Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lompoc Valley Medical Center Comprehensive Care Ce during CMS and state inspections, most recent first.
Improper hand hygiene and glove use were observed during food tray preparation when a cook wiped his face with a gloved hand while working in the kitchen. The FSD stated the cook should have removed his gloves, washed his hands, and put on new gloves before continuing. Facility policy requires handwashing before and after handling food and after touching the uniform, face, or hair.
Medication Storage and Labeling Deficiency: Multiple meds in the med cart were observed without opening dates, including laxatives, stool softeners, supplements, eye drops, and ophthalmic solution. An unopened box of Insulin Lispro was also found in the med cart drawer even though the manufacturer required refrigeration until use. The RNS and DON confirmed the meds should have been dated when opened and the insulin should have been stored in the refrigerator.
Failure to Submit PBJ Staffing Data to CMS: The facility failed to submit required staffing information through the PBJ system, and review of the CASPER staffing report showed no data was submitted for the quarter, resulting in a one-star staffing rating. The DON stated they were responsible for the submission and said the facility did not realize the data had not been uploaded during a change in administration until the rating was observed.
A resident with glaucoma and legal blindness did not receive 22 doses of prescribed Bimatoprost eye drops as ordered, and there was no documentation that the physician was notified of these missed doses. The DON confirmed the omissions and lack of notification, which was not in accordance with facility policy and professional standards.
The facility failed to follow professional food storage standards by not labeling and dating food items in the walk-in freezer. During tours, unlabeled bags of fruit slices, waffles, and deli meat were found. Interviews revealed confusion among staff about labeling responsibilities, with the Food Nutrition Director and others acknowledging the oversight. Despite policies requiring labeling, the deficiency persisted due to unclear staff roles and new staff unfamiliarity.
A facility failed to implement its abuse prevention policy after an incident where one resident grabbed another's arm following an alleged wheelchair collision. Despite policy requirements, the residents were not separated, and no investigation or documentation was conducted for two days. The facility also failed to report the incident to CDPH within the required timeframe.
A resident with hemiplegia experienced delayed assistance with toileting due to inadequate staffing at an LTC facility. Despite the DON's claim of sufficient staffing, the resident reported ignored call lights and poor treatment. The resident's care plan required prompt response to maintain continence, but staffing issues, especially on weekends, led to delays. A CNA confirmed the resident's frustration and noted they were covering a double shift, highlighting potential understaffing.
Improper Handwashing and Glove Use During Food Tray Preparation
Penalty
Summary
The facility failed to prepare food in accordance with professional standards for food safety when Cook 1 was observed during food tray preparation using his apron to wipe his face with a gloved hand. During the observation on 3/23/26 at 12 p.m. in the kitchen, [NAME] 1 was seen grabbing his apron and wiping his face with his left gloved hand. During an interview later that day, the Food Service Director stated that [NAME] 1 should have removed his gloves, washed his hands, and then donned new gloves before continuing food preparation. The facility policy titled Proper Handwashing and Glove Use, dated 2020, states that employees will wash hands before and after handling foods and after touching any part of the uniform, face, or hair.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure medications were stored and labeled according to the manufacturer's specifications and facility process/practice. During an observation in the middle station medication cart, multiple medications were found without opening dates, including Metamucil, Docusate Sodium 100 mg, Docusate Sodium 50 mg, Glucosamine Chondroitin 250 mg, Oysco 500 + D3, Vitamin D3 10 mcg, Folic Acid 400 mcg, Genteal Tears, two Systane eye drops, three Refresh eye drops, and Pataday Ophthalmic Solution. The medications were observed on the cart without the dates of opening documented. The observation also identified an unopened box of Insulin Lispro 100 units/ml in the medication cart drawer. The manufacturer's instructions on the box stated to store it refrigerated at 36 F to 46 F until time of use. During interview, the RNS stated the medications should have had opening dates and the insulin should have been stored in the refrigerator rather than in the medication cart drawer. The DON confirmed the facility did not have a policy and procedure on labeling medications with opening dates, although it was facility practice to label medications when opened, and also confirmed the insulin vial should have been refrigerated.
Failure to Submit PBJ Staffing Data to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to CMS through the Payroll Based Journal (PBJ) system based on payroll and other verifiable and auditable data. During review of the PBJ Staffing Data Report, CASPER Report 1705D for Quarter 1 of 2025, it was found that the facility did not submit staffing data for the quarter and subsequently received a one-star staffing rating. In an interview, the DON stated that they were responsible for submitting staffing information to CMS and explained that, during a change in administration, the facility did not realize the staffing data had not been uploaded until the one-star staffing rating was observed.
