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Facility profile · CCN 056065

Santa Cruz Post Acute

82 federal citations on record , and 3 federal enforcement actions totaling $205,264.

Record summary

Federal record · Q1 2026
82
Total citations
71
Last 3 years
4
Actual harm+
3
Federal penalties
$205,264
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

82 on record
SurveyF-TagViolationSeveritySource
Nov 26, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 8, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Mar 3, 2025F880Provide and implement an infection prevention and control program.EStandard
Mar 3, 2025F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard
Mar 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 3, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 3, 2025F761Ensure 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
Mar 3, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Mar 3, 2025F758Implement 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.EStandard
Mar 3, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Mar 3, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Mar 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Mar 3, 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.EStandard
Mar 3, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Mar 3, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Mar 3, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Mar 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 3, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Mar 3, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 3, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 26, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Dec 9, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 23, 2024F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EComplaint
Oct 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 6, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 6, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 31, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint
Jul 31, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 31, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Jul 5, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint
Jun 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 19, 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.FComplaint
Jun 18, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jun 18, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Mar 7, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Jan 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 12, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Nov 30, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 30, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Nov 30, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Nov 30, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 30, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 30, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Oct 13, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 18, 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.DComplaint
May 12, 2023F880Provide and implement an infection prevention and control program.DStandard
May 12, 2023F814Dispose of garbage and refuse properly.EStandard
May 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
May 12, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 12, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
May 12, 2023F758Implement 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
May 12, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 12, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
May 12, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 12, 2023F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
May 12, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 12, 2023F687Provide appropriate foot care.DStandard
May 12, 2023F685Assist a resident in gaining access to vision and hearing services.DStandard
May 12, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 12, 2023F642Ensure a qualified health professional conducts resident assessments.DStandard
May 12, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 12, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
May 9, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 24, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EComplaint
Mar 2, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Jan 24, 2020F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jan 24, 2020F880Provide and implement an infection prevention and control program.DStandard
Jan 24, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 24, 2020F761Ensure 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
Jan 24, 2020F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 24, 2020F758Implement 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 24, 2020F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 24, 2020F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 24, 2020F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $205,264 .

DateTypeFinePayment denial
Nov 6, 2025Fine$127,715
Mar 3, 2025Fine$26,719
Mar 7, 2024Fine$50,830
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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