Cycle 1
Health 2026-01-23 · Fire 2026-01-23
3 health deficiencies
Top issue: Environmental (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Santa Barbara, CA
Samarkand Skilled Nursing Facility
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2566 Treasure Drive, Santa Barbara, CA
(805) 687-0701
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
63
Certified beds
Average residents
60
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Covenant Living
Operator or chain grouping
Approved since
2000-08-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 4 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
0.44
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.11
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
4.58
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,824
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.49
Composite VBP score used to determine payment impact.
Payment multiplier
1.0011
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.84
Baseline 18.23% · Performance 20.11% · Measure score 2.84 · Achievement 2.84 · Improvement 0
Healthcare-associated infections
4.99
Baseline 5.82% · Performance 6.34% · Measure score 4.99 · Achievement 4.99 · Improvement 0
Total nurse turnover
6.50
Baseline 31.67% · Performance 37.10% · Measure score 6.50 · Achievement 6.50 · Improvement 0
Adjusted total nurse staffing
4.66
Baseline 4.23 hours · Performance 4.40 hours · Measure score 4.66 · Achievement 4.66 · Improvement 0.64
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.42% |
10.72%
2.3 pts better
|
No Different than the National Rate · Eligible stays 295 · Observed rate 5.08% · Lower 95% interval 6.25% |
| Discharge to community | 68.52% |
50.57%
17.9 pts better
|
Better than the National Rate · Eligible stays 305 · Observed rate 66.56% · Lower 95% interval 64% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.18% |
95.27%
1.9 pts better
|
Numerator 172 · Denominator 177 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 177 |
| Discharge self-care score | 41.88% |
53.69%
11.8 pts worse
|
Numerator 49 · Denominator 117 |
| Discharge mobility score | 56.41% |
50.94%
5.5 pts better
|
Numerator 66 · Denominator 117 |
| Pressure ulcers or injuries, new or worsened | 0.56% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 177 · Adjusted rate 0.8% |
| Healthcare-associated infections requiring hospitalization | 6.34% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 4.12% · Lower 95% interval 4.1% |
| Staff COVID-19 vaccination coverage | 10.68% |
8.2%
2.5 pts better
|
Numerator 11 · Denominator 103 |
| Staff flu vaccination coverage | 67.26% |
42%
25.3 pts better
|
Numerator 76 · Denominator 113 |
| Discharge function score | 62.39% |
56.45%
5.9 pts better
|
Numerator 73 · Denominator 117 |
| Transfer of health information to provider | 93.75% |
95.95%
2.2 pts worse
|
Numerator 30 · Denominator 32 |
| Transfer of health information to patient | 97.35% |
96.28%
1.1 pts better
|
Numerator 110 · Denominator 113 |
| Resident COVID-19 vaccinations up to date | 51.22% |
25.2%
26 pts better
|
Numerator 42 · Denominator 82 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.3
0.6 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.6 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
98.5%
0.4 pts worse
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 100.0% · Q3 97.6% · Q4 97.5% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
98.2%
2.7 pts worse
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
1.6%
0.9 pts worse
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.4% · Q3 2.4% · Q4 2.5% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.7% |
6.8%
1.1 pts better
|
11.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.9% · Q3 7.3% · Q4 0.0% · 4Q avg 5.7% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
4.1%
1.2 pts worse
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 11.4% · Q3 0.0% · Q4 3.1% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.6% |
13.7%
10.1 pts better
|
19.6%
16 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.3% · Q3 2.8% · Q4 3.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.8% |
14.2%
6.4 pts better
|
16.7%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.2% · Q3 9.7% · Q4 7.4% · 4Q avg 7.8% · 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 | 18.9% |
11.0%
7.9 pts worse
|
16.3%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 19.6% · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% |
10.7%
4.2 pts worse
|
14.9%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 20.0% · Q3 20.0% · Q4 6.1% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.2%
0.5 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% |
10.9%
7.1 pts worse
|
19.8%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 9.0% · Q3 26.6% · Q4 25.3% · 4Q avg 18.0% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.7%
0.2 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.4% · Q3 3.0% · Q4 5.5% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
94.0%
3.4 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 97.1% · Q3 98.0% · Q4 100.0% · 4Q avg 97.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.8% |
11.2%
2.6 pts worse
|
12.0%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 11.6% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 1.4% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
93.2%
9.9 pts worse
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
23.2%
3.4 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 13.8% · Expected 16.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-12-19 · Fire 2024-12-19
10 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2023-02-10 · Fire 2023-02-10
14 health deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-04
D · Potential for more than minimal harm
2026-01-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-02-04
D · Potential for more than minimal harm
2024-12-19
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-01-03
D · Potential for more than minimal harm
2024-12-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-03
D · Potential for more than minimal harm
2024-12-19
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-01-03
C · Minimal harm
2024-12-19
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-01-03
D · Potential for more than minimal harm
2023-02-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-02-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-06
D · Potential for more than minimal harm
2023-02-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-09
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-23
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2026-02-19
D · Potential for more than minimal harm
2025-09-18
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-10-13
D · Potential for more than minimal harm
2025-05-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-31
F · Potential for more than minimal harm
2024-12-19
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 2025-01-18
D · Potential for more than minimal harm
2024-12-19
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-18
D · Potential for more than minimal harm
2024-12-19
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 2025-01-18
D · Potential for more than minimal harm
2024-12-19
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 2025-01-18
D · Potential for more than minimal harm
2024-12-19
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-18
D · Potential for more than minimal harm
2024-12-19
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 2025-01-18
D · Potential for more than minimal harm
2024-12-19
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-01-18
D · Potential for more than minimal harm
2024-12-19
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 2025-01-18
D · Potential for more than minimal harm
2024-12-19
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 2025-01-18
D · Potential for more than minimal harm
2024-05-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-29
F · Potential for more than minimal harm
2023-02-10
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 2023-03-20
E · Potential for more than minimal harm
2023-02-10
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 2023-03-20
E · Potential for more than minimal harm
2023-02-10
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 2023-03-20
E · Potential for more than minimal harm
2023-02-10
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 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F575 · Resident Rights Deficiencies
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-10
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 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-10
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 2023-03-20
D · Potential for more than minimal harm
2023-02-10
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 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-10
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-03-20
Penalties and ownership
What sits behind the stars
Ownership
Covenant Living Communities & Services
5% Or Greater Direct Ownership Interest · Organization
Aagaard, Jon
Corporate Director · Individual
Christensen, Pamela
Corporate Director · Individual
Covenant Living Communities & Services
Operational/Managerial Control · Organization
Cunliffe, Terri
Corporate Officer · Individual
Cunliffe, Terri
W-2 Managing Employee · Individual
Eastburg, Mark
Corporate Director · Individual
Erickson, David
Corporate Officer · Individual
Espinosa, Marc
Corporate Director · Individual
Hodgkinson, Donald
Corporate Director · Individual
Holt, Jody
Corporate Officer · Individual
Manlove, Matt
Corporate Director · Individual
Oxendale, Roger
Corporate Director · Individual
Stante, Marlene
Corporate Director · Individual
Vining, Anne
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Mission Park Healthcare Center
Santa Barbara, CA
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
The Californian
Santa Barbara, CA
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Valle Verde Health Facility
Santa Barbara, CA
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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