Inspection citations
17’22
3’24
19’26
39 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Apr 17, 2026 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Apr 17, 2026 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Apr 17, 2026 | E · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Apr 17, 2026 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Apr 17, 2026 | E · potential | 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. | Routine |
| Apr 17, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Apr 17, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Apr 17, 2026 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Apr 17, 2026 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Apr 17, 2026 | F · potential | Post nurse staffing information every day. | Routine |
| Apr 17, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 17, 2026 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Apr 17, 2026 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 17, 2026 | D · potential | 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. | Routine |
| Apr 17, 2026 | F · potential | 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. | Routine |
| Apr 17, 2026 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Apr 17, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 17, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 17, 2026 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Dec 19, 2024 | D · potential | 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. | Routine |
| Dec 19, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 19, 2024 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 28, 2022 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Mar 28, 2022 | E · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Mar 28, 2022 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Mar 28, 2022 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 28, 2022 | D · potential | 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. | Routine |
| Mar 28, 2022 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 28, 2022 | E · potential | 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. | Routine |
| Mar 28, 2022 | F · potential | 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. | Routine |
| Mar 28, 2022 | F · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Mar 28, 2022 | E · potential | 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. | Routine |
| Mar 28, 2022 | E · potential | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Mar 28, 2022 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 28, 2022 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 28, 2022 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Mar 28, 2022 | E · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Mar 28, 2022 | D · potential | Ensure staff are vaccinated for COVID-19 | Routine |
| Mar 28, 2022 | E · potential | Keep all essential equipment working safely. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Carmel Hills Care Center
23795 W. R. Holman Highway, Monterey, CA 93940 · (831) 624-1875
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056055
- Certified beds
- 99
- Legal owner
- Pater Dignitas INC
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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