PACIFIC GARDENS NURSING AND REHABILITATION CENTER
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-02-07 — ACTUAL HARM (tag F0688, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
2024-03-15 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.89
state median 3.94
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.61
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
36%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $30,654 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-02-07 | Fine | $30,654 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the COVENANT CARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CAMINO RIDGE POST-ACUTE (MOUNTAIN VIEW, CA) —
- THE WIN POST-ACUTE (SANTA CLARA, CA) —
- Palo Alto Post-Acute (PALO ALTO, CA) —
- Encinitas Post-Acute (ENCINITAS, CA) —
- GILROY HEALTHCARE CENTER (GILROY, CA) —
- La Jolla Post-Acute (LA JOLLA, CA) —
- PACIFIC COAST MANOR (CAPITOLA, CA) —
- LOS ALTOS POST-ACUTE (LOS ALTOS, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-24 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-24 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-24 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-24 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-24 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-24 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-24 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-24 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-24 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-24 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-24 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-24 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-24 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-24 | F0805 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-04-24 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-04-24 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-04-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-04-01 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-27 | F0621 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-07 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-07 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-07 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-07 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-07 | F0688 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-02-07 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-07 | F0732 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-02-07 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-07 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-07 | F0802 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-07 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-07 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-02-07 | F0924 | Environmental Deficiencies | E | not recorded |
| 2024-11-26 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-26 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-10-04 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-10-04 | F0925 | Environmental Deficiencies | F | not recorded |
| 2024-03-15 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-11-30 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-30 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-30 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-30 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |