Cycle 1
Health 2025-07-31 · Fire 2025-07-31
5 health deficiencies
Top issue: Environmental (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
San Luis Obispo, CA
San Luis Transitional Care
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1575 Bishop Street, San Luis Obispo, CA
(805) 545-7575
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
23
Certified beds
Average residents
12
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Compass Health, Inc.
Operator or chain grouping
Approved since
1994-03-31
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
7 facilities
Chain averages 5 overall / 5 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.38
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.81
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
7.01
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
3.19
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
7.05
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
2.15
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
2.27
CMS adjusted RN staffing hours
Adjusted total hours
6.67
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,489
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.79
Composite VBP score used to determine payment impact.
Payment multiplier
0.9927
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 21.31% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
6.55
Performance 5.88% · Measure score 6.55 · Achievement 6.55 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
5.39
Performance 41.67% · Measure score 5.39 · Achievement 5.39 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.4% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 5.08% · Lower 95% interval 6.1% |
| Discharge to community | 69.72% |
50.57%
19.1 pts better
|
Better than the National Rate · Eligible stays 112 · Observed rate 76.79% · Lower 95% interval 63.18% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 134 · Denominator 134 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 134 |
| Discharge self-care score | 63.79% |
53.69%
10.1 pts better
|
Numerator 74 · Denominator 116 |
| Discharge mobility score | 63.79% |
50.94%
12.9 pts better
|
Numerator 74 · Denominator 116 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 134 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.88% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 2.44% · Lower 95% interval 3.32% |
| Staff COVID-19 vaccination coverage | 47.37% |
8.2%
39.2 pts better
|
Numerator 9 · Denominator 19 |
| Staff flu vaccination coverage | 52.63% |
42%
10.6 pts better
|
Numerator 10 · Denominator 19 |
| Discharge function score | 57.76% |
56.45%
1.3 pts better
|
Numerator 67 · Denominator 116 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 124 · Denominator 124 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 29.49% |
25.2%
4.3 pts better
|
Numerator 23 · Denominator 78 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 13.4% |
11.2%
2.2 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 11.4% · Expected 9.5% · 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 0.0% · Q2 1.3% · Q3 1.4% · Q4 0.0% · 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 | 14.5% |
23.2%
8.7 pts better
|
23.9%
9.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 10.5% · Expected 17.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-12 · Fire 2024-06-12
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-10-02 · Fire 2019-10-02
1 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2025-07-31
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-13
F · Potential for more than minimal harm
2024-06-12
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-28
D · Potential for more than minimal harm
2024-06-12
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-06-28
C · Minimal harm
2024-06-12
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-28
D · Potential for more than minimal harm
2019-10-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-03
C · Minimal harm
2019-10-02
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-12-03
C · Minimal harm
2019-10-02
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2019-12-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-31
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-07-31
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-07-31
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 2025-08-27
D · Potential for more than minimal harm
2025-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-07-31
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-08-27
F · Potential for more than minimal harm
2024-06-12
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 2024-07-08
D · Potential for more than minimal harm
2019-10-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-25
Penalties and ownership
What sits behind the stars
Ownership
Compass Health Inc
5% Or Greater Direct Ownership Interest · Organization
Compass Health Inc
Operational/Managerial Control · Organization
Compass Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Doria, Jack
Operational/Managerial Control · Individual
Gerrish, Nancy
5% Or Greater Indirect Ownership Interest · Individual
Gerrish, William
5% Or Greater Indirect Ownership Interest · Individual
Grossman, Stephen
Operational/Managerial Control · Individual
Hodge, Timothy
Operational/Managerial Control · Individual
Hodge, Timothy
Corporate Officer · Individual
Mcmullen, Juanita
5% Or Greater Indirect Ownership Interest · Individual
Moya, Marie
Operational/Managerial Control · Individual
Moya, Marie
Corporate Officer · Individual
Smith, Darren
5% Or Greater Indirect Ownership Interest · Individual
Smith, Darren
Operational/Managerial Control · Individual
Smith, Darren
Corporate Director · Individual
Smith, Darren
Corporate Officer · Individual
Woolpert, Mark
5% Or Greater Indirect Ownership Interest · Individual
Woolpert, Patricia
5% Or Greater Indirect Ownership Interest · Individual
Woolpert, Patrick
Operational/Managerial Control · Individual
Woolpert, Patrick
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
San Luis Post Acute Center
San Luis Obispo, CA
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Mission View Health Center
San Luis Obispo, CA
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Bayside Care Center
Morro Bay, CA
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out