Home / California / Atascadero
Coastal Oaks Special Care Center
10805 El Camino Real, Atascadero, CA 93422 · San Luis Obispo County · (805) 466-9254
65 certified beds, about 6 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
Not rated
CMS note: Not enough data available to calculate a star rating.
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 555554 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 4, 2025, inspectors cited 1 health deficiency (the California average is 15.6, the national average 9.2).
None of its 9 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
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.
406/23
405/24
106/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
0F
Potential for minimal harm
0A
0B
0C
June 4, 2025Standard inspection · 1 citation
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were properly stored and disposed in accordance with the facility's policies and procedures when an expired emergency medication kit was found stored in the medication store closet. This failure had the potential to result in reduced effectiveness and increased risk of side effects of the medications.
May 10, 2024Standard inspection · 4 citations
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the menu was followed as planned during lunch tray line (a system of food preparation in which trays move along an assembly line) when 2 residents (Resident 18 and 32) small portion diet were not followed. This failure had the potential not to meet the nutritional needs as planned to maintain normal body weight and acceptable nutritional values of residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to maintain medical records for three of 3 sampled residents (Resident 46, 38 and 44) and for one unsampled resident (Resident 47) were in accordance with professional standards and practices when: 1). Resident 46, physician ordered supplement intakes were not documented in the medical record. 2). Resident 38, Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage ((SNFABN) notice of Medicare coverage ending) signature of resident representative was not legible or identified. 3) . Resident 44, Resident-Facility Arbitration Agreement ((RFAA) opting for a private dispute resolution procedure instead of going to court agreement) signature of resident representative was not legible or identified. 4). Resident 47, SNFABN date of notification was omitted. [...]
- D Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on interview and record review, the facility failed to ensure three of three sampled residents (Resident 22, 44, and 46) binding arbitration agreements had clearly stated the selection of a neutral arbitrator agreed upon by both facility and resident or resident representative and clearly stated the selection of a venue that is convenient to both facility and resident or resident representative. This failure had the potential to result in psychosocial harm in the event of an arbitration dispute.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain essential equipment and safe operating condition, when the refrigerator gasket was found to have been torn. This failure resulted in the door not being able to seal appropriately and with potential to effect food temperatures.
June 9, 2023Standard inspection · 4 citations
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medication pass observation. record review, and interview the facility failed to ensure that it was free from a medication error rate greater than five percent when : 1. Resident 3 (Res 3) was ordered Aspirin (pain medication also use for blot clots) 81 mg delayed release (Enteric Coated -EC), but was given Aspirin 81 mg chewable. 2. Resident 46 was with orders for Aspirin 81 mg delayed release, but was given Aspirin 81 mg chewable. These failures resulted in a 5.41% medication error rate.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored at the right temperature in accordance with federal laws and the facility's policies and procedures. This failure had the potential for medications to lose potency and become ineffective.
- D Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on observation, interview, and record review, the Registered Dietitian failed to demonstrate competency when the RD did not communicate current standards of practice to the facility's Medical Director, when the RD was aware a Low Concentrated Sweets (LCS) diet used at the facility was no longer nationally recognized, nor recommended to address residents diabetes. There were two of 12 sampled residents (Resident 48 and Resident 37) with an LCS diet order for nutrition care for diabetes. As a result, the RDs failed to utilize their expertise in the development of resident care policies and procedures to ensure that the facility provides care and services in accordance with current standards of practice, that address resident's diabetes diagnosis, and that provide clinical and technical direction to meet the needs of residents with a diagnosis of diabetes.
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow the menu as planned, during lunch trayline (a system of food preparation in which trays move along an assembly line) when: 1. The small portion diet was not followed per the planned menu for one of 12 sampled residents (Resident 10). 2. The SB 6 (Soft, Bite Sized Food) diet was not followed related to the size of pork carnitas in accordance with the facility's planned menu, and Diet Manual for SB 6 diet, for one of 12 sampled residents (Resident 25). This failure had the potential to not meet the resident's nutritional needs per the planned menu as approved by the facility's Registered Dietitian. In addition, not following the correct size of meat for a SB 6 diet had the potential to place the resident at an increased risk of choking.
Fire safety inspections
9 fire safety citations on file: 4 on June 4, 2025, 2 on May 10, 2024, 3 on June 9, 2023.
Every fire safety citation9 citations
- D Use approved construction type or materials.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have power receptacles that are properly grounded.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- C Have properly located and lighted "Exit" signs.
