Forest Hill Manor Health Center
551 Gibson Avenue, Pacific Grove, CA 93950
Forest Hill Manor Health Center is a nursing home in Pacific Grove, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (831) 657-5200
- Last standard health inspection
- April 25, 2025 (1 year ago)
- Certified beds
- 26
- Residents per day, on average
- 23.3
- Ownership type
- For profit - Limited Liability company
- Legal business name
- 551 Gibson Ave SNF LLC
- Chain
- Bvhc, LLC
- Takes part in
- Medicare and Medicaid
Fewer health citations than the California average (28 vs 50).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
1 citation
Health inspection on April 10, 2026
CMS lists this as a complaint inspection.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on May 1, 2026.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from October 1, 2025 from $12,735 to $8,278.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
1 citation
Health inspection on October 1, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
227 of 1,165 California homes (19%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 20, 2025.
Fine
October 1, 2025 (1 year ago)
CMS fine of $8,278 on October 1, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of June 25, 2025
Health citation
CMS removed citation F0758 from the health inspection on January 23, 2024.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
6 citations
Health inspection on April 25, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for F0812 3 times since 2022.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for F0755 2 times since 2022.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for F0761 3 times since 2022.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 15, 2025.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on May 15, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for F0880 3 times since 2022.
5 citations
Fire safety inspection on April 25, 2025
CMS lists this as a standard inspection.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for E0039 2 times since 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0345 2 times since 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0353 2 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 15, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0918 3 times since 2022.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from not rated by CMS to 3 of 5.
CMS update of August 29, 2024
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to not rated by CMS. CMS changed how it scores this rating for many homes at once.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
12 citations
Health inspection on January 23, 2024
CMS lists this as a standard inspection.
Citation F0700. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS lists it as corrected on February 9, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 9, 2024.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on February 9, 2024.
CMS has cited this home for F0759 2 times since 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 9, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on February 9, 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on February 9, 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on February 9, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on February 9, 2024.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on February 9, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on February 9, 2024.
Citation F0801. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS lists it as corrected on February 9, 2024.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on February 9, 2024.
22 citations
Fire safety inspection on January 23, 2024
CMS lists this as a standard inspection.
Citation K0344. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have an alternate power supply for its alarm system.
CMS lists it as corrected on March 5, 2024.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 5, 2024.
Citation E0007. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Address patient/client population and determine types of services needed.
CMS lists it as corrected on March 5, 2024.
Citation E0015. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on March 5, 2024.
Citation E0023. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for medical documentation.
CMS lists it as corrected on March 5, 2024.
Citation E0024. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for volunteers.
CMS lists it as corrected on March 5, 2024.
Citation E0034. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on March 5, 2024.
Citation E0035. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on March 5, 2024.
Citation E0036. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on March 5, 2024.
Citation E0037. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on March 5, 2024.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on March 5, 2024.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on March 5, 2024.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on March 5, 2024.
Citation K0346. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on March 5, 2024.
Citation K0347. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on March 5, 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 5, 2024.
Citation K0354. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
CMS lists it as corrected on March 5, 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on March 5, 2024.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on March 5, 2024.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 5, 2024.
Citation K0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on March 5, 2024.
Citation K0926. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
CMS lists it as corrected on March 5, 2024.
8 citations
Health inspection on August 5, 2022
CMS lists this as a standard inspection.
Citation F0800. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS lists it as corrected on September 4, 2022.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 4, 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 4, 2022.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on September 4, 2022.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on September 4, 2022.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 4, 2022.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on September 4, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on September 4, 2022.
2 citations
Fire safety inspection on August 5, 2022
CMS lists this as a standard inspection.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on August 17, 2022.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 17, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ACOSTA, MARIAHOperational/managerial control · not applicable · since 02/16/2025
- CALABAZARON, REDENTOROperational/managerial control · not applicable · since 02/14/2022
- CHINTHAKINDI, RAVIOperational/managerial control · not applicable · since 11/21/2022
- FUENTES, RAYOperational/managerial control · not applicable · since 12/06/2022
- PIQUE, JANNETOperational/managerial control · not applicable · since 05/23/2023
- TAYLOR, RYANOperational/managerial control · not applicable · since 05/08/2023
- THAPA, NISCHALOperational/managerial control · not applicable · since 08/06/2024
Questions
When was Forest Hill Manor Health Center last inspected?
CMS lists April 25, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Forest Hill Manor Health Center have?
CMS lists 28 health citations since August 5, 2022. CMS also calls these deficiencies.
Has Forest Hill Manor Health Center been fined?
CMS lists 1 fine in the past three years, $8,278 in total.
What is the CMS star rating of Forest Hill Manor Health Center?
Its CMS overall star rating is 5 of 5.
Is Forest Hill Manor Health Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.