Failure to Administer Prescribed Medication and Notify Physician
Penalty
Summary
A resident with diagnoses including diabetes, dementia, anxiety, open-angle glaucoma, and legal blindness was admitted to the facility with a physician's order for Bimatoprost eye drops to be administered in both eyes in the evening to manage intraocular pressure. Review of the Medication Administration Record (MAR) for June revealed that the resident did not receive the prescribed Bimatoprost medication on 22 separate days. The Director of Nursing (DON) confirmed that these doses were missed and acknowledged the medication was not administered as ordered. Further review of the resident's progress notes showed no documented evidence that the physician was notified about the missed doses of Bimatoprost. The DON stated there was no documentation of physician notification regarding the medication omission. According to the facility's policy and procedure for medication administration, all medications are to be administered as ordered, and the physician must be notified by telephone if a medication error occurs. Reference materials reviewed also indicated that failing to administer a medication and not notifying the healthcare provider constitutes a medication error.
Failure to Label and Date Food Items in Walk-In Freezer
Penalty
Summary
The facility failed to adhere to professional food storage standards by not labeling and dating food items in the walk-in freezer. During an initial tour of the kitchen, a gallon-sized freezer bag of fruit slices and a quart-sized freezer bag with a leftover waffle were found without any description or date. The Food Nutrition Director (FND) was unsure why these items were not labeled. A follow-up tour revealed a package of deli meat slices also lacked labeling. Interviews with staff, including the Food Production Supervisor (FPS) and Food Service Worker (FSW) #3, confirmed that it was standard practice to label food with the date opened, a description of contents, and a best by date. However, these procedures were not followed. Further interviews revealed a lack of clarity and responsibility among staff regarding food labeling. [NAME] #2, responsible for checking and discarding unlabeled items, was unsure why items were not labeled. The lead cook, [NAME] #1, indicated that new staff might not be familiar with the process. The FPS and FND both stated that it was [NAME] #2's responsibility to ensure proper labeling, while the Director of Nursing (DON) and the Administrator emphasized the importance of labeling and discarding expired items. Despite these expectations, the deficiency in labeling and dating food items persisted, indicating a breakdown in communication and adherence to facility policies.
Failure to Implement Abuse Prevention Policy
Penalty
Summary
The facility failed to implement its abuse prevention policy following an alleged abuse incident between two residents on 7/17/24. The incident involved Resident 1 grabbing and squeezing Resident 2's arm after Resident 2 allegedly ran over Resident 1's feet with a wheelchair. Despite the facility's policy requiring immediate separation of residents involved in such incidents, no interventions were implemented for two days, allowing the potential for the incident to reoccur. Interviews and record reviews revealed that the facility did not follow its procedures for handling resident-to-resident abuse. The activities leader witnessed the incident and reported it to the nursing supervisor, who did not conduct a thorough assessment or document the incident in the residents' medical records. The nursing supervisor did not separate the residents, investigate the cause of the incident, notify physicians or responsible parties, or closely monitor the residents as required by the facility's policy. The facility manager confirmed that the facility did not report the alleged abuse incident to the California Department of Public Health (CDPH) within the required 24-hour timeframe. Additionally, the facility failed to account for the residents' whereabouts and interactions during the two days following the incident. Both residents involved had cognitive scores indicating they were cognitively intact, with medical histories including stroke and psychoactive substance abuse.
Inadequate Staffing Leads to Delayed Response to Resident's Call Light
Penalty
Summary
The facility failed to provide adequate staffing to meet the needs of a resident, specifically in responding to a call light for assistance with toileting. On the afternoon shift of 4/28/24, the facility had a census of 88 residents with seven CNAs scheduled, resulting in each CNA being responsible for approximately 12 to 13 residents. Despite the Director of Nursing's assertion that the facility was not understaffed and that all staff were expected to respond to call lights, Resident 1 reported an incident where their call light was ignored. The resident, who has hemiplegia and requires maximum assistance for toileting, had to go to the nurse's station to request help, only to be told to return to their room and wait. Resident 1, who has a history of stroke affecting their left side, expressed frustration over the facility's response time to call lights, stating it was a constant problem. The resident's care plan emphasized the need for prompt response to call bells to maintain continence, yet the resident reported being treated poorly and noted that staff did not assist each other. A CNA confirmed that on weekends staffing could be lower, and on the night in question, the resident was in their wheelchair and unable to use the urinal without assistance. The CNA also mentioned that they were covering a double shift and had the resident assigned to them the entire time, indicating potential understaffing issues.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lompoc
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lompoc Skilled Nursing & Rehabilitation Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Atterdag Care Center | 17.9 mi | ★★★★★ | 15 | 0 |
| Santa Maria Post Acute | 21.3 mi | ★★★★★ | 4 | 0 |
| Marian Regional Medical Center D/p Snf | 21.5 mi | ★★★★★ | 5 | 0 |
| Valley Oaks Post Acute | 21.7 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.