PACIFIC COAST MANOR
1935 WHARF ROAD, CAPITOLA, CA 95010 · CCN 056048
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 96.1
- Phone
- 8314760770
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-20 | 3 | 15.6 | 9.5 | -12.6 better |
| 2 | 2023-06-16 | 16 | 17.4 | 9.8 | -1.4 better |
| 3 | 2019-12-05 | 10 | 17.1 | 9.3 | -7.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.39 | 43.1% |
| RN staffing (reported) | 1.13 | 39.1% |
| Total nurse staffing (adjusted) | 3.78 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COVENANT CARE
- Facilities in chain
- 24
- Chain avg overall
- 2.80 / 5
Inspection citations (29)
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-02 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-02-20 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0761Ensure 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.2025-02-20 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-02 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-08-01 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-09 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-13 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-09-11 · Health · corrected 2023-09-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-06-16 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-06-16 · Health · corrected 2023-06-29
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-06-16 · Health · corrected 2023-07-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-16 · Health · corrected 2023-06-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-16 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0700Try 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.2023-06-16 · Health · corrected 2023-06-30
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-16 · Health · corrected 2023-07-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-16 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0758Implement 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.2023-06-16 · Health · corrected 2023-07-06
Potential for more than minimal harm
- DF0761Ensure 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.2023-06-16 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-06-16 · Health · corrected 2023-06-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-16 · Health · corrected 2023-07-13
Potential for more than minimal harm
- DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2023-06-16 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-05-31 · Health · corrected 2023-06-09
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-07 · Health · corrected 2023-03-28
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2019-12-05 · Health · corrected 2019-12-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-12-05 · Health · corrected 2019-12-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-12-05 · Health · corrected 2019-12-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-12-05 · Health · corrected 2019-12-31
Potential for more than minimal harm
- DF0761Ensure 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.2019-12-05 · Health · corrected 2019-12-31
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-12-05 · Health · corrected 2019-12-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2004-06-01 |
| CENTRE CAPITAL INVESTORS V, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE COVENANT PURCHASER (B), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE COVENANT PURCHASER (Q), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE COVENANT PURCHASER (S), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-12-19 |
| CENTRE V SECONDARY FUND, L.P. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| COVENANT CARE, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| COVENANT HOLDCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| COVENANT SUBCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-12-19 |
| STOCKWELL FUND II LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-12-19 |
| EVANS, MARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| LEVIN, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| SIMS, CHRISTINE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| TOROK, ANDREW | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| ASHLEY, DAVA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-26 |
| EVANS, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-04-17 |
| LEVIN, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-04-17 |
| SIMS, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-12-09 |
| SPARKS, CAROL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-06-01 |
| ASHLEY, DAVA | Individual | CORPORATE OFFICER | — | 2018-05-07 |
| CARNEY, KEVIN | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| EVANS, MARY | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| LEVIN, ROBERT | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| SIMS, CHRISTINE | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| TOROK, ANDREW | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| MIDCAP FUNDING IV TRUST | Organization | 5% OR GREATER SECURITY INTEREST | — | 2014-02-20 |
Other facilities in CAPITOLA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.