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.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 4.52 | 3.86 |
| Registered nurses | not reported | 0.67 | 0.69 |
| All nursing staff on weekends | not reported | 4.09 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 36.7% | 45.8% |
| Registered nurse turnover | not reported | 38.1% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.8 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 12.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.6 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Compass Health Inc | Direct ownership interest | Organization | 11/05/2007 | |
| Compass Holdings Inc | Direct ownership interest | Organization | 01/01/2008 | |
| Gerrish, Nancy | Indirect ownership interest | Individual | 01/01/2005 | |
| Gerrish, William | Indirect ownership interest | Individual | 01/01/2005 | |
| Hamilton, Amy | Indirect ownership interest | Individual | 08/25/2021 | |
| Hodge, Timothy | Indirect ownership interest | Individual | 01/01/2024 | |
| McMullen, Juanita | Indirect ownership interest | Individual | 07/07/1997 | |
| Moya, Marie | Indirect ownership interest | Individual | 07/22/2010 | |
| Smith, Darren | Indirect ownership interest | Individual | 09/26/2008 | |
| Woolpert, Marcy | Indirect ownership interest | Individual | 08/25/2021 | |
| Woolpert, Mark | Indirect ownership interest | Individual | 07/07/1979 | |
| Woolpert, Patricia | Indirect ownership interest | Individual | 07/07/1997 | |
| Moya, Marie | Corporate director | Individual | 03/14/2019 | |
| Smith, Darren | Corporate director | Individual | 03/14/2019 | |
| Hodge, Timothy | Corporate officer | Individual | 04/23/2004 | |
| Moya, Marie | Corporate officer | Individual | 07/22/2010 | |
| Smith, Darren | Corporate officer | Individual | 09/26/2008 | |
| Woolpert, Patrick | Corporate officer | Individual | 03/14/2019 | |
| Compass Health Inc | Operational/managerial control | Organization | 11/19/2007 | |
| Alexander, Lacey | Operational/managerial control | Individual | 04/09/2006 | |
| Hamilton, Amy | Operational/managerial control | Individual | 07/18/2005 | |
| Hodge, Timothy | Operational/managerial control | Individual | 04/23/2004 | |
| Maxwell, Matthew | Operational/managerial control | Individual | 09/01/2024 | |
| Moya, Marie | Operational/managerial control | Individual | 07/22/2010 | |
| Parzych, Kevin | Operational/managerial control | Individual | 08/01/2022 | |
| Smith, Darren | Operational/managerial control | Individual | 12/31/2019 | |
| Woolpert, Marcy | Operational/managerial control | Individual | 01/01/2021 | |
| Woolpert, Patrick | Operational/managerial control | Individual | 03/14/2019 | |
| Coastal LLC | Adp of the SNF | Organization | 08/25/2021 | |
| Compass Health Inc | Adp of the SNF | Organization | 08/25/2021 | |
| Compass Holdings Inc | Adp of the SNF | Organization | 01/01/2008 | |
| Alexander, Lacey | Adp of the SNF | Individual | 04/09/2006 | |
| Gerrish, Nancy | Adp of the SNF | Individual | 08/25/2021 | |
| Gerrish, William | Adp of the SNF | Individual | 08/25/2021 | |
| Hamilton, Amy | Adp of the SNF | Individual | 07/18/2005 | |
| Hodge, Timothy | Adp of the SNF | Individual | 04/23/2004 | |
| Maxwell, Matthew | Adp of the SNF | Individual | 03/27/2025 | |
| McMullen, Juanita | Adp of the SNF | Individual | 08/25/2021 | |
| Moya, Marie | Adp of the SNF | Individual | 07/22/2010 | |
| Parzych, Kevin | Adp of the SNF | Individual | 05/20/2025 | |
| Smith, Darren | Adp of the SNF | Individual | 12/31/2019 | |
| Woolpert, Marcy | Adp of the SNF | Individual | 01/01/2021 | |
| Woolpert, Mark | Adp of the SNF | Individual | 08/25/2021 | |
| Woolpert, Patricia | Adp of the SNF | Individual | 08/25/2021 | |
| Woolpert, Patrick | Adp of the SNF | Individual | 03/14/2019 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 4, 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on May 10, 2024: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 10, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on May 10, 2024: "Provide a neutral and fair arbitration process and agree to arbitrator and venue."
Other nursing homes nearby
- Vineyard Hills Health Center Templeton, 8.1 mi · 5 of 5 stars · 16 citations
- Bayside Care Center Morro Bay, 12 mi · 5 of 5 stars · 17 citations
- San Luis Transitional Care San Luis Obispo, 12.6 mi · 5 of 5 stars · 7 citations
- San Luis Post Acute Center San Luis Obispo, 13.1 mi · 5 of 5 stars · 8 citations
- Mission View Health Center San Luis Obispo, 13.2 mi · 5 of 5 stars · 8 citations
- Arroyo Grande Care Center Arroyo Grande, 24 mi · 5 of 5 stars · 10 citations
California contacts for a concern about a nursing home
These are the official offices in California. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: California Department of Public Health, Center for Health Care Quality, Licensing and Certification Program, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: California Long-Term Care Ombudsman Program, 1-800-231-4024. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Cal Health Find, where California publishes its own records on licensed homes.
Common questions
- What is Coastal Oaks Special Care Center's Medicare star rating?
- CMS rates Coastal Oaks Special Care Center 5 out of 5 stars overall, with 5 for health inspections, no for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Coastal Oaks Special Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on June 4, 2025. The California average is 15.6.
- Has Coastal Oaks Special Care Center been fined?
- CMS lists no fines in the last three years.
- Does Coastal Oaks Special 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 Coastal Oaks Special Care Center?
- CMS lists 45 owners and managers, and links the home to Compass Health, Inc.. Legal business name: COMPASS HEALTH INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.