Inspection citations
9’20
24’23
21’24
24’25
5’26
83 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 11, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 11, 2026 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Complaint |
| Feb 26, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Feb 26, 2026 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Feb 26, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Nov 26, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Nov 14, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Nov 6, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 8, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Mar 3, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 3, 2025 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Mar 3, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 3, 2025 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Mar 3, 2025 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 3, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 3, 2025 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Mar 3, 2025 | E · potential | 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. | Routine |
| Mar 3, 2025 | E · 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 |
| Mar 3, 2025 | E · 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 3, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 3, 2025 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Mar 3, 2025 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Mar 3, 2025 | E · 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 |
| Mar 3, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 3, 2025 | 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 3, 2025 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Mar 3, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 3, 2025 | D · potential | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Routine |
| Mar 3, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 26, 2024 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| Dec 26, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Dec 9, 2024 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Oct 23, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 23, 2024 | E · potential | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Complaint |
| Aug 6, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Aug 6, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Aug 2, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Aug 2, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jul 31, 2024 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Complaint |
| Jul 31, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 31, 2024 | D · potential | 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. | Complaint |
| Jul 5, 2024 | E · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Jun 25, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 19, 2024 | F · 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. | Complaint |
| Jun 18, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jun 18, 2024 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Mar 7, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jan 12, 2024 | D · potential | Prepare residents for a safe transfer or discharge from the nursing home. | Complaint |
| Jan 12, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 12, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Nov 30, 2023 | E · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Complaint |
| Nov 30, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Nov 30, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 30, 2023 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Nov 30, 2023 | D · potential | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Complaint |
| Nov 30, 2023 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Oct 13, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 12, 2023 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 12, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 12, 2023 | D · potential | Ensure a qualified health professional conducts resident assessments. | Routine |
| May 12, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 12, 2023 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| May 12, 2023 | D · potential | Provide appropriate foot care. | Routine |
| May 12, 2023 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| May 12, 2023 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| May 12, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 12, 2023 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 12, 2023 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| May 12, 2023 | 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 |
| May 12, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 12, 2023 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| May 12, 2023 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 12, 2023 | E · potential | Dispose of garbage and refuse properly. | Routine |
| May 12, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 24, 2020 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Jan 24, 2020 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jan 24, 2020 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 24, 2020 | 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 |
| Jan 24, 2020 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 24, 2020 | 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 |
| Jan 24, 2020 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 24, 2020 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 24, 2020 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | 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
Santa Cruz Post Acute
1115 Capitola Road, Santa Cruz, CA 95062 · (831) 475-4055
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056065
- Certified beds
- 149
- Legal owner
- Santa Cruzidence Opco, LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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- Redwood Grove Post Acute2 of 5 stars overall
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