Deficiency Index

Carmel Hills Care Center

Monterey, California · CCN 056055

22 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
131
Surveys
22
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file19/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
99
Ownership
For profit - Corporation
Chain
Independent
County
Monterey
Medicare-certified since
1971

CMS ratings

Overall
3
Health inspection
2
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 423 for-profit facilities of 66–99 beds in California.

Last survey on record

Apr 17, 2026

206 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.324.16
Registered-nurse hours per resident day0.60—
Annual nurse turnover31.6%37.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1435.9%E1641.0%F923.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 39 of the 131 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7613×

    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.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6922×

    Provide enough food/fluids to maintain a resident's health.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

In the surveyor’s words

From the most serious findings on record at Carmel Hills Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF732Apr 17, 2026

    Based on observation, interview, and record review, the facility failed to ensure the daily staffing information posted was for the current day. This failure had the potential to result in nurse staffing misinformation to residents, families, and visitors.Findings:During a concurrent observation and interview with the director of nursing (DON) on 4/15/2026 at 9:48 a.m., in nurse station AA (NS AA), there was no daily staffing information posted. The DON confirmed the observation and tried to look around NS AA. […]

  • No harm, potential for more than minimal, widespreadF801Apr 17, 2026

    Based on observation, interview, and record review, the facility failed to employ the director of food and nutrition services when the registered dietician was only employed part-time. This failure had the potential to negatively impact on food quality, sanitation, meal service, and residents' nutritional status for 92 residents in the facility.Findings:During a concurrent observation and interview on 4/13/2026 at 11:06 a.m. with the Head [NAME] (HC) in the kitchen, Dietary Manager (DM) was not present. The HC stated the prior DM resigned about 2 months ago, and the facility was in the process of recruiting a new one. The HC temporarily managed the kitchen.During an interview on 4/13/2026 at 11:30 a.m. with the administrator (ADM), the ADM stated the DM resigned since 2/12/2026. […]

  • No harm, potential for more than minimal, widespreadF812Apr 17, 2026

    Based on observation, interview, and record review, the facility failed to ensure proper sanitation of two ice machines (one was in the utility room, one was in the hallway) when there was buildup around the ice dispenser chutes and ice discharge chutes of the two ice machines. These failures had the potential to increase the risk of food contamination to 92 residents in the facility.Findings:During an interview on 4/15/2026 at 9:46 a.m. with the Director of Environmental Services (DES), the DES stated there were two ice machines in the facility under the responsibility of maintenance services. The ice machines were cleaned internally by a contracted company every 90 days. The maintenance staff used sanitizer to wipe externally every day. 1. […]

  • No harm, potential for more than minimal, widespreadF812Dec 19, 2024

    Based on observation, interview, and facility policy review, the facility failed to ensure food was thawed per the facility policy, there was not a crack in the kitchen floor, utensils were stored per the facility policy, the food drains were cleaned daily, there was not a build-up around the ice machine dispenser, and expired food items were discarded after their expiration date. These deficient practices had the potential to affect all residents who received food from the kitchen. Findings included: A facility policy titled, Handling Clean Equipment and Utensils, with a copyright date of 2017, revealed 4. Stored utensils should be covered or inverted whenever possible. A facility policy titled, General Food Preparation and Handling, with a copyright date of 2017, revealed, 3. […]

  • No harm, potential for more than minimal, widespreadF880Dec 19, 2024

    Based on interview, document review, and facility policy review, the facility failed to develop a water management program that specified a detailed description and diagram of the water system in the facility. This deficient practice had the potential to affect all 91 residents who currently reside in the facility. Findings included: A facility policy titled, Legionella Water Management Program, revised 07/2017, revealed 3. The purposes of the water management program are to identify areas in the water system where Legionella bacteria could grow and spread, and to reduce the risk of Legionnaires' disease. The policy specified, 5. The water management program includes the following elements: a. An interdisciplinary water management team; b. […]

Read 20 findings in full →The most serious and the most recent: 20 of 131 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 17, 2026Standard19 findings
  • Dec 19, 2024Standard3 findings
  • Aug 17, 2022Complaint2 findings
  • Mar 28, 2022Standard17 findings
  • Jul 12, 2019Standard15 findings
  • Jun 14, 2019Complaint1 finding
  • Jun 28, 2018Standard7 findings
  • Jun 6, 2018Complaint1 finding
Show the 14 earlier surveys
  • Jun 15, 2017Standard5 findings
  • Jun 29, 2016Standard and complaint5 findings
  • Jan 29, 2016Complaint2 findings
  • Aug 7, 2015Standard9 findings
  • Aug 28, 2014Standard7 findings
  • Jun 11, 2014Complaint2 findings
  • Jan 10, 2014—2 findings
  • Sep 27, 2013—2 findings
  • Sep 12, 2013—11 findings
  • Mar 26, 2013—2 findings
  • Jul 20, 2012—3 findings
  • Jul 2, 2012—1 finding
  • Feb 28, 2012—3 findings
  • Aug 5, 2011—12 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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