours / resident day

3.39

Nurse aide staffing

Weekend hours

5.24

Weekend nurse staffing

RN turnover

60%

Annual RN turnover

Total nurse turnover

29%

Annual nurse turnover

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
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
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
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 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 12.5%
10.9%
1.6 pts worse
19.8%
7.3 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 99.1%
94.0%
5.1 pts better
81.7%
17.4 pts better
Short Stay · 2024Q4-2025Q3
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

100% 9 facilities 2022-04-01
Akopyan, Gevork

Operational/Managerial Control · Individual

0% 9 facilities 2022-10-12
Banner, Ryan

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-17
Behnam, Shaida

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-14
Cairns, Dawn

Operational/Managerial Control · Individual

0% 9 facilities 2021-04-01
Duranteau, Nancy

Corporate Director · Individual

0% 9 facilities 2021-04-01
Forte, Vincent

Corporate Director · Individual

0% 9 facilities 2021-04-01
Handy, Joanne

Corporate Director · Individual

0% 14 facilities 2021-04-01
Herzig, Randy

Operational/Managerial Control · Individual

0% 4 facilities 2016-06-13
Jacobs, Laura

Corporate Director · Individual

0% 9 facilities 2019-01-01
Kelly, Sean

Operational/Managerial Control · Individual

0% 10 facilities 2023-03-06
Kelly, Sean

Corporate Officer · Individual

0% 10 facilities 2023-03-06
Kroeker, Kevin

Corporate Director · Individual

0% 9 facilities 2018-01-01
Mcgovern, Marion

Corporate Director · Individual

0% 9 facilities 2017-01-01
Mcmullin, Mary

Operational/Managerial Control · Individual

0% 9 facilities 2025-04-01
Nabor-Andoy, Merza

Operational/Managerial Control · Individual

0% 1 facilities 2022-03-24
Olson, Kari

Operational/Managerial Control · Individual

0% 9 facilities 2021-04-01
Proctor, Deborah

Corporate Director · Individual

0% 9 facilities 2017-01-01
Salvador, Eduardo

Operational/Managerial Control · Individual

0% 9 facilities 2021-04-01
Salvador, Eduardo

Corporate Officer · Individual

0% 9 facilities 2017-10-03
Spencer, Peter

Corporate Director · Individual

0% 8 facilities 2026-01-01
Tonnu, Diemlan

Corporate Director · Individual

0% 9 facilities 2018-01-01
Vranich, Rachel

Corporate Officer · Individual

0% 9 facilities 2022-06-17
Wesson, Oliver

Corporate Director · Individual

0% 9 facilities 2017-01-01
Whittaker, Susan

Corporate Director · Individual

0% 9 facilities 2018-01-23

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