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
Data as of July 1, 2026
5 of 5 overall
Oceanview Post Acute in Pacific Grove has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported 4.04 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent inspection citations included accident hazards/supervision, psychotropic medication use, and food temperature/palatability.
Facility ratings
Health inspections
Staffing
4.0384 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 4.0384.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.60
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 17%
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
23.8%17.9%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
6.5%0%Improving
Residents with a urinary tract infection
2.7%0%Improving
Residents who lost too much weight
6.5%6.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.3%11.8%Worsening
Residents whose ability to walk got worse
—15.1%—
Long-stay residents on antianxiety or sleep medication
25.8%22.9%Improving
Short-stay residents newly given an antipsychotic
4.3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.8%24.3%Worsening
Residents with depressive symptoms
5.7%2.8%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%100%No change
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 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: 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Mar 20, 2024
Operator & ownership
Recent ownership change · Feb 16, 2019
Now operated by Oceanview Post Acute, previously Pacific Grove Healthcare Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.3 stars avg
- Occupancy
- 47.2 residents on an average day (93% of 51 beds)
- Medicare history
- Certified for 55 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.