Capitola, CA

Pacific Coast Manor

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

1935 Wharf Road, Capitola, CA

(831) 476-0770

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

96

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Covenant Care

Operator or chain grouping

Approved since

1969-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

24 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

1.13

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.48

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.39

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.91

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.93

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

1.00

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

0.97

CMS adjusted RN staffing hours

Adjusted total hours

3.78

CMS adjusted total nurse staffing hours

Case-mix index

1.59

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,114

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

Performance score

27.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9847

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.43

Baseline 16.50% · Performance 19.84% · Measure score 3.43 · Achievement 3.43 · Improvement 0

Healthcare-associated infections

0

Baseline 4.79% · Performance 7.92% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.54

Baseline 42.10% · Performance 45.13% · Measure score 4.54 · Achievement 4.54 · Improvement 0

Adjusted total nurse staffing

3.14

Baseline 3.62 hours · Performance 3.97 hours · Measure score 3.14 · Achievement 3.14 · Improvement 1.14

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.48%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 770 · Observed rate 9.09% · Lower 95% interval 8.33%
Discharge to community 69.69%
50.57%
19.1 pts better
Better than the National Rate · Eligible stays 751 · Observed rate 67.38% · Lower 95% interval 66.66%
Medicare spending per beneficiary 0.93
1.02
0.1 pts better
Drug regimen review with follow-up 99.63%
95.27%
4.4 pts better
Numerator 533 · Denominator 535
Falls with major injury 0.56%
0.77%
0.2 pts better
Numerator 3 · Denominator 535
Discharge self-care score 71.8%
53.69%
18.1 pts better
Numerator 247 · Denominator 344
Discharge mobility score 71.51%
50.94%
20.6 pts better
Numerator 246 · Denominator 344
Pressure ulcers or injuries, new or worsened 1.87%
2.29%
0.4 pts better
Numerator 10 · Denominator 535 · Adjusted rate 1.86%
Healthcare-associated infections requiring hospitalization 7.92%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 492 · Observed rate 7.32% · Lower 95% interval 6.01%
Staff COVID-19 vaccination coverage 26.53%
8.2%
18.3 pts better
Numerator 39 · Denominator 147
Staff flu vaccination coverage 40.66%
42%
1.3 pts worse
Numerator 74 · Denominator 182
Discharge function score 76.45%
56.45%
20 pts better
Numerator 263 · Denominator 344
Transfer of health information to provider 98.93%
95.95%
3 pts better
Numerator 464 · Denominator 469
Transfer of health information to patient 93.55%
96.28%
2.7 pts worse
Numerator 29 · Denominator 31
Resident COVID-19 vaccinations up to date 37.42%
25.2%
12.2 pts better
Numerator 113 · Denominator 302

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.3
0.3 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.6
0.2 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.7 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 1.8%
1.6%
0.2 pts worse
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.1% · Q4 2.6% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.4%
6.8%
0.4 pts better
11.4%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.3% · Q3 5.6% · Q4 0.0% · 4Q avg 6.4%
Percentage of long-stay residents who lose too much weight 4.1%
4.1%
About the same
5.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.6% · Q3 0.0% · Q4 3.0% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.6%
13.7%
0.1 pts better
19.6%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 12.8% · Q3 11.4% · Q4 14.7% · 4Q avg 13.6%
Percentage of long-stay residents who received an antipsychotic medication 15.7%
14.2%
1.5 pts worse
16.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 17.2% · Q3 12.5% · Q4 16.1% · 4Q avg 15.7% · Used in QM five-star
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 25.2%
11.0%
14.2 pts worse
16.3%
8.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.7%
10.7%
1 pts better
14.9%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 16.2% · Q3 9.7% · Q4 6.2% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1%
1.0%
0.1 pts worse
1.0%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.9% · 4Q avg 1.1% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.1%
10.9%
21.2 pts worse
19.8%
12.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 42.2% · Q3 23.5% · Q4 25.0% · 4Q avg 32.1%
Percentage of long-stay residents with pressure ulcers 4.2%
4.7%
0.5 pts better
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 3.6% · Q3 5.7% · Q4 0.0% · 4Q avg 4.2% · 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 8.2%
11.2%
3 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.7% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.5%
0.8 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.7% · Q3 0.3% · Q4 0.7% · 4Q avg 0.7% · 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 22.8%
23.2%
0.4 pts better
23.9%
1.1 pts better
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 20.4% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-20 · Fire 2025-02-20

