Above average — CMS composite of the measures below.
The next survey window likely opens around March 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 Marian Regional Medical Center D/p Snf during CMS and state inspections, most recent first.
MDS section N did not accurately reflect medication use for two residents. One resident had an order for zolpidem for insomnia and received it as prescribed, but the MDS did not indicate use of a hypnotic. Another resident had an order for sulfamethoxazole-trimethoprim for UTI and received it as prescribed, but the MDS did not indicate use of an antibiotic. The MDSC confirmed the inaccurate assessments, and the DON later acknowledged them.
A resident with HTN, CHF, and glaucoma received three ophthalmic medications in rapid succession from an LPN, with less than 2 minutes between doses. The MAR-linked medication guides for Brimonidine, Timolol, and Dorzolamide each required at least 5 minutes between ophthalmic products, and the DON confirmed those instructions. The pharmacist stated eye drops should be spaced 3 to 5 minutes apart to allow absorption.
Unlocked Medication Cart and Expired Supplies: A medication cart in wing 300 was observed unlocked and unattended, and both the ASN and an LPN confirmed it should have been locked. Expired Povidone-iodine swabsticks were also found in the wing 100 medication supply room and in the wing 300 medication cart, and the ASN confirmed the items were expired and should have been discarded.
A resident with multiple medical conditions and on diuretic medications did not receive scheduled toileting every two hours as outlined in their care plan. Documentation showed ongoing incontinence without evidence that the required toileting intervention was provided, and the DON confirmed the lack of documentation and inability to verify care due to charting practices.
Staff did not follow physician orders for pain management, administering Norco to a resident for low pain levels that should have been treated with acetaminophen, and failing to document any administration of acetaminophen. The DON confirmed the orders were not followed, contrary to facility policy.
The facility failed to store food and ice according to professional standards, with a brown substance found in the kitchen ice machine and unit refrigerators across three wings maintaining temperatures above the recommended 41 degrees Fahrenheit. Staff confirmed these findings, which could lead to increased risk of foodborne illness.
The facility failed to provide meals of similar nutritive value when residents requested alternative meal options. Grilled cheese sandwiches, prepared as alternatives, contained significantly less protein than the regular entree. This deficiency was observed in meals provided to three residents with different dietary needs, and the Kitchen Manager confirmed the protein discrepancy.
A facility failed to ensure a resident was transferred using a two-person assist as required. A CNA transferred the resident using a Liko Lift without a second staff member, contrary to the resident's care plan and facility policy. The Director of Nursing confirmed that staff are trained to use two-person assistance for such transfers.
MDS Section N Did Not Accurately Reflect Medication Use for Two Residents
Penalty
Summary
The facility failed to ensure that portions of the MDS accurately reflected residents’ medication status for two sampled residents. For Resident 11, the H&P documented diagnoses of hypertension, osteoporosis, depression, and hospitalization after an L5 fracture from a fall, and it also included a physician instruction to continue zolpidem 5 mg at bedtime. The PO and MAR showed that Resident 11 was admitted to the facility with an order for zolpidem 5 mg q HS for insomnia and received the medication since admission, but the MDS section N for the ARD of 3/23/26 did not indicate that hypnotic medications were taken during the look-back period. During interview and record review, the MDSC confirmed the inaccurate medication assessment but could not explain it. For Resident 39, the PO and MAR showed an order for sulfamethoxazole-trimethoprim 1 tablet PO every 12 hours for UTI, and the MAR indicated the medication was administered as prescribed. However, the MDS section N for the ARD of 3/29/26 did not show that an antibiotic medication had been taken during the 7-day look-back period. During concurrent interview and record review, the MDSC confirmed and acknowledged the inaccurate assessment. The DON later confirmed and acknowledged the inaccurate MDS assessment for both residents.
Medication Error Rate Exceeded Due to Improper Timing of Eye Drops
Penalty
Summary
The facility failed to maintain a medication error rate below 5%. During observation of medication administration for one sampled resident, three ophthalmic medications were given to the resident’s left eye in rapid succession without the required time delay between doses. Licensed Nurse 2 administered Brimonidine ophthalmic at 9:07 a.m., then Timolol ophthalmic at 9:08 a.m., and Dorzolamide ophthalmic at 9:08 a.m., with all three eye drops administered within less than 2 minutes. The resident involved was admitted with diagnoses including hypertension, congestive heart failure, and glaucoma. During record review with the DON, the medication guides integrated into the electronic MAR were reviewed and each guide stated that when more than one ophthalmic drug is used, at least 5 minutes should elapse between administrations. The DON confirmed those instructions. The pharmacist also stated eye drops should be administered 3 to 5 minutes apart to allow absorption and explained that giving too many drops in a short time can cause medication to roll out of the eye and not be absorbed.
Unlocked Medication Cart and Expired Povidone-Iodine Swabsticks
Penalty
Summary
Medication storage was not maintained in accordance with accepted professional principles when a medication cart in wing 300 was observed unlocked and unattended during a concurrent observation and interview with the Administrative Support Nurse. The ASN confirmed the cart was unlocked and stated it should be kept locked while unattended. Licensed Nurse 1 also acknowledged the cart was unlocked while unattended and stated it should be locked. The facility policy titled Medication Services stated that stored drugs are only accessible to licensed personnel. The facility also had expired Povidone-iodine swabsticks stored in medication areas. In the wing 100 medication supply room, one box of Povidone-iodine swabsticks was observed with an expiration date of 02/2026, and the ASN confirmed it was expired and should have been discarded. In wing 300, four individual packets of Povidone-iodine swabsticks were observed in the medication cart; three had expiration dates of 03/2026 and one had an expiration date of 02/2026. The ASN confirmed all four packets were expired and should have been discarded. The facility policy stated that drugs will not be kept in stock after the expiration date on the label.
