The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
FOREST HILL MANOR HEALTH CENTER
PACIFIC GROVE, CA · Medicare-certified · 26 beds
Needs attention
For-profitChain member
3 of 5 overall
Forest Hill Manor Health Center in Pacific Grove has a 3-star overall rating, with stronger staffing and quality scores (4 stars each) and nurse staffing above the federal benchmark (5.00 vs 4.1 hours per resident per day). It also had a recent federal penalty, $8,278 in fines over the last 24 months, and recent inspection citations related to accident hazards, food safety, and bed rail use.
Facility ratings
Health inspections
Staffing
5.0021 hrs/resident/day
Quality measures
Last inspection: October 1, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0021.
Staffing detail
- Registered nurses
- 1.04
- Licensed practical nurses
- 1.36
- Nurse aides
- 2.60
- Weekend nursing
- 4.21
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Short-stay residents newly given an antipsychotic
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $11,423 in total fines.
- $8,278
Federal fine
Oct 1, 2025
- $3,145
Federal fine
Jun 12, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.5 stars avg
- Occupancy
- 25.1 residents on an average day (97% of 26 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.