Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Mission Park Healthcare Center during CMS and state inspections, most recent first.
A resident with a history of falls experienced a fall in the bathroom when a staff member was distracted. Despite the resident's report of pain and dizziness, the LVN did not document the incident or perform a post-fall assessment, and the DON was unaware of the fall. The facility failed to adhere to its fall management policy, resulting in a deficiency.
A resident with chronic pain was left without their prescribed tramadol due to a failure in the medication ordering process. Despite attempts by an LVN to contact the physician for a refill, no response was received, and the resident was given Tylenol instead. The lack of communication and follow-through among staff led to the resident refusing therapy due to fear of pain.
A facility failed to include a resident's representative in the development of a baseline care plan within 48 hours of admission. The resident, who was cognitively impaired, had an initial care plan discussed without the representative's involvement, contrary to facility policy. The Director of Nursing acknowledged the missing signature of the representative, indicating their absence during the initial care planning process.
A facility failed to provide a resident's representative with a summary of the baseline care plan within 48 hours of admission, as required by policy. The Baseline Care Plan Summary was not documented as discussed with the representative, and staff interviews revealed uncertainty and inability to provide proof of its delivery. The Director of Nursing confirmed the oversight, resulting in the representative lacking knowledge of the care plan goals and interventions.
A resident with anxiety disorder and recovering from surgery was sexually abused by another cognitively impaired resident, causing significant distress and leading to changes in behavior and increased anxiety. The facility failed to protect the resident despite having an abuse prevention policy.
The facility failed to report an incident of sexual abuse within the required two-hour timeframe. A resident with moderately impaired cognition was the victim of sexual abuse by another resident. Despite the facility's policy requiring immediate reporting, the incident was not reported because the victim did not recall the event. This failure had the potential to result in further harm to the victim and other residents.
The facility failed to follow medication administration policies for two residents. One resident received Metoprolol Tartrate without required vital signs being documented, and another resident's repeated refusals of Senokot were not documented or reported to the physician as required.
Failure to Document and Assess Resident Fall
Penalty
Summary
The facility failed to ensure an incident report and a post-fall assessment and investigation were completed after a resident sustained a fall. The facility's policy on fall management requires that following a resident's fall, a licensed nurse must complete an incident report and a post-fall assessment within 24 hours. However, this procedure was not followed for Resident #103, who experienced a fall in the bathroom. The resident, who had a history of syncope, orthostatic hypotension, and falls, reported feeling sore on the left side after the incident. During the incident, a staff member was present but distracted, leading to the resident losing balance and falling onto the toilet riser. Despite the resident's report of pain and dizziness, the Licensed Vocational Nurse (LVN) on duty did not consider it a fall because the resident did not initially complain of pain. Consequently, the LVN did not complete an incident report or assess the resident for injuries, and the Director of Nursing (DON) was not informed of the fall or the resident's bruising. Interviews with the nursing aides involved revealed that the resident's fall was not properly communicated or documented. The aides confirmed that the resident fell when one of them was distracted by another staff member. The DON and the Administrator acknowledged that the fall should have been investigated and documented, and a full assessment should have been completed. The lack of proper documentation and assessment following the fall constitutes a deficiency in the facility's adherence to its fall management policy.
Failure to Provide Pain Medication
Penalty
Summary
The facility failed to ensure that pain medication was available for administration to a resident, leading to a deficiency in pain management. The resident, who had a medical history of chronic pain syndrome and other conditions, was admitted with orders for acetaminophen and tramadol for pain management. However, on a specific date, the resident reported that the facility was out of their pain medication, tramadol, which was confirmed by the Licensed Vocational Nurse (LVN) on duty. The LVN attempted to contact the on-call physician and nurse practitioner for a refill but received no response, resulting in the administration of Tylenol instead. The deficiency was further compounded by a lack of communication and follow-through among the facility staff. The Occupational Therapist noted the resident's refusal to participate in therapy due to the absence of pain medication, and the Director of Nursing acknowledged a break in the medication ordering process. The pharmacist confirmed that no prior refill requests had been made for the resident's tramadol, and the medication was only sent after a new prescription was received. The facility's policy required proactive measures to ensure medication availability, which were not followed, leading to the resident's pain management needs not being met.
Failure to Include Resident's Representative in Care Planning
Penalty
Summary
The facility failed to ensure that a resident's representative (RR) was invited and included in the development of a person-centered baseline care plan within 48 hours of the resident's admission. The resident, who was cognitively impaired, was admitted to the facility, and the initial plan of care was discussed with the resident. However, there was no documentation indicating that the RR was invited or present during this discussion. The facility's policy required that the resident and their family be invited to care planning meetings, but this was not adhered to in this case. The resident's clinical records indicated cognitive impairment, with a Brief Interview for Mental Status (BIMS) score of 8, suggesting moderate impairment. Despite this, the facility did not document the RR's attendance or involvement in the initial care planning process. The Director of Nursing (DON) acknowledged the absence of the RR's signature on the Baseline Care Plan Summary, which should have been obtained to confirm the RR's participation. The RR only attended a care conference six days after the resident's admission, highlighting the facility's failure to involve the RR in the initial care planning process.
