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Arroyo Grande Care Center

1212 Farroll Avenue, Arroyo Grande, CA 93420 · San Luis Obispo County · (805) 489-8137

99 certified beds, about 87 residents a day · For profit - Corporation · Medicare and Medicaid since 1995

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 555619 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 3 health deficiencies (the California average is 15.6, the national average 9.2).

None of its 10 health citations since August 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.48 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.

21.0% of nursing staff left within the year CMS measured (California average 36.7%).

CMS links it to Compass Health, Inc., an affiliated group of 7 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
2F
Potential for minimal harm
0A
0B
0C
July 24, 2025Standard inspection · 3 citations
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to appropriately label and store drugs when three cartons of Med Pass 2.0 fortified nutritional shake were found to be expired in the medication room of nursing station two. This failure had the potential to result in residents possibly receiving expired and ineffective medication. During a concurrent observation and interview on [DATE] at 10:12 A.M. with licensed nurse (LN 3), while checking medications in Station 2 medication room, found three cartons of Med Pass 2.0 fortified nutritional shake, (drink to add additional dietary calories and protein Fortified with vitamins and minerals), expired. Two expired [DATE] and one expired [DATE]. LN 3 confirmed they are expired and stated, Those need to go. It's all med nurses responsibility to check them. [...]
  2. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow the nutritional needs of a residents in accordance with recommended guidelines diet prescription for a renal diet for one of one resident (Resident 72) when Certified Nurse Assistant (CNA) 4 added salt to the resident's meal. This failure has the potential of not meeting the nutritional goal of the resident as prescribed diet. During an observation on 7/22/25 at 7:48 am at the dining room, Resident 72 was observed for her meal intake. Certified Nurse Assistant (CNA) 4 was overheard offering Resident 72 if she wanted to have salt and pepper on her meal with the resident responding with a nod. CNA 4 opened the salt packet and sprinkled salt into resident 72's meal. During a concurrent interview and record review on 7/22/25 at 7:48 am with CNA 4, the meal ticket of Resident 72 was reviewed. [...]
  3. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food safety standards were followed when an expired milk, brought in by family, was found in the snack refrigerator in nursing station 2. This failure had the potential to cause food- borne illness to a vulnerable resident. During a concurrent observation and interview on 7/22/2025 at 10:35 A.M., with licensed nurse (LN 2), while checking the snack refrigerator in Station 2, found an Alta Dena reduced fat milk (brought in by family) was expired on 6/17/2025. LN 2 confirmed the milk was expired and stated, We usually check items brought in by family. We should check it daily. During a review of the facility's policy and procedure titled, Resource: Food Safety for Your Loved Ones, dated 2022, indicated in part ., Food or beverages should be labeled and dated to monitor for food safety: . [...]
February 10, 2025Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 9, 2025
    Inspectors wroteBased on interview, and record review, the facility failed to complete an accurate nursing assessment for one of two sampled residents (Resident 1). This failure resulted in the receiving facility not having sufficient information necessary to develop and implement a care plan to meet Resident 1's needs.
June 27, 2024Standard inspection · 0 citations
September 11, 2023Complaint inspection · 1 citation
  1. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a proper system was in place to safeguard one of three sampled residents (Resident 1) personal funds when the facility's billing department deposited Resident 1's personal check for rent payment into the facility's bank account. This failure resulted in the misappropriation of Resident 1's personal funds which had the potential to cause emotional distress and anxiety to the resident.
August 12, 2021Standard inspection · 5 citations
  1. F
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 12, 2021
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure: 1. Expired medications were not stored and available for staff use, in two of two first aid kits, and in one of two treatment carts. These failures had the potential for unsafe and ineffective medication administration that can cause harm to the residents. 2. A licensed nurse followed the facility's policy and procedures (P&P) on medication administration.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 12, 2021
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety when: 1) kitchen staff did not have all their hair restrained, and 2) food items were past their best buy date in the reach-in refrigerator. This had the potential for food to be contaminated by hair and the quality of the food may change past the use by date. The census of the facility was 74.
  3. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 12, 2021
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the menu was followed for: 1) Two of two residents (Residents 4 and 36) on the small portion minced and moist diet, and 2) Two of two residents (Residents 6 and 16) on the small portion soft and bite sized diets for the lunch meal on 8/9/21. This failure had the potential to result in not meeting the nutritional needs of the residents and further compromising their medical status.
  4. D
    Try 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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2021
    Inspectors wroteBased on Observation, interview, and record review, the facility failed to use appropriate alternatives prior to installing bed rails (adjustable metal or rigid plastic bars that attach to the bed) for five of 5 sampled residents (Resident 35, 41, 54, 61, and 62). This facility failure had the potential to result in an increased risk for entrapment (strangulation, suffocation, bodily injury or death when a resident or part of their body is caught between the bed rail and mattress) or falls.
  5. D
    Implement 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2021
    Inspectors wroteThe facility failed to ensure that one resident was free from unnecessary drugs. Resident #15 Unnecessary Meds, Psychotropic Meds, and Med Regimen Review Based on resident interview, clinical record review, and review of the drug manufacturer's specifications, the facility failed to ensure that, each resident's drug regimen was free from unnecessary drugs, including medications used for an excessive duration. This medication used in this manner, could have prevented this resident from reaching her highest functional capacity.

