Federal inspection record · CMS data as of October 1, 2026
Villa Coronado D/P SNF
233 Prospect Place, Coronado, CA · (619) 522-3900
- CMS high-performer trophy
- Certified beds
- 122
- Residents per day
- 94
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 5 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
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Villa Coronado D/P SNF 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
25 health citations on record since 2023. 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
Quality of Life and Care5D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- F
Post nurse staffing information every day.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights1D
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspection history
2026-07-30
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2025-05-02
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-16
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 7 h 32 min of nursing staff time a day, 1 h 48 min of it from a registered nurse.
This home
7 h 32 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 21% of nursing staff and 12% of registered nurses left in the past year.
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 days0.6 pts worse | 2.8 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.2 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 98.7% | 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 injury1.6 pts better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 3.7% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts worse | 22.8% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts worse | 15.9% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.3% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts worse | 12.7% | 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 bladder1.4 pts worse | 2.1% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.7 pts worse | 4.9% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts worse | 16.1% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 4.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 96.9% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts better | 7.2% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 97.4% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts better | 17.0% | 22.6% | 23.4% |
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Who owns and runs it
39 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 |
|---|---|---|---|
| Arendsee, Lindsey | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Arendsee, Lindsey | Corporate Director · Individual | 0% | 1 facilities |
| Atis, Glend | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Atis, Glend | Adp Of The SNF · Individual | 0% | 1 facilities |
| Benjalil, Fahd | Corporate Director · Individual | 0% | 3 facilities |
| Benjalil, Fahd | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Braun, Jane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Braun, Jane | Corporate Director · Individual | 0% | 1 facilities |
| Butera, Michael | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Butera, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Campbell, Robert | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Campbell, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Evans, William | Corporate Director · Individual | 0% | 3 facilities |
| Evans, William | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Fahid, Amir | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Fahid, Amir | Adp Of The SNF · Individual | 0% | 3 facilities |
| Howard, Christopher | Corporate Officer · Individual | 0% | 3 facilities |
| Lennard, William | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lennard, William | Corporate Director · Individual | 0% | 1 facilities |
| Mair, Eric | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mair, Eric | Corporate Director · Individual | 0% | 1 facilities |
| Metzger, Scott | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Metzger, Scott | Corporate Officer · Individual | 0% | 1 facilities |
| Montgomery, Marlena | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Montgomery, Marlena | Corporate Director · Individual | 0% | 1 facilities |
| Montgomery, Marlena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Plumb, Paul | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Plumb, Paul | Corporate Director · Individual | 0% | 1 facilities |
| Sharp Healthcare | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Sharp Healthcare | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Sharp Healthcare | Adp Of The SNF · Organization | 0% | 3 facilities |
| Sommer, Carol | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Sommer, Carol | Corporate Director · Individual | 0% | 1 facilities |
| Stanley, Sydney | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Stanley, Sydney | Corporate Officer · Individual | 0% | 1 facilities |
| Weisman, Judy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Weisman, Judy | Corporate Director · Individual | 0% | 1 facilities |
| Woiwode, Michael | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Woiwode, Michael | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- D
Install an approved automatic sprinkler system.
- C
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure medical gas and vacuum systems have documented maintenance programs.
Miscellaneous1D
- D
Provide a written emergency evacuation plan.
Construction1D
- D
Use approved construction type or materials.
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