Nursing homes › California › Pacific Coast Manor
1935 Wharf Road, Capitola, CA 95010 · 8314760770 · 99 certified beds
Per CMS filings, this facility is affiliated with Covenant Care, a group operating 15 facilities in 2 states. Group record: average rating 3.1/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $304,413 in federal fines. This facility rates above its group average (3.1/5).
Total nurse staffing: 4.39 (California median: 4.24). RN hours: 1.17. Weekend total: 3.88. Nursing staff turnover: 50%.
All-time on record: 27 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-04-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-04-11 |
| 2025-02-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-03-12 |
| 2025-02-20 | 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. | D | Health | corrected 2025-03-12 |
| 2024-08-02 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-08-02 |
| 2024-08-01 | Provide care or services that was trauma informed and/or culturally competent. | D | complaint | corrected 2024-08-02 |
| 2024-05-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-05-31 |
| 2023-12-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-01-08 |
| 2023-09-11 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | complaint | corrected 2023-09-26 |
| 2023-06-16 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2023-07-03 |
| 2023-06-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-07-13 |
| 2023-06-16 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2023-07-05 |
| 2023-06-16 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2023-06-29 |
| 2023-06-16 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2023-07-03 |
| 2023-06-16 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-06-29 |
| 2023-06-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-06-30 |
| 2023-06-16 | 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. | D | Health | corrected 2023-06-30 |
| 2023-06-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-07-14 |
| 2023-06-16 | 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. | D | Health | corrected 2023-07-06 |
| 2023-06-16 | 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. | D | Health | corrected 2023-07-14 |
| 2023-06-16 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2023-06-29 |
| 2023-06-16 | Regularly 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. | D | Health | corrected 2023-06-30 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2004 |
| CENTRE CAPITAL INVESTORS V, LP | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| CENTRE V SECONDARY FUND, L.P. | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT CARE, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT HOLDCO, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT SUBCO, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| STOCKWELL FUND II LP | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| EVANS, MARY | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| LEVIN, ROBERT | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| SIMS, CHRISTINE | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| TOROK, ANDREW | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| ASHLEY, DAVA | Corporate Officer | Individual | NOT APPLICABLE | since 05/07/2018 |
| CARNEY, KEVIN | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| EVANS, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| LEVIN, ROBERT | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| SIMS, CHRISTINE | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| TOROK, ANDREW | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| ASHLEY, DAVA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/26/2018 |
| EVANS, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/17/2006 |
| LEVIN, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/17/2006 |
| SIMS, CHRISTINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/09/2005 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056048. Corrections: data@carerecords.org.