Cycle 1
Health 2025-09-05 · Fire 2025-09-05
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Monterey, CA
Westland House
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
100 Barnet Segal Lane, Monterey, CA
(831) 658-3737
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
28
Certified beds
Average residents
27
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1982-01-27
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.02
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.98
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.30
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
3.32
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
5.59
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.55
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.93
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.77
CMS adjusted RN staffing hours
Adjusted total hours
5.53
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
833
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0179
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.22% · Performance 22.84% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 3.80% · Performance 4.67% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
5.26
Baseline 15.62% · Performance 42.19% · Measure score 5.26 · Achievement 5.26 · Improvement 0
Adjusted total nurse staffing
10
Performance 7.46 hours · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.9% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 753 · Observed rate 8.37% · Lower 95% interval 7.75% |
| Discharge to community | 76.36% |
50.57%
25.8 pts better
|
Better than the National Rate · Eligible stays 709 · Observed rate 75.18% · Lower 95% interval 72.66% |
| Medicare spending per beneficiary | 0.67 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.28% |
95.27%
2 pts better
|
Numerator 357 · Denominator 367 |
| Falls with major injury | 1.63% |
0.77%
0.9 pts worse
|
Numerator 6 · Denominator 367 |
| Discharge self-care score | 39.51% |
53.69%
14.2 pts worse
|
Numerator 128 · Denominator 324 |
| Discharge mobility score | 40.43% |
50.94%
10.5 pts worse
|
Numerator 131 · Denominator 324 |
| Pressure ulcers or injuries, new or worsened | 0.54% |
2.29%
1.8 pts better
|
Numerator 2 · Denominator 367 · Adjusted rate 0.78% |
| Healthcare-associated infections requiring hospitalization | 4.67% |
7.12%
2.5 pts better
|
Better than the National Rate · Eligible stays 426 · Observed rate 3.05% · Lower 95% interval 2.79% |
| Staff COVID-19 vaccination coverage | 14.81% |
8.2%
6.6 pts better
|
Numerator 12 · Denominator 81 |
| Staff flu vaccination coverage | 42.17% |
42%
0.2 pts better
|
Numerator 35 · Denominator 83 |
| Discharge function score | 32.72% |
56.45%
23.7 pts worse
|
Numerator 106 · Denominator 324 |
| Transfer of health information to provider | 56.15% |
95.95%
39.8 pts worse
|
Numerator 178 · Denominator 317 |
| Transfer of health information to patient | 77.55% |
96.28%
18.7 pts worse
|
Numerator 38 · Denominator 49 |
| Resident COVID-19 vaccinations up to date | 40.88% |
25.2%
15.7 pts better
|
Numerator 65 · Denominator 159 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1% |
94.0%
6.9 pts worse
|
81.7%
5.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 74.1% · Q2 89.5% · Q3 92.0% · Q4 90.4% · 4Q avg 87.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
11.2%
3.1 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 7.3% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.6% |
93.2%
2.4 pts better
|
79.7%
15.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
23.2%
2.7 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 19.8% · Expected 18.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-03 · Fire 2024-05-03
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-05-05 · Fire 2023-05-05
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-05
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-25
D · Potential for more than minimal harm
2024-05-03
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-23
D · Potential for more than minimal harm
2024-05-03
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-23
D · Potential for more than minimal harm
2024-05-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-23
D · Potential for more than minimal harm
2023-05-05
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-05-05
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-09-05
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 2025-09-08
E · Potential for more than minimal harm
2025-09-05
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 2025-09-08
E · Potential for more than minimal harm
2025-09-05
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-09-08
D · Potential for more than minimal harm
2025-09-05
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 2025-09-19
F · Potential for more than minimal harm
2024-05-03
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 2024-07-01
F · Potential for more than minimal harm
2024-05-03
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 2024-06-05
D · Potential for more than minimal harm
2024-05-03
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-06-05
D · Potential for more than minimal harm
2024-05-03
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 2024-06-05
D · Potential for more than minimal harm
2024-05-03
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 2024-06-05
E · Potential for more than minimal harm
2023-05-05
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 2023-05-25
D · Potential for more than minimal harm
2023-05-05
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 2023-05-25
D · Potential for more than minimal harm
2023-05-05
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-05-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
Penalties and ownership
What sits behind the stars
Ownership
Montage Health
5% Or Greater Direct Ownership Interest · Organization
Alvarez, Luis
Corporate Director · Individual
Burke, Patrick
Corporate Director · Individual
Button, Sandra
Corporate Director · Individual
Cabrales, Steven
Corporate Officer · Individual
Charles, Randall
Corporate Director · Individual
Chibaya, Daniel
Corporate Officer · Individual
Community Hospital Of The Monterey Peninsula
Operational/Managerial Control · Organization
Cummings, James
Corporate Director · Individual
Edwards, Ryan
Corporate Director · Individual
Ehret, Sarah
Operational/Managerial Control · Individual
Farac, Lauren
Corporate Director · Individual
Hahn, Marian
Corporate Director · Individual
Higgins, Leslie
Corporate Director · Individual
Kamath, Kiran
Corporate Director · Individual
Mahoney, Kevin
Corporate Director · Individual
Mcdermott, Michael
Corporate Director · Individual
Mcintyer Panetta, Carrie
Corporate Director · Individual
Mcmahon, Laura
Operational/Managerial Control · Individual
Romo-Gritzewsky, Marylou
Operational/Managerial Control · Individual
Smorzewski, Greg
Corporate Officer · Individual
Sober, Deborah
Corporate Officer · Individual
Sunde, Douglas
Corporate Director · Individual
Swick, Susan
Corporate Officer · Individual
Warner, William
Corporate Director · Individual
Wiest, Margorie
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Monterey Post Acute
Monterey, CA
3-star overall rating with 3-star inspections with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Cypress Ridge Care Center
Monterey, CA
4-star overall rating with 3-star inspections with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#3
Carmel Hills Care Center
Monterey, CA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Jump out