Failure to Provide Baseline Care Plan Summary to Resident's Representative
Penalty
Summary
The facility failed to provide a resident or the resident's representative with a summary of the baseline care plan within 48 hours of admission, as required by their policy. The policy mandates that a person-centered Baseline Care Plan be developed for each resident within 48 hours of admission and that a written summary of this plan, including initial goals, physician's orders, dietary orders, therapy services, social services, and PASARR recommendations, be provided to the resident or their representative. However, in the case of Resident 1, the Baseline Care Plan Summary (BCPS) was not provided to the resident's representative, and there was no documentation to confirm that the care plan was discussed with the representative present during the initial care plan meeting. Interviews with facility staff, including a Licensed Vocational Nurse and the Assistant Administrator, revealed uncertainty and inability to provide proof that the BCPS was given to the resident's representative. The Director of Nursing confirmed that the BCPS was not provided to the representative, acknowledging the oversight. This deficiency resulted in the resident's representative having no knowledge of the initial care plan goals and interventions being provided to the resident.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to protect a resident from sexual abuse by another resident, resulting in psychosocial harm. Resident 1, who had anxiety disorder and was recovering from joint replacement surgery, reported that Resident 2, who has cognitive impairment, inappropriately touched her breast after asking to touch her cast. This incident caused Resident 1 significant distress, leading her to avoid eye contact with male residents and experience panic during transfers, even with assistance from female staff. Interviews with staff and review of medical records confirmed the incident and its impact on Resident 1's mental health. The Social Services Director noted that Resident 1 has been struggling to process the event and is receiving psychological support. The facility's 5-Day Investigative Report and Resident 1's psychology notes further documented the incident and its aftermath, highlighting the facility's failure to protect Resident 1 from abuse despite having a policy in place to prevent such occurrences.
Failure to Report Sexual Abuse Incident
Penalty
Summary
The facility failed to report an incident of sexual abuse within the required two-hour timeframe as per regulation and their own abuse policy and procedure. Resident 3, who has moderately impaired cognition, was the victim of sexual abuse by Resident 2. The incident was observed by a Registered Nurse (RN) who immediately stopped the behavior and examined Resident 3, finding no physical injuries. Despite Resident 3's poor recall and cognitive impairment, the facility did not report the incident to the proper authorities within the mandated timeframe. The facility's policy and procedure for abuse prevention and prohibition clearly state that any suspected criminal sexual abuse must be reported immediately or within two hours to various authorities, including law enforcement, the attending physician, the resident's representative, the state survey agency, and adult protective services. However, the Director of Nursing (DON) and the Social Services Director (SSD) both confirmed that the incident was not reported because Resident 3 did not recall the event and denied feeling harmed or unsafe. This decision was made despite the policy's stipulation that allegations should be treated as criminal sexual abuse if the resident does not have the decision-making capacity to consent. Interviews with the DON and SSD revealed that the facility did not follow its own policy and procedure. The DON admitted that the incident should have been reported and acknowledged that Resident 2 also had moderately impaired cognition. The failure to report the incident as required by both regulation and facility policy had the potential to result in further harm to Resident 3 and other female residents in the facility.
Failure to Adhere to Medication Administration Policies
Penalty
Summary
The facility failed to adhere to their medication administration policy and procedures for two residents. For Resident 1, the facility did not document the required vital signs (systolic blood pressure and heart rate) before administering Metoprolol Tartrate on multiple occasions between December 2023 and January 2024. This was confirmed during a record review and interview with the Licensed Nurse and the Director of Nursing, who acknowledged the absence of documentation for the vital signs prior to medication administration as per the medication order. The facility's policy mandates that vital signs be recorded before administering medications dependent on such measurements, which was not followed in this case. For Resident 2, the facility failed to document the reasons for the resident's repeated refusals of the medication Senokot from January 2, 2024, through January 14, 2024. Additionally, there was no documentation indicating that the resident's physician was notified of these refusals. Similarly, Resident 1 also refused Senokot on multiple dates in December 2023 and January 2024, with no documentation of the reasons for refusal or any re-approach attempts by the staff. The facility's policy requires documentation of the reason for medication refusal, re-approach attempts, and physician notification for repeated refusals, none of which were adhered to in these instances.
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Illustrative
What surveyors actually found near you
We read the 42 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Santa Barbara
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Samarkand Skilled Nursing Facility | 0.2 mi | ★★★★★ | 5 | 0 |
| The Californian | 0.6 mi | ★★★★★ | 0 | 0 |
| Valle Verde Health Facility | 1.2 mi | ★★★★★ | 7 | 0 |
| Channel Islands Post Acute | 1.5 mi | ★★★★★ | 3 | 0 |
| Buena Vista Care Center | 4.6 mi | ★★★★★ | 15 | 1 |
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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.