Fire safety inspections

13 fire safety citations on file: 4 on June 27, 2024, 5 on August 12, 2021, 4 on October 10, 2019.

Every fire safety citation13 citations
  1. F
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · June 27, 2024 · Corrected (the home has a date of correction)
  2. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 27, 2024 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · June 27, 2024 · Corrected (the home has a date of correction)
  4. D
    Meet requirements for the use of electrical equipment.
    K 919 · June 27, 2024 · Corrected (the home has a date of correction)
  5. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · August 12, 2021 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 12, 2021 · Corrected (the home has a date of correction)
  7. D
    Meet other general requirements that are deficient.
    K 500 · August 12, 2021 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 12, 2021 · Corrected (the home has a date of correction)
  9. D
    Have proper medical gas storage and administration areas.
    K 923 · August 12, 2021 · Corrected (the home has a date of correction)
  10. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 10, 2019 · Corrected (the home has a date of correction)
  11. D
    List the names and contact information of those in the facility.
    E 30 · October 10, 2019 · Corrected (the home has a date of correction)
  12. D
    Provide emergency officials' contact information.
    E 31 · October 10, 2019 · Corrected (the home has a date of correction)
  13. D
    Provide a written emergency evacuation plan.
    K 711 · October 10, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)4.484.523.86
Registered nurses0.280.670.69
All nursing staff on weekends3.964.093.42
Nurse aides3.10
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)21.0%36.7%45.8%
Registered nurse turnover25.0%38.1%42.9%
Administrators who left0

CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.70 on weekdays and 3.96 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.34 in April to June 2025 to 4.48 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.480.284.703.96 0.0%1 of 9087
Oct to Dec 20254.190.184.383.73 0.0%1 of 9289
Jul to Sep 20254.290.214.523.72 0.0%0 of 9286
Apr to Jun 20254.340.304.563.79 0.0%0 of 9186
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for California

JobMedianMiddle halfEmployed
California, all employers
CNAs (nursing assistants)$22.90$22.04 to $26.35110,060
LPNs and LVNs$38.34$35.98 to $45.0682,850
Registered nurses$67.44$58.87 to $83.25338,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.810.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.11.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.09.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.04.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.212.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.522.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.111.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.61.8

Owners and operators

Legal business name: COMPASS HEALTH INC. CMS links this home to Compass Health, Inc., a group of 7 nursing homes averaging 5 stars overall.

