The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
OCEANVIEW POST ACUTE
PACIFIC GROVE, CA · Medicare-certified · 51 beds
In good standing
For-profitChain member
4 of 5 overall
Oceanview Post Acute in Pacific Grove has a 4-star overall rating, with strong quality measures and staffing, though health inspections are lower at 3 stars. It reported 4.00 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0024 hrs/resident/day
Quality measures
Last inspection: December 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0024.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.57
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 29%
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).
Long-stay residents on antipsychotic medication
33.3%28.6%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.4%4.8%Worsening
Residents with a urinary tract infection
0%2.6%Worsening
Residents who lost too much weight
2.9%16.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%8.3%Improving
Residents whose ability to walk got worse
—15.5%—
Long-stay residents on antianxiety or sleep medication
30.6%24.3%Improving
Short-stay residents newly given an antipsychotic
0%4.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.6%15.9%Worsening
Residents with depressive symptoms
17.9%2.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97.4%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
84.4%97.9%Improving
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $9,440 in total fines · 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Mar 20, 2024
- $3,147
Federal fine
Jun 26, 2023
- $6,293
Federal fine
May 30, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.5 stars avg
- Occupancy
- 47.2 residents on an average day (93% of 51 beds)
- Medicare history
- Certified for 54 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.