Contact Information

PACIFIC COAST MANOR
COVENANT CARE CAPITOLA, LLC
1935 WHARF ROAD
CAPITOLA, CA 95010
(831) 476-0770
For profit - Corporation
Medicare certification date2: April 01, 1969
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  93 residents

  99 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 1
Facility reported incidents None
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 93 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 26 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 16 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 13 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 9 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • COVENANT CARE CALIFORNIA, LLC
  • COVENANT SUBCO, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • CENTRE CAPITAL INVESTORS V, LP
  • CENTRE COVENANT PURCHASER (B), LLC
  • CENTRE COVENANT PURCHASER (Q), LLC
  • CENTRE COVENANT PURCHASER (S), LLC
  • CENTRE V SECONDARY FUND, L.P.
  • COVENANT CARE, LLC
  • COVENANT HOLDCO, LLC
  • STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS
  • STOCKWELL FUND II LP
  • EVANS, MARY
  • LEVIN, ROBERT
  • SIMS, CHRISTINE
  • TOROK, ANDREW

5% OR GREATER SECURITY INTEREST

  • GENERAL ELECTRIC CAPITAL CORPORATION

MANAGING EMPLOYEE

  • SPARKS, CAROL

OFFICER

  • ASHLEY, DAVA
  • CARNEY, KEVIN
  • DONOVAN, ROBERT
  • EVANS, MARY
  • LEVIN, ROBERT
  • SIMS, CHRISTINE
  • TOROK, ANDREW

OPERATIONAL/MANAGERIAL CONTROL

  • ASHLEY, DAVA

Nursing Home Report

In 2016, PACIFIC COAST MANOR charged a total of $7,182,138 for 453 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 82.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 28% Alzheimer's 30%
Asthma 28% Cancer 21%
Congestive Heart Failure 40% Kidney Disease 50%
COPD 22% Depression 39%
Diabetes 33% Hyperlipidemia 64%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 33% RA / OA 59%
Schizophrenia 4% Stroke 10%
Demographics
Medicare Beneficiaries 453 Average Age 82
Male 145 Female 308
White 397
Black n/a
Asian n/a
Hispanic 39
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Dec 21, 2017; fire safety inspection: Jan 31, 2018

Health Deficiencies as of 12/21/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 01/31/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also