NameRoleTypeShareSince
Compass Health IncDirect ownership interestOrganization11/19/2007
Compass Holdings IncDirect ownership interestOrganization01/01/2008
Carder, HaroldIndirect ownership interestIndividual01/01/2024
Gerrish, NancyIndirect ownership interestIndividual01/01/2005
Gerrish, WilliamIndirect ownership interestIndividual01/01/2005
Hamilton, AmyIndirect ownership interestIndividual01/01/2024
Hodge, TimothyIndirect ownership interestIndividual01/01/2024
Lochridge, VallettaIndirect ownership interestIndividual01/01/2024
McMullen, JuanitaIndirect ownership interestIndividual07/07/1979
Moya, MarieIndirect ownership interestIndividual07/22/2010
Reitz, BryanIndirect ownership interestIndividual01/01/2024
Smith, DarrenIndirect ownership interestIndividual09/26/2008
Woolpert, MarcyIndirect ownership interestIndividual01/01/2024
Woolpert, MarkIndirect ownership interestIndividual07/07/1997
Woolpert, PatriciaIndirect ownership interestIndividual07/07/1997
Moya, MarieCorporate directorIndividual03/14/2019
Smith, DarrenCorporate directorIndividual03/14/2019
Woolpert, PatrickCorporate directorIndividual03/14/2019
Hodge, TimothyCorporate officerIndividual04/23/2004
Moya, MarieCorporate officerIndividual07/22/2010
Smith, DarrenCorporate officerIndividual09/26/2008
Compass Health IncOperational/managerial controlOrganization11/19/2007
Alexander, LaceyOperational/managerial controlIndividual04/09/2006
Carder, HaroldOperational/managerial controlIndividual01/01/2014
Downey, SusanOperational/managerial controlIndividual10/31/2018
Hamilton, AmyOperational/managerial controlIndividual07/18/2005
Hodge, TimothyOperational/managerial controlIndividual04/23/2024
Moya, MarieOperational/managerial controlIndividual07/22/2010
Smith, DarrenOperational/managerial controlIndividual12/31/2019
Woolpert, MarcyOperational/managerial controlIndividual01/01/2021
Woolpert, PatrickOperational/managerial controlIndividual03/14/2019
Compass Health IncAdp of the SNFOrganization04/09/2025
Alexander, LaceyAdp of the SNFIndividual04/09/2006
Carder, HaroldAdp of the SNFIndividual04/09/2025
Casey, SamuelAdp of the SNFIndividual01/01/2008
Downey, SusanAdp of the SNFIndividual05/06/2025
Hamilton, AmyAdp of the SNFIndividual07/18/2005
Hodge, TimothyAdp of the SNFIndividual04/23/2004
Lochridge, VallettaAdp of the SNFIndividual01/01/2008
McMullen, JuanitaAdp of the SNFIndividual07/07/1997
Moya, MarieAdp of the SNFIndividual07/22/2010
Reitz, BryanAdp of the SNFIndividual01/01/2008
Smith, DarrenAdp of the SNFIndividual12/31/2019
Woolpert, MarcyAdp of the SNFIndividual01/01/2021
Woolpert, PatrickAdp of the SNFIndividual03/14/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on July 24, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 24, 2025: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 10, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 11, 2023: "Honor the resident's right to manage his or her financial affairs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.96 hours per resident per day, below the California average of 4.09.

Other nursing homes nearby

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Common questions

What is Arroyo Grande Care Center's Medicare star rating?
CMS rates Arroyo Grande Care Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arroyo Grande Care Center get at its last inspection?
3 health deficiencies at the standard inspection on July 24, 2025. The California average is 15.6.
Has Arroyo Grande Care Center been fined?
CMS lists no fines in the last three years.
Does Arroyo Grande Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Arroyo Grande Care Center?
CMS lists 45 owners and managers, and links the home to Compass Health, Inc.. Legal business name: COMPASS HEALTH INC.

Sources

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