Failure to Implement Scheduled Toileting Interventions
Penalty
Summary
A deficiency was identified when the facility failed to implement scheduled toileting interventions for a resident as indicated in the resident's care plan. The resident, who had diagnoses including chronic kidney disease, hypertension, post-surgical pain, impaired mobility, and post lumbar spinal decompression, was prescribed diuretic medications that increase urine production. The care plan specified that toileting should be offered every two hours to address the resident's genitourinary needs. Record review showed that from the time of admission through several days, documentation indicated the resident was incontinent, but there was no evidence that two-hourly toileting was offered as required by the care plan. The DON confirmed that there was no documentation to show the intervention was provided and acknowledged that the facility's practice of charting by exception made it impossible to verify if the care plan was followed. Facility policies reviewed also required assessment and implementation of measures to prevent and reduce incontinence, including scheduled toileting.
Failure to Administer Pain Medication per Physician Orders
Penalty
Summary
Facility staff failed to administer pain medications according to physician orders for one resident. The resident had physician orders for Norco to be given for moderate to severe pain and acetaminophen for mild pain, with specific instructions based on the resident's pain scale rating. Despite these orders, staff administered Norco when the resident reported pain levels of 1 and 2, which should have been managed with acetaminophen per the physician's instructions. There was no documentation that acetaminophen was ever given. The DON confirmed that staff did not follow the physician's orders. Facility policies required staff to assess pain using a 10-point scale and to administer medications only as ordered by a physician.
Improper Food and Ice Storage in Facility
Penalty
Summary
The facility failed to ensure that food and ice were stored in accordance with professional standards for food service safety. During an observation of the kitchen's ice machine, a brown substance was found on the interior grate above the water trough, which was confirmed by the Maintenance Facility Engineer. The ice from this machine was used for events, cold drinks on the tray line, and a lemonade dispenser in the hallway, which served as a hydration option for residents. The Director of Plant Operations mentioned that the ice machine was cleaned by a contractor quarterly and annually, but the facility had recently ended the contract with the current vendor and was transitioning to a new corporate vendor. Additionally, the facility failed to maintain appropriate temperatures for food storage in unit refrigerators across three wings. Observations revealed that the temperature gauges in the refrigerators were above the recommended 41 degrees Fahrenheit, with milk temperatures ranging from 44 to 46.4 degrees Fahrenheit. These findings were confirmed by staff members present during the observations. The facility's policy indicated that food temperatures should be maintained between 34 and 41 degrees Fahrenheit, as recommended by licensing and surveying agencies.
Inadequate Nutritional Value in Alternative Meal Options
Penalty
Summary
The facility failed to provide meals of similar nutritive value when residents requested alternative meal options. During observations of lunch meal services, it was noted that grilled cheese sandwiches were prepared for residents as an alternative to the scheduled entree. These sandwiches consisted of two slices of white bread and two slices of orange cheese, providing approximately nine grams of protein. This was significantly lower than the 21 grams of protein provided by the regular entree, which included three ounces of meat. The deficiency was observed in the meals provided to three residents, each with different dietary needs. Resident 9, on a consistent carbohydrate diet, received a grilled cheese sandwich with diet cranberry juice and Italian ice. Resident 62, on a regular chopped meats diet, also received a grilled cheese sandwich. Resident 5, on a regular diet, received a grilled cheese sandwich with a bowl of tomato soup. The Kitchen Manager confirmed the protein discrepancy between the grilled cheese sandwiches and the regular entree, acknowledging the lower protein content in the alternative meal choice.
Failure to Use Two-Person Assist for Resident Transfer
Penalty
Summary
The facility failed to ensure that a resident was transferred from a wheelchair to a bed using the required two-person assist, as per the facility's policy. The incident involved a certified nursing assistant (CNA 1) who transferred the resident using a Liko Lift without the assistance of a second staff member. This action was contrary to the resident's care plan, which specified the need for a two-person assist during transfers, and the facility's policy on safe patient handling. During the observation, it was noted that the CNA positioned the Liko Lift next to the resident's bed and proceeded with the transfer alone, despite the requirement for a two-person assist. The CNA confirmed that the resident required two-person assistance for transfers. The Director of Nursing also stated that all staff are trained to use two-person assistance when using the Liko Lift, as indicated in the facility's staff training materials. This failure had the potential to result in an avoidable fall for the resident.
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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 Santa Maria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley Oaks Post Acute | 0.6 mi | ★★★★★ | 11 | 0 |
| Villa Maria Post Acute | 1.2 mi | ★★★★★ | 0 | 0 |
| Santa Maria Post Acute | 2.3 mi | ★★★★★ | 4 | 0 |
| Arroyo Grande Care Center | 15.4 mi | ★★★★★ | 0 | 0 |
| Lompoc Skilled Nursing & Rehabilitation Center | 20.8 mi | ★★★★★ | 0 | 0 |
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