Oceanview Post Acute Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Oceanview Post Acute in Pacific Grove, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 1 citation in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 4 of 5.
- California state citations: 10 on record, including 1 class A and 9 class B, with $35,000 in assessed penalties.
- Staffing: 4.04 nursing hours per resident per day; registered nurse turnover 16.7%.
- Most recent standard inspection: 9 deficiencies cited on December 12, 2025.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: 200 Lighthouse, LLC, for-profit, part of Bvhc, LLC (12 facilities nationally).
Oceanview Post Acute ratings and staffing
Oceanview Post Acute is located at 200 Lighthouse Avenue in Pacific Grove, Monterey County. It is a for-profit facility operated by 200 Lighthouse, LLC, part of Bvhc, LLC, with 51 certified beds and an average of 47.2 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Oceanview Post Acute, those scores are: health inspections 4 of 5, staffing 4 of 5, quality measures 5 of 5.
Staffing. Oceanview Post Acute reports 4.04 total nursing hours per resident per day, of which 0.65 are registered nurse hours. Over the reporting year, 38.5% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
December 12, 2025, standard inspection
9 deficiencies cited. Surveyors cited the facility for prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function, ensure food and drink is palatable, attractive, and at a safe and appetizing temperature, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (scope and severity E)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (scope and severity E)
- F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
- F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)
- F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)
September 24, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
April 11, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (scope and severity D)
April 4, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for keep residents' personal and medical records private and confidential.
- F0583Keep residents' personal and medical records private and confidential. (scope and severity D)
October 2, 2024, complaint inspection
2 deficiencies cited. Surveyors cited the facility for honor the resident's right to manage his or her financial affairs and provide appropriate foot care.
- F0567Honor the resident's right to manage his or her financial affairs. (scope and severity D)
- F0687Provide appropriate foot care. (scope and severity D)
August 28, 2024, complaint inspection
2 deficiencies cited. Surveyors cited the facility for have the quality assessment and assurance group have the required members and meet at least quarterly and provide and implement an infection prevention and control program.
- F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
August 14, 2024, complaint inspection
2 deficiencies cited. Surveyors cited the facility for provide medically-related social services to help each resident achieve the highest possible quality of life and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0745Provide medically-related social services to help each resident achieve the highest possible quality of life. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
August 5, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide activities to meet all resident's needs.
- F0679Provide activities to meet all resident's needs. (scope and severity D)
May 24, 2024, standard inspection
10 deficiencies cited. Surveyors cited the facility for ensure medication error rates are not 5 percent or greater, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and dispose of garbage and refuse properly.
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0814Dispose of garbage and refuse properly. (scope and severity E)
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
- F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)
- F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
- F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)
March 20, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)
June 10, 2022, standard inspection
17 deficiencies cited. Surveyors cited the facility for honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely, develop and implement policies and procedures to prevent abuse, neglect, and theft, and ensure medication error rates are not 5 percent or greater.
- F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity E)
- F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity E)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care. (scope and severity D)
- F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
- F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0687Provide appropriate foot care. (scope and severity D)
- F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
- F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0758Implement 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. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
- F0814Dispose of garbage and refuse properly. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
- F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)
Penalties. CMS records show no federal fines for Oceanview Post Acute in the reported period.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 10 citations against Oceanview Post Acute between November 30, 2006 and April 12, 2024: 1 class A and 9 class B, with $35,000 in assessed penalties. 1 of these actions were connected to a resident's death.
- April 12, 2024, class B, Patient Care. $3,000 penalty.
- March 23, 2020, class B, Other. $2,000 penalty.
- March 23, 2020, class B, Other. $2,000 penalty.
- March 17, 2020, class B, Medication. $2,000 penalty.
- March 17, 2020, class B, Patient Care. $2,000 penalty.
- August 9, 2017, class B, Other. $1,000 penalty.
- April 20, 2016, class B, Abuse/Facility Not Self Reported. $1,000 penalty.
- July 30, 2009, class B, Patient Care. $1,000 penalty.
- November 30, 2006, class A, Medication. $20,000 penalty. Appealed. Death-related.
- November 30, 2006, class B, Medication. $1,000 penalty.
Across Monterey County's 14 certified facilities, the average is about 12.6 state citations per facility. Oceanview Post Acute's 10 is close to that average.
A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Pacific Grove
Families comparing options in Pacific Grove often look at these facilities as well. Each link opens that facility's full public record:
- Forest Hill Manor Health Center, 4 stars, 2 state citations
- Canterbury Woods, 5 stars, 3 state citations
- Carmel Hills Care Center, 3 stars, 27 state citations (in Monterey County)
- Cypress Ridge Care Center, 4 stars, 28 state citations (in Monterey County)
See every facility in the Monterey County nursing home directory.
Other nursing homes in Monterey County
These are other nursing homes in Monterey County, listed by how close each home's ZIP code is to the ZIP code for Oceanview Post Acute. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Canterbury Woods, Pacific Grove
- Forest Hill Manor Health Center, Pacific Grove
- Carmel Hills Care Center, Monterey
- Cypress Ridge Care Center, Monterey
- Eden Valley Care Center, Soledad
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Oceanview Post Acute, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Monterey County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Monterey County's ombudsman program can be reached at (831) 655-1334. This is often the fastest first step when the issue is care quality rather than an emergency.
Call Adult Protective Services or 911 if you believe an elder is in immediate danger. Monterey County APS: (831) 755-4466.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Oceanview Post Acute is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Monterey County
If a loved one was harmed at Oceanview Post Acute, these pages explain how Monterey County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Monterey County bedsore lawyer
- Monterey County nursing home neglect lawyer
- Monterey County nursing home fall lawyer
- Monterey County nursing home wrongful death lawyer
You can also compare every home in the Monterey County nursing home directory.
Are There Lawsuits Against Oceanview Post Acute?
This page reports federal and state inspection, complaint and enforcement records for Oceanview Post Acute. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Monterey County are searchable through the Monterey County Superior Court's online case records. If your family member was injured at Oceanview Post Acute, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Oceanview Post Acute a good nursing home?
- CMS gives Oceanview Post Acute an overall rating of 5 of 5 stars, with a health inspection rating of 4 of 5 based on in-person state surveys. California has issued 10 state citations against the facility, including 1 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Oceanview Post Acute?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Monterey County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Oceanview Post Acute been fined or cited for serious violations?
- Public records show 10 California state citations with $35,000 in state penalties, including 1 class A citation.
- How many state citations does Oceanview Post Acute have?
- The California Department of Public Health has issued 10 citations against Oceanview Post Acute in Pacific Grove between November 30, 2006 and April 12, 2024: 1 class A and 9 class B, with $35,000 in assessed penalties.
- How do I report a problem at Oceanview Post Acute?
- File a complaint with CDPH through its Cal Health Find system, or contact the Monterey County Long-Term Care Ombudsman at (831) 655-1334. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Oceanview Post Acute, talk to our Monterey County nursing home abuse lawyers. We handle cases in Pacific Grove and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Oceanview Post Acute provider record, CCN 055356. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Oceanview Post Acute state license record, FACID 070000078, license 70000075.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Oceanview Post Acute in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Oceanview Post Acute, and neither the facility nor any government agency endorses this page.