Pacific Coast Manor
Pacific Coast Manor Information
| Facility Name | Pacific Coast Manor |
| Location | 1935 Wharf Road, Capitola, CA 95010 |
| County (SSA Code) | Santa Cruz (540) |
| Phone Number | 831-476-0770 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 99 |
| Average Number of Residents | 84.3 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
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| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COVENANT CARE CAPITOLA, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1969-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.41596 |
| Reported LPN Staffing Hours per Resident per Day | 0.65874 |
| Reported RN Staffing - Hours per Resident per Day | 1.00928 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.66802 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.08398 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.10074 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.15011 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72515 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.323 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.19826 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.07112 |
| Total Weighted Health Survey Score for three cycles | 22.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-05 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 32 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-08 |
| Rating cycle 2 - Health Deficiency Score | 32 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-21 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |