Oceanview Post Acute

200 Lighthouse Avenue · Pacific Grove, CA · 93950 · 8313752695

51 certified beds For profit - Limited Liability company Chain: Bvhc, LLC

  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 94
Staffing 20% 76
Federal penalties 15% 63
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.003.48 min · 4.1 strong
RN hours / resident-day0.670.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)1 · $3,147

Inspection citations (48 in the current record)

  • Potential for harm · E December 12, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 12, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected December 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 12, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 12, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 17, 2025 · Nutrition and Dietary

  • Potential for harm · E December 12, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 17, 2025 · Nutrition and Dietary

  • Potential for harm · D December 12, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 17, 2025 · Infection Control

  • Potential for harm · D December 12, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected December 17, 2025 · Infection Control

  • Potential for harm · E December 12, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected December 17, 2025 · Infection Control

  • No harm found · B December 12, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    No revisit needed · Environmental

  • Potential for harm · D September 24, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 6, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025 · found via complaint

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected April 25, 2025 · Infection Control

  • Potential for harm · D April 4, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected April 11, 2025 · Resident Rights

  • Potential for harm · D October 2, 2024 · found via complaint

    Honor the resident's right to manage his or her financial affairs.

    Corrected October 7, 2024 · Resident Rights

  • Potential for harm · D October 2, 2024 · found via complaint

    Provide appropriate foot care.

    Corrected October 11, 2024 · Quality of Life and Care

  • Potential for harm · D August 28, 2024 · found via complaint

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected September 13, 2024 · Administration

  • Potential for harm · D August 28, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 13, 2024 · Infection Control

  • Potential for harm · D August 14, 2024 · found via complaint

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected September 4, 2024 · Quality of Life and Care

  • Potential for harm · D August 14, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 4, 2024 · Pharmacy Service

  • Potential for harm · D August 5, 2024 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected August 21, 2024 · Quality of Life and Care

  • Potential for harm · D May 24, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · D May 24, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected June 10, 2024 · Quality of Life and Care

  • Potential for harm · D May 24, 2024

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected June 10, 2024 · Nursing and Physician Services

  • Potential for harm · D May 24, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 10, 2024 · Pharmacy Service

  • Potential for harm · E May 24, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 10, 2024 · Pharmacy Service

  • Potential for harm · D May 24, 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 June 10, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 20, 2024Payment Denial8 days
June 26, 2023Fine$3,147

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055356 · certified since August 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.