Forest Hill Manor Health Center
551 Gibson Avenue · Pacific Grove, CA · 93950 · 8316575200
26 certified beds For profit - Limited Liability company Chain: Bvhc, LLC
- Staffing hours comfortably above national benchmarks.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.04 | 0.55–0.75 |
| Weekend hours / resident-day | 4.21 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (28 in the current record)
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Potential for harm · D April 10, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Actual harm · G October 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D April 25, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 25, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · D April 25, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E April 25, 2025
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.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · F April 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · D April 25, 2025
Provide and implement an infection prevention and control program.
Corrected May 15, 2025 · Infection Control
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Potential for harm · D January 23, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 9, 2024 · Resident Rights
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Potential for harm · D January 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 9, 2024 · Quality of Life and Care
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Potential for harm · F January 23, 2024
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.
Corrected February 9, 2024 · Quality of Life and Care
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Potential for harm · D January 23, 2024
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.
Corrected February 9, 2024 · Pharmacy Service
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Potential for harm · E January 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected February 9, 2024 · Pharmacy Service
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Potential for harm · D January 23, 2024
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.
Corrected February 9, 2024 · Pharmacy Service
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Potential for harm · D January 23, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected February 9, 2024 · Nutrition and Dietary
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Potential for harm · D January 23, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 9, 2024 · Nutrition and Dietary
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Potential for harm · F January 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2024 · Nutrition and Dietary
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Potential for harm · E January 23, 2024
Provide and implement an infection prevention and control program.
Corrected February 9, 2024 · Infection Control
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Potential for harm · D August 5, 2022
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 4, 2022 · Resident Rights
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Potential for harm · D August 5, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 4, 2022 · Quality of Life and Care
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Potential for harm · D August 5, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 4, 2022 · Pharmacy Service
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Potential for harm · D August 5, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected September 4, 2022 · Pharmacy Service
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Potential for harm · D August 5, 2022
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.
Corrected September 4, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 1, 2025 | Fine | $8,278 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555867 · certified since September 23, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.