Inspection citations
17’22
18’24
12’25
47 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Dec 12, 2025 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Dec 12, 2025 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Dec 12, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Dec 12, 2025 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Dec 12, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 12, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 12, 2025 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Dec 12, 2025 | E · potential | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Routine |
| Dec 12, 2025 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Sep 24, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 11, 2025 | D · potential | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Complaint |
| Apr 4, 2025 | D · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Oct 2, 2024 | D · potential | Honor the resident's right to manage his or her financial affairs. | Complaint |
| Oct 2, 2024 | D · potential | Provide appropriate foot care. | Complaint |
| Aug 28, 2024 | D · potential | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Complaint |
| Aug 28, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 14, 2024 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Complaint |
| Aug 14, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Aug 5, 2024 | D · potential | Provide activities to meet all resident's needs. | Complaint |
| May 24, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 24, 2024 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| May 24, 2024 | D · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| May 24, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 24, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 24, 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 |
| May 24, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 24, 2024 | E · potential | Dispose of garbage and refuse properly. | Routine |
| May 24, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| May 24, 2024 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Mar 20, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 10, 2022 | D · potential | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Routine |
| Jun 10, 2022 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jun 10, 2022 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Jun 10, 2022 | E · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Routine |
| Jun 10, 2022 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Jun 10, 2022 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 10, 2022 | D · potential | Provide appropriate foot care. | Routine |
| Jun 10, 2022 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 10, 2022 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Jun 10, 2022 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 10, 2022 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Jun 10, 2022 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 10, 2022 | 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 |
| Jun 10, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 10, 2022 | D · potential | Dispose of garbage and refuse properly. | Routine |
| Jun 10, 2022 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 10, 2022 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | 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
Oceanview Post Acute
200 Lighthouse Avenue, Pacific Grove, CA 93950 · (831) 375-2695
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055356
- Certified beds
- 51
- Legal owner
- 200 Lighthouse, LLC
- Part of
- Bvhc, Llc
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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