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-06-16 · Fire 2023-06-16

16 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-12-05 · Fire 2019-12-05

10 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-28

F · Potential for more than minimal harm 2025-02-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-21

D · Potential for more than minimal harm 2023-06-16

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-06-16

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-06-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-06-16

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-06-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-03

D · Potential for more than minimal harm 2019-12-05

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2020-02-26

D · Potential for more than minimal harm 2019-12-05

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2020-02-26

D · Potential for more than minimal harm 2019-12-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-02-26

D · Potential for more than minimal harm 2019-12-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-02-26

D · Potential for more than minimal harm 2019-12-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-02-26

D · Potential for more than minimal harm 2019-12-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-02-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-02-20

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-03-12

D · Potential for more than minimal harm 2025-02-20

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 2025-03-12

D · Potential for more than minimal harm 2024-08-02

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 2024-08-02

D · Potential for more than minimal harm 2024-08-01

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-05-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-31

D · Potential for more than minimal harm 2023-12-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-08

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

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-06-16

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 2023-07-03

E · Potential for more than minimal harm 2023-06-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-16

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-07-05

D · Potential for more than minimal harm 2023-06-16

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-06-16

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-06-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-06-16

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 2023-06-30

D · Potential for more than minimal harm 2023-06-16

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 2023-06-30

D · Potential for more than minimal harm 2023-06-16

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 2023-07-14

D · Potential for more than minimal harm 2023-06-16

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 2023-07-06

D · Potential for more than minimal harm 2023-06-16

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 2023-07-14

D · Potential for more than minimal harm 2023-06-16

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-06-16

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-31

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-03-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-28

D · Potential for more than minimal harm 2019-12-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-12-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-12-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-12-05

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-12-05

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 2019-12-31

D · Potential for more than minimal harm 2019-12-05

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 2019-12-31

Penalties and ownership

What sits behind the stars

Ownership

Covenant Care California, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 21 facilities 2004-06-01
Ashley, Dava

Operational/Managerial Control · Individual

0% 21 facilities 2018-03-26
Ashley, Dava

Corporate Officer · Individual

0% 21 facilities 2018-05-07
Carney, Kevin

Corporate Officer · Individual

0% 21 facilities 2013-11-01
Centre Capital Investors V, LP

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Centre Covenant Purchaser (B), LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Centre Covenant Purchaser (Q), LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Centre Covenant Purchaser (S), LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-12-19
Centre V Secondary Fund, L.p.

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Covenant Care, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Covenant Holdco, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Covenant Subco, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-07-17
Evans, Mary

5% Or Greater Indirect Ownership Interest · Individual

0% 21 facilities 2008-07-17
Evans, Mary

Operational/Managerial Control · Individual

0% 21 facilities 2006-04-17
Evans, Mary

Corporate Officer · Individual

0% 21 facilities 2013-11-01
Levin, Robert

5% Or Greater Indirect Ownership Interest · Individual

0% 21 facilities 2008-07-17
Levin, Robert

Operational/Managerial Control · Individual

0% 21 facilities 2006-04-17
Levin, Robert

Corporate Officer · Individual

0% 21 facilities 2013-11-01
Midcap Funding Iv Trust

5% Or Greater Security Interest · Organization

0% 40 facilities 2014-02-20
Sims, Christine

5% Or Greater Indirect Ownership Interest · Individual

0% 21 facilities 2008-07-17
Sims, Christine

Operational/Managerial Control · Individual

0% 21 facilities 2005-12-09
Sims, Christine

Corporate Officer · Individual

0% 21 facilities 2013-11-01
Sparks, Carol

Operational/Managerial Control · Individual

0% 21 facilities 2004-06-01
State Treasurer Of Mich Custodian Of Public School Empl Rtmnt Systems

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-12-19
Stockwell Fund Ii LP

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2008-12-19
Torok, Andrew

5% Or Greater Indirect Ownership Interest · Individual

0% 21 facilities 2008-07-17
Torok, Andrew

Corporate Officer · Individual

0% 21 facilities 2013-11-01

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