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 The Californian during CMS and state inspections, most recent first.
A facility failed to develop a care plan for a resident's use of the anticoagulant Apixaban, despite a physician's order for its administration. The resident, admitted with congestive heart failure and a cardiac pacemaker, had no documented care plan for the medication, which was confirmed during a review with the MDS Coordinator. The facility's policy requires care plans to be initiated on admission and updated as needed, but this was not followed, potentially leading to adverse medication events.
The facility failed to follow physician orders and document interventions for two residents. A resident with hypertension did not have their apical pulse checked before receiving medication, contrary to orders. Another resident with diabetes had low blood sugar episodes without documented interventions, including a misrecorded blood sugar level and undocumented treatment. These lapses were acknowledged by staff during reviews.
A facility failed to label and date the oxygen tubing for a resident with COPD who was dependent on supplemental oxygen. The resident was observed using a nasal cannula without proper labeling, contrary to the facility's policy requiring weekly changes and labeling of tubing. This oversight had the potential to result in cross-contamination for residents in a compromised condition.
The facility failed to maintain kitchen sanitation standards by allowing staff personal belongings in the dry food storage room and operating a low-temperature dish machine with insufficient chemical sanitation. Personal items were found in the storage area, contrary to facility policy, and the dish machine's sanitizer concentration was below the required level, posing a risk of food-borne illnesses.
Failure to Develop Care Plan for Anticoagulant Use
Penalty
Summary
The facility failed to develop a care plan for the use of the anticoagulant medication Apixaban for one of the sampled residents, identified as Resident 39. This deficiency was identified during a review of Resident 39's Admission Record, which showed that the resident was admitted with diagnoses including congestive heart failure and the presence of a cardiac pacemaker. Despite having a physician's order for Apixaban to be administered twice daily for prophylaxis of deep vein thrombosis, there was no documented care plan for the medication's use in the resident's clinical record. During an interview and record review with the Minimum Data Set Coordinator, it was confirmed that there was no care plan in place for Resident 39's use of Apixaban, which was acknowledged as a requirement. The facility's policy and procedures on care planning, dated April 2024, stipulate that care plans should be initiated upon admission based on physician orders and patient assessments, and updated as the resident's condition changes. The absence of a care plan for the anticoagulant medication could lead to medication-related adverse events and poor management of anticoagulation therapy for the resident.
Failure to Follow Physician Orders and Document Interventions
Penalty
Summary
The facility failed to adhere to physician orders for two residents, leading to potential risks to their health and safety. For Resident 29, a male with diagnoses including essential hypertension and paroxysmal atrial fibrillation, the licensed nurse did not check the apical pulse as required before administering a blood pressure medication. Instead, the nurse measured the radial pulse, which was not in accordance with the physician's order that specified holding the medication if the apical pulse was less than 55. This oversight was acknowledged by the nurse during a review of the resident's order summary. For Resident 14, a female with Type 2 Diabetes Mellitus and chronic kidney disease, there were two instances where the medical record lacked documentation of interventions for alarmingly low blood sugar readings. On one occasion, a blood sugar level was incorrectly documented as 11, and no corrective action was recorded. On another occasion, although the resident was given orange juice and the physician was notified, these interventions were not documented in the medical record. The Director of Nursing acknowledged these documentation failures during a review of the resident's medical record.
Failure to Label and Date Oxygen Tubing
Penalty
Summary
The facility failed to ensure that the oxygen tubing for Resident 98 was labeled and dated, which is a requirement according to the facility's policy. Resident 98, who was admitted with chronic obstructive pulmonary disease (COPD) and dependence on supplemental oxygen, was observed using a nasal cannula connected to an oxygen concentrator without any labeling on the tubing. During an observation and interview with the Infection Preventionist, it was confirmed that the nasal cannula tubing was not labeled or dated as it should have been. The facility's policy, dated February 2024, specifies that nasal cannula and nebulizer tubing should be changed weekly and labeled with the date of placement and the patient's room number. This oversight had the potential to result in cross-contamination for residents in a compromised condition.
Kitchen Sanitation and Dish Machine Deficiencies
Penalty
Summary
The facility failed to maintain proper kitchen and food storage sanitation, as evidenced by two key observations. Firstly, personal belongings of kitchen staff, including a jacket and a purse, were found inside the dry food storage room. This was confirmed during an observation and interview with dietary staff, who acknowledged that personal items should not be stored in food storage areas. The facility's policy and procedures explicitly prohibit employees from bringing personal items into food service production areas, yet this guideline was not adhered to. Secondly, the facility's low-temperature dish machine was found to be operating without proper chemical sanitation. During an observation and interview, it was noted that the chemical solution used for sanitizing dishware was at a concentration of 10 ppm, significantly below the required minimum of 50 ppm. This was verified through a test strip, and the issue was acknowledged by both the dietary staff and the facility administrator. The facility's policy mandates that the chemical sanitizer concentration should be between 50 to 100 ppm, but this standard was not met, leading to potential risks of food-borne illnesses due to improperly sanitized dishware.
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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 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 | 0.6 mi | ★★★★★ | 5 | 0 |
| Mission Park Healthcare Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Valle Verde Health Facility | 1.8 mi | ★★★★★ | 7 | 0 |
| Channel Islands Post Acute | 1.9 mi | ★★★★★ | 3 | 0 |
| Casa Dorinda | 4.6 mi | ★★★★★ | 12 | 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.