Federal inspection record · CMS data as of October 1, 2026
Manresa Healthcare Center
919 Freedom Blvd, Watsonville, CA · (831) 722-3581
- Certified beds
- 59
- Residents per day
- 58
- Ownership
- For-Profit
- Chain
- Abraham Bak & Menachem Gastwirth
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 24, 1970
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Manresa Healthcare Center carries 63 inspection points. That is fewer than 69% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary7F
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care3E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights1D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspection history
2025-11-18
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-04-12
12 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2022-07-29
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 50 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 20% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.4 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 3.6% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 3.2% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 2.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 8.6% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts worse | 13.7% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.5 pts better | 2.4% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better | 5.3% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 8.0% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.4% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts worse | 12.8% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admissionAbout the same | 22.6% | 22.6% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Spyglass Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 15 facilities |
| Mccormack, Ryan | 5% Or Greater Indirect Ownership Interest · Individual | 20% | 15 facilities |
| O'shea, Brady | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 16 facilities |
| Ab1 Tr | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Ab3 Tr | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Bak, Abraham | Indirect Ownership Interest · Individual | 0% | 24 facilities |
| Bak, Abraham | Adp Of The SNF · Individual | 0% | 24 facilities |
| Bak, Rachel | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Bayuga, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bayuga, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gastwirth, Joshua | Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Gastwirth, Menachem | Indirect Ownership Interest · Individual | 0% | 21 facilities |
| Gastwirth, Menachem | Adp Of The SNF · Individual | 0% | 21 facilities |
| Gastwirth, Solomon | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Gewirtz, Chonoch | Direct Ownership Interest · Individual | 0% | 15 facilities |
| Gewirtz, Chonoch | Adp Of The SNF · Individual | 0% | 15 facilities |
| Kay, David | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Kay, Noah | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Mayer, Akiva | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Mccormack, Ryan | Corporate Officer · Individual | 0% | 15 facilities |
| Oscherowitz, Avishai | Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Romo-Gritzewsky, Marylou | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Romo-Gritzewsky, Marylou | Adp Of The SNF · Individual | 0% | 2 facilities |
| Rosenbluth, Yosef | Indirect Ownership Interest · Individual | 0% | 2 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Establish staff and initial training requirements.
- E
Establish policies and procedures for medical documentation.
- D
Address subsistence needs for staff and patients.
- D
Provide emergency officials' contact information.
- D
Address patient/client population and determine types of services needed.
- C
Establish policies and procedures for volunteers.
- C
Provide a means of sharing information on occupancy/needs.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Meet requirements for the use of electrical equipment.
Miscellaneous2E
- D
Have simulated fire drills held at unexpected times.
- E
Provide a written emergency evacuation plan.
Services2E
- D
Install properly constructed and protected linen or trash chutes.
- E
Have elevators that firefighters can control in the event of a fire.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
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Watsonville Nursing Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 57 min
- Fines
- $0
-
Watsonville Post Acute Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 1 min
- Fines
- $8,018
-
Pacific Coast Manor
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 11 min
- Fines
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