Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056313

Pacific Villa, Inc

89 federal citations on record , and 4 federal enforcement actions totaling $53,797.

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Record summary

Federal record · Q1 2026
89
Total citations
64
Last 3 years
2
Actual harm+
4
Federal penalties
$53,797
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights18 Quality of Care18 Care Planning12 Abuse & Neglect12 Medication & Pharmacy11

Most common F-tags at this facility

F8805 F5804 F6564 F6004 F6094

Citation history

89 on record
SurveyF-TagViolationSeveritySource
Dec 16, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 16, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 4, 2025F880Provide and implement an infection prevention and control program.DComplaint
Dec 4, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 4, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 19, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Nov 19, 2025F584Honor 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.DComplaint
May 16, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 16, 2025F610Respond appropriately to all alleged violations.DComplaint
May 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 28, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 28, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Apr 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Mar 14, 2025F814Dispose of garbage and refuse properly.FComplaint
Feb 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 20, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 20, 2024F880Provide and implement an infection prevention and control program.EStandard
Dec 20, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 20, 2024F761Ensure 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.DStandard
Dec 20, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 20, 2024F758Implement 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.DStandard
Dec 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 20, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Dec 20, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Dec 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 20, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Dec 20, 2024F641Ensure each resident receives an accurate assessment.BStandard
Dec 20, 2024F584Honor 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.DStandard
Dec 20, 2024F578Honor 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.EStandard
Dec 20, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 17, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Feb 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 1, 2024F610Respond appropriately to all alleged violations.DComplaint
Jan 5, 2024F610Respond appropriately to all alleged violations.EComplaint
Jan 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jan 5, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jan 5, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 5, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jan 5, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 5, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 5, 2024F790Provide routine and 24-hour emergency dental care for each resident.EStandard
Jan 5, 2024F761Ensure 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.EStandard
Jan 5, 2024F760Ensure that residents are free from significant medication errors.EStandard
Jan 5, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jan 5, 2024F758Implement 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.DStandard
Jan 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jan 5, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jan 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 5, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jan 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jan 5, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Jan 5, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Jan 5, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 11, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 11, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Dec 11, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 11, 2023F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Dec 11, 2023F555Honor the resident's right to choose his or her attending physician.DComplaint
Dec 11, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Mar 28, 2023F880Provide and implement an infection prevention and control program.EComplaint
Feb 16, 2023F908Keep all essential equipment working safely.EStandard
Feb 16, 2023F888Ensure staff are vaccinated for COVID-19EStandard
Feb 16, 2023F880Provide and implement an infection prevention and control program.EStandard
Feb 16, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Feb 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 16, 2023F761Ensure 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.DStandard
Feb 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 16, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 16, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Feb 16, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 16, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Feb 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 16, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Feb 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Feb 16, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Feb 16, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Feb 16, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Feb 16, 2023F584Honor 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.EStandard
Feb 16, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Feb 16, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 16, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Feb 16, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Feb 16, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $53,797 and 1 payment-denial actions spanning 29 days.

DateTypeFinePayment denial
Apr 28, 2025Fine$48,100—
Apr 28, 2025Payment Denial—May 27, 2025 · 29 days
Feb 20, 2024Fine$2,279—
Jan 22, 2024Fine$3,418—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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