10 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Watsonville, CA
3-star overall rating with 3-star inspections with $44,488 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
535 Auto Center Drive, Watsonville, CA
(831) 724-7505
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
87
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cambridge Healthcare Services
Operator or chain grouping
Approved since
1978-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
32 facilities
Chain averages 3 overall / 2 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
RN hours / resident day
0.61
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
4.26
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,957
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.81% · Performance 21.88% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.50% · Performance 8.53% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.68
Baseline 42.68% · Performance 40.48% · Measure score 5.68 · Achievement 5.68 · Improvement 0.74
Adjusted total nurse staffing
4.39
Baseline 3.51 hours · Performance 4.33 hours · Measure score 4.39 · Achievement 4.39 · Improvement 3.10
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.67% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 126 · Observed rate 13.49% · Lower 95% interval 8.41% |
| Discharge to community | 48.7% |
50.57%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 107 · Observed rate 42.99% · Lower 95% interval 37.84% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.95% |
95.27%
3.7 pts better
|
Numerator 94 · Denominator 95 |
| Falls with major injury | 1.05% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 95 |
| Discharge self-care score | 58.73% |
53.69%
5 pts better
|
Numerator 37 · Denominator 63 |
| Discharge mobility score | 63.49% |
50.94%
12.6 pts better
|
Numerator 40 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 2.11% |
2.29%
0.2 pts better
|
Numerator 2 · Denominator 95 · Adjusted rate 2.1% |
| Healthcare-associated infections requiring hospitalization | 8.53% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 77 · Observed rate 11.69% · Lower 95% interval 5.02% |
| Staff COVID-19 vaccination coverage | 18.63% |
8.2%
10.4 pts better
|
Numerator 19 · Denominator 102 |
| Staff flu vaccination coverage | 21.37% |
42%
20.6 pts worse
|
Numerator 28 · Denominator 131 |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 35 · Denominator 63 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| 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 | 19.51% |
25.2%
5.7 pts worse
|
Numerator 8 · Denominator 41 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.6
1 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
98.5%
1.2 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| 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 | 0.7% |
1.6%
0.9 pts better
|
3.3%
2.6 pts better
|
Long 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 long-stay residents who have depressive symptoms | 1.8% |
6.8%
5 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.1% · Q3 1.4% · Q4 1.5% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
4.1%
0.3 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.6% · Q3 4.3% · Q4 3.0% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
13.7%
1.9 pts worse
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 14.5% · Q3 15.5% · Q4 16.4% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.9% |
14.2%
4.3 pts better
|
16.7%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 14.3% · Q3 8.7% · Q4 8.5% · 4Q avg 9.9% · 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 | 12.2% |
11.0%
1.2 pts worse
|
16.3%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 13.6% · Q3 4.0% · Q4 15.7% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.5% |
10.7%
1.2 pts better
|
14.9%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 9.5% · Q3 7.5% · Q4 9.8% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.0%
0.4 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.3% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.2%
0.8 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.6% |
10.9%
0.7 pts worse
|
19.8%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 11.0% · Q3 8.4% · Q4 10.2% · 4Q avg 11.6% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.7%
2.2 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.3% · Q3 2.0% · Q4 3.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
94.0%
4 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 97.8% · Q3 98.8% · Q4 100.0% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.3% |
11.2%
8.1 pts worse
|
12.0%
7.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 20.5% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
93.2%
4.6 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
23.2%
0.6 pts better
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 21.9% · Expected 23.1% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2026-01-23
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-08-27
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-08-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-27
Fire Safety
Use approved construction type or materials.
Corrected 2022-05-27
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-05-27
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-05-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-05-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-27
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-05-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-05-27
Inspection history
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-02-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-02-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-01
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-02-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-02-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-02-01
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Not marked corrected
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-10
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 2024-09-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-10
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-09-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-10
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-10
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 2024-09-10
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-09-10
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-10
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-09-10
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 2024-09-10
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-09-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-03
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-06-03
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 2022-06-03
Health
Keep all essential equipment working safely.
Corrected 2022-06-03
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-06-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-03
Health
Provide appropriate foot care.
Corrected 2022-06-03
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-06-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-06-03
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-06-03
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 2022-06-03
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-06-03
Health
Implement a program that monitors antibiotic use.
Corrected 2022-06-03
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-06-03
Penalties and ownership
Fine · fine $44,488
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Watsonville, CA
4-star overall rating with 4-star inspections with $8,018 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Watsonville, CA
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Capitola, CA
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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