Santa Barbara, CA

Channel Islands Post Acute

4-star overall rating with 4-star inspections with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3880 Via Lucero, Santa Barbara, CA

(805) 687-6651

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

156

Certified beds

Average residents

147

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

2012-05-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 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

0.56

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.16

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.26

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.98

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.72

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

4.23

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,175

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.12

Composite VBP score used to determine payment impact.

Payment multiplier

0.9904

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.23

Baseline 18.54% · Performance 19.93% · Measure score 3.23 · Achievement 3.23 · Improvement 0

Healthcare-associated infections

0

Baseline 5.69% · Performance 7.97% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.77

Baseline 29.17% · Performance 27.83% · Measure score 8.77 · Achievement 8.77 · Improvement 2.61

Adjusted total nurse staffing

2.85

Baseline 4.14 hours · Performance 3.89 hours · Measure score 2.85 · Achievement 2.85 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.1%
10.72%
1.4 pts worse
No Different than the National Rate · Eligible stays 237 · Observed rate 13.08% · Lower 95% interval 9.23%
Discharge to community 44.07%
50.57%
6.5 pts worse
No Different than the National Rate · Eligible stays 196 · Observed rate 38.27% · Lower 95% interval 36.73%
Medicare spending per beneficiary 1.33
1.02
0.3 pts worse
Drug regimen review with follow-up 95.63%
95.27%
0.4 pts better
Numerator 153 · Denominator 160
Falls with major injury 1.25%
0.77%
0.5 pts worse
Numerator 2 · Denominator 160
Discharge self-care score 55.06%
53.69%
1.4 pts better
Numerator 49 · Denominator 89
Discharge mobility score 55.06%
50.94%
4.1 pts better
Numerator 49 · Denominator 89
Pressure ulcers or injuries, new or worsened 1.25%
2.29%
1 pts better
Numerator 2 · Denominator 160 · Adjusted rate 1.39%
Healthcare-associated infections requiring hospitalization 7.97%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 167 · Observed rate 8.98% · Lower 95% interval 5.66%
Staff COVID-19 vaccination coverage 1.58%
8.2%
6.6 pts worse
Numerator 3 · Denominator 190
Staff flu vaccination coverage 59.18%
42%
17.2 pts better
Numerator 158 · Denominator 267
Discharge function score 59.55%
56.45%
3.1 pts better
Numerator 53 · Denominator 89
Transfer of health information to provider 98.11%
95.95%
2.2 pts better
Numerator 52 · Denominator 53
Transfer of health information to patient 73.58%
96.28%
22.7 pts worse
Numerator 39 · Denominator 53
Resident COVID-19 vaccinations up to date 25.88%
25.2%
0.7 pts better
Numerator 22 · Denominator 85

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
2.3
0.8 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.2
1.6
0.6 pts worse
1.8
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
98.5%
1.3 pts better
93.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.5%
1.6%
0.1 pts better
3.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.5% · Q4 3.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.0%
6.8%
4.8 pts better
11.4%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 1.5% · Q4 3.3% · 4Q avg 2.0%
Percentage of long-stay residents who lose too much weight 1.2%
4.1%
2.9 pts better
5.4%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.1%
13.7%
3.4 pts worse
19.6%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 17.2% · Q3 20.5% · Q4 16.8% · 4Q avg 17.1%
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 6.4%
11.0%
4.6 pts better
16.3%
9.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 12.4% · Q3 6.3% · Q4 1.9% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.0%
10.7%
5.7 pts better
14.9%
9.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.2% · Q3 4.2% · Q4 4.9% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.0%
0.8 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.9%
1.2%
0.3 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.5% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.8%
10.9%
6.9 pts worse
19.8%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 19.7% · Q3 16.7% · Q4 18.3% · 4Q avg 17.8%
Percentage of long-stay residents with pressure ulcers 3.4%
4.7%
1.3 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.5% · Q3 2.6% · Q4 5.8% · 4Q avg 3.4% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 21.4%
11.2%
10.2 pts worse
12.0%
9.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 22.0% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.0%
1.5%
0.5 pts worse
1.6%
0.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.1% · Q3 1.9% · Q4 1.8% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
93.2%
6.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.7%
23.2%
5.5 pts better
23.9%
6.2 pts better
Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 17.3% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-09 · Fire 2025-05-09

11 health deficiencies

Top issue: Resident Rights (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

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

Cycle 3 Health 2021-05-27 · Fire 2021-05-27

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-09

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-05-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-05-09

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 2025-05-13

D · Potential for more than minimal harm 2025-05-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-05-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-05-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-13

E · Potential for more than minimal harm 2024-05-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-15

E · Potential for more than minimal harm 2024-05-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-15

E · Potential for more than minimal harm 2024-05-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-05-02

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-05-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-15

E · Potential for more than minimal harm 2021-05-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-06-30

E · Potential for more than minimal harm 2021-05-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-06-30

D · Potential for more than minimal harm 2021-05-27

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2021-06-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-22

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-09-09

D · Potential for more than minimal harm 2025-08-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-26

D · Potential for more than minimal harm 2025-06-20

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-07-04

E · Potential for more than minimal harm 2025-05-09

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 2025-06-05

D · Potential for more than minimal harm 2025-05-09

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-09

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 2025-06-05

D · Potential for more than minimal harm 2025-05-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-09

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-09

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 2025-06-05

D · Potential for more than minimal harm 2025-05-09

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 2025-06-05

D · Potential for more than minimal harm 2025-04-17

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2025-05-03

D · Potential for more than minimal harm 2024-07-18

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-18

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 2024-08-14

D · Potential for more than minimal harm 2024-07-18

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-05-02

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-01

D · Potential for more than minimal harm 2024-05-02

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 2024-06-01

D · Potential for more than minimal harm 2023-09-07

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 2023-09-22

D · Potential for more than minimal harm 2023-07-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-18

D · Potential for more than minimal harm 2021-05-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-06-22

D · Potential for more than minimal harm 2021-05-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-06-22

D · Potential for more than minimal harm 2021-05-27

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 2021-06-22

D · Potential for more than minimal harm 2021-05-27

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 2021-06-22

Penalties and ownership

What sits behind the stars

Ownership

Flagstone Healthcare Central LLC

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2019-07-24
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2019-07-24
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2019-07-24
Fitch, Craig

Corporate Officer · Individual

0% 58 facilities 2019-07-24
Gamero, Alicia

Corporate Officer · Individual

0% 7 facilities 2019-07-24
Willits, Adam

Corporate Director · Individual

0% 69 facilities 2019-07-24
Yamak, Najib

Operational/Managerial Control · Individual

0% 2 facilities 2019-11-01
Yamak, Najib

W-2 Managing Employee · Individual

0% 2 facilities 2019-11-01

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