Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at San Luis Transitional Care during CMS and state inspections, most recent first.
The facility did not ensure that the most recent survey results were posted in a location easily accessible to residents, family members, or legal representatives. Instead, the results were kept in a binder inside the Administration office, which was locked after business hours, preventing access as required by federal regulations.
Two residents with documented lower extremity impairments had their MDS assessments inaccurately coded, with one resident's significant mobility limitations not reflected and another resident's lower extremity impairment incorrectly omitted. The DON and Assistant Administrator confirmed the discrepancies between clinical records and MDS coding, which did not align with facility policy requiring accurate assessment documentation.
An expired package of Maxorb II alginate wound dressing was discovered in the treatment cart during an observation with the DON. The DON confirmed the dressing was expired and should have been discarded, in accordance with facility policy requiring immediate removal and disposal of outdated medications and supplies.
Staff did not provide or assist with hand hygiene for multiple residents before meals, as required by facility policy. Both CNAs and a registered dietitian distributed meal trays and allowed residents to begin eating without offering hand sanitizer or handwashing, and staff acknowledged this omission during interviews.
The facility did not perform or document required preventive maintenance on a kitchen evaporative cooler, as observed during a survey. The Maintenance Director confirmed that tasks such as filter changes, cleaning, and other manufacturer-recommended procedures were not completed or recorded, resulting in the equipment not being maintained in safe operating condition.
The facility failed to maintain proper sanitation in the kitchen, as food debris and a cup of apple sauce were found under the stove, potentially attracting pests. This was confirmed by the Registered Dietitian, Kitchen staff, and the Assistant Administrator, who acknowledged that the facility's cleanliness policy was not followed.
Survey Results Not Readily Accessible to Residents and Families
Penalty
Summary
The facility failed to post the most recent recertification survey results in a location that was readily accessible to residents, family members, and legal representatives. During an observation and interview with the Administrator Assistant (AA), it was found that the survey results were kept in a binder inside the Administration office, which is locked after normal business hours, making them inaccessible outside of those times. The AA confirmed that the survey results were not visible in any prominent or accessible public areas of the facility. Review of the facility's policy indicated that survey results should be available for examination in a place readily accessible to residents, but this was not being followed at the time of the survey.
Inaccurate MDS Coding for Range of Motion Limitations
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments accurately reflected the functional status and range of motion (ROM) limitations for two residents. For one resident with a history of left pubic bone fracture, acute pain due to trauma, falls, and difficulty walking, the admission record and physical therapy notes documented significant lower extremity impairment and dependence in mobility and ambulation. However, the MDS section GG0110 was incorrectly coded to indicate no upper or lower extremity ROM limitations, which was inconsistent with the clinical documentation. The Director of Nursing (DON) confirmed the coding error during a review. For another resident admitted after surgery for circulatory system issues, including a recent thromboembolectomy and ongoing lower extremity vascular problems, the admission record and hospital discharge summary indicated lower extremity impairment. Despite this, the MDS section GG0110 was coded as showing upper extremity impairment and no lower extremity impairment. Upon review, the DON and Assistant Administrator acknowledged that the coding did not accurately reflect the resident's condition, as the resident had no upper extremity limitations but did have lower extremity ROM impairment on one side. The facility's policy required MDS assessments to be completed according to the MDS 3.0 RAI User's Manual, but this was not followed in these cases.
Expired Wound Dressing Found in Treatment Cart
Penalty
Summary
A deficiency was identified when an expired package of Maxorb II alginate wound dressing was found stored in the treatment cart during an observation with the DON. The package was open and had an expiration date that had already passed. The DON acknowledged that the dressing was expired and should have been discarded, stating that it was missed. Review of the facility's policy and procedure for medication storage indicated that outdated, contaminated, or deteriorated medications and those in compromised containers are to be immediately removed from stock and disposed of according to established procedures.
Failure to Provide Hand Hygiene Before Meals
Penalty
Summary
Staff failed to follow standard and transmission-based precautions for infection prevention and control by not providing or assisting with hand hygiene for residents before meals. During multiple observations, both certified nursing assistants and a registered dietitian distributed meal trays to several residents without offering hand sanitizer or handwashing prior to the residents eating. Residents were observed beginning their meals with uncleaned hands, and staff acknowledged that hand hygiene was not offered at these times. Interviews with residents confirmed that staff typically did not offer handwashing before or after meals. Review of the facility's policy indicated that personnel are required to assist residents with hand hygiene before meals, after toileting, and when indicated. The failure to follow these protocols was observed with five of eight sampled residents during meal times.
Failure to Maintain Kitchen Evaporative Cooler per Manufacturer Guidelines
Penalty
Summary
The facility failed to maintain the evaporative cooler located in the kitchen in safe operating condition by not performing the manufacturer's recommended preventive maintenance. During an observation, the evaporative cooler was found blowing air directly onto clean dishes and toward the stove cooking area. The Maintenance Director stated that filters are changed every six months but was unable to provide maintenance records for the unit, and filter cleaning or replacement was not documented. A review of the facility's policy and procedure, as well as the manufacturer's maintenance instructions, revealed that monthly checks, cleaning, and documentation of air filters and other components were required. The Maintenance Director acknowledged that the preventive maintenance tasks outlined in the manufacturer's instructions, such as cleaning pads, checking the water distributor, and keeping the water tank clean, were not being performed. This lack of maintenance and documentation constituted a failure to keep essential equipment in safe working order.
Failure to Maintain Kitchen Sanitation
Penalty
Summary
The facility failed to adhere to proper sanitation and food safety practices, which was observed during a survey. Specifically, food debris and a cup of apple sauce were found under the kitchen stove, which could potentially attract insects and rodents. This observation was made during a visit with the Registered Dietitian and Kitchen staff, who acknowledged that the floor should be kept clean and free from debris or food items. Further interviews with the Dietary Supervisor and the Assistant Administrator confirmed that the facility's policy on maintaining cleanliness in the kitchen was not followed. The facility's policy, as well as the FDA Federal Food Code, emphasize the importance of keeping areas under equipment clean to prevent the attraction of pests and the accumulation of pathogenic microorganisms. The Assistant Administrator admitted that the expectation for maintaining a clean kitchen was not met, indicating a lapse in following the established policy and procedures.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 21 citations issued within 25 miles in the last 12 months — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near San Luis Obispo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| San Luis Post Acute Center | 0.8 mi | ★★★★★ | 1 | 0 |
| Mission View Health Center | 0.8 mi | ★★★★★ | 7 | 0 |
| Bayside Care Center | 11.4 mi | ★★★★★ | 4 | 0 |
| Arroyo Grande Care Center | 11.7 mi | ★★★★★ | 9 | 0 |
| Coastal Oaks Special Care Center | 12.6 mi | ★★★★★ | 0 | 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 June 2026) and official state health department websites.