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Westland House

100 Barnet Segal Lane, Monterey, CA 93940 · Monterey County · (831) 658-3737

28 certified beds, about 26 residents a day · Non profit - Corporation · Medicare and Medicaid since 1982

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 555143 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 5, 2025, inspectors cited 4 health deficiencies (the California average is 15.6, the national average 9.2).

None of its 13 health citations since May 2023 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 5.17 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 1.86 of those hours.

44.4% of nursing staff left within the year CMS measured (California average 36.7%).

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 13 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
4E
2F
Potential for minimal harm
0A
0B
0C
September 5, 2025Standard inspection · 4 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) September 8, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a medication was administered timely in accordance with the physician order for one of 12 sampled residents (Resident 46). This failure had the potential for adverse health outcomes related to incorrect medication administration time.
  2. E
    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, pattern · Corrected (the home has a date of correction) September 8, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent the spread of infections during kitchen observation when a staff member did not perform hand hygiene after touching a contaminated item. This failure had the potential to transmit infectious microorganisms and increase the risk of infection for residents and staff.
  3. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the garbage dumpster (a movable waste container) lid was kept closed. This failure had the potential to attract insects, rodents, and other pests to the facility.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to identify appropriate interventions for two of 12 residents (Resident 4 and 38):1. Resident 4's dysphagia (difficulty in swallowing foods or liquid) care plan had no interventions; and2. Resident 38's wound care plan did not indicate wound care interventions. This failure had the potential to compromise the facility's ability to implement interventions.
May 3, 2024Standard inspection · 5 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the proper use of side or bed rails ((adjustable rigid bars attached to the side of a bed) for 25 of 25 sampled residents (Residents 122, 120, 175, 70, 73, 1, 79, 125, 72, 126, 71, 74, 76, 128, 171, 75, 172, 127, 123, 173, 78, 121, 174, 77, and 170) when: 1. The facility failed to assess for the risk of entrapment from side rails prior to use of side rails for 25 of 25 residents (Residents 122, 120, 175, 70, 73, 1, 79, 125, 72, 126, 71, 74, 76, 128, 171, 75, 172, 127, 123, 173, 78, 121, 174, 77, and 170). 2. [...]
  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) June 5, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items were labeled properly and expired food were not stored in the kitchen and accessible to be used in preparing foods for 23 of 25 residents. This practice had the potential to result in the residents ingesting expired food, which can result in foodborne illnesses.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to issue the Notice of Medicare Non-Coverage (NOMNC, informs beneficiaries on how to file an appeal before their insurance coverage ends) timely for two of three sampled residents (Resident 80 and 81). This deficient practice had the potential to result in residents not being able to exercise their right to file an appeal.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the plan of care for one of 25 sampled residents (Resident 1) was individualized and revised to reflect the resident's current care needs and interventions. This failure had the potential to result in not meeting the residents' needs.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure two of 25 residents (Residents 74 and 79)'s foot boards of their beds were properly locked. This failure had the potential to negatively affect the residents' well-being and increased the risk of accidents or injuries to the residents.
May 5, 2023Standard inspection · 4 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) May 25, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure sanitary conditions were maintained for one of three ice machines when an ice machine had a brown-yellow substance in an interior part of the machine was exposed to ice. This failure had the potential to cause food-borne illnesses (an illness caused by food or water contaminated with bacteria, viruses, parasites or toxins). The ice machine was used to provide ice for the residents.
  2. 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) May 25, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure proper storage of medical supplies when expired hypodermic safety needles (medical tool, designed for safe one-time use, to inject or extract fluids from the body via a thin hollow tube with a sharp tip), were stored in an active use area inside the medication storage room. This deficient practice had the potential for use of expired medical tools on residents.
  3. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure garbage was disposed of properly in the outside garbage area when a dumpster lid was left open, garbage and linen bags were left outside the dumpsters, and garbage was on the ground. This failure had the potential to attract vermin (pests or animals that spread diseases).
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement infection prevention and control strategies when a certified nursing assistant with long fingernails took care of residents. This failure resulted in increased risk of disease transmission to residents via long fingernails, which provide more area(s) where microbes may harbor compared to short fingernails.

Fire safety inspections

6 fire safety citations on file: 1 on September 5, 2025, 3 on May 3, 2024, 2 on May 5, 2023.

Every fire safety citation6 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 5, 2025 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 3, 2024 · Corrected (the home has a date of correction)
  3. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · May 3, 2024 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 3, 2024 · Corrected (the home has a date of correction)
  5. D
    Have restrictions on the use of portable space heaters.
    K 781 · May 5, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure proper usage of power strips and extension cords.
    K 920 · May 5, 2023 · 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)5.174.523.86
Registered nurses1.860.670.69
All nursing staff on weekends4.964.093.42
Nurse aides2.51
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)44.4%36.7%45.8%
Registered nurse turnover56.3%38.1%42.9%
Administrators who left0

CMS expects 4.43 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 5.25 on weekdays and 4.96 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.82 in April to June 2025 to 5.17 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.171.865.254.96 3.0%16 of 9026
Oct to Dec 20256.042.006.335.30 0.0%0 of 9227
Jul to Sep 20256.302.026.585.59 0.0%0 of 9227
Apr to Jun 20256.822.397.175.94 0.0%0 of 9126
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 short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.41.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.222.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.611.212.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Westland House's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (76.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

76.4% this home

Better than the national rate

US median of homes 51.5% · California: 301 better, 190 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 709 eligible stays.

Potentially preventable readmissions

9.9% this home

No different from the national rate

US median of homes 10.7% · California: 10 better, 22 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 753 eligible stays.

Infections that led to a hospital stay

4.7% this home

Better than the national rate

US median of homes 7.1% · California: 8 better, 48 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 426 eligible stays.

Self-care and mobility at discharge

51.8% this home

Median of homes: California59.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 315 residents counted.

Falls with major injury

1.1% this home

Median of homes: California0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 350 residents counted.

New or worsened pressure ulcers

1.8% this home

Median of homes: California0.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 350 residents counted.

Medication list given at discharge

87.5% this home

Median of homes: California96.2% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 48 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA.

NameRoleTypeShareSince
Montage Health5% or greater direct ownership interestOrganization100%02/05/2016
Alvarez, LuisCorporate directorIndividual01/01/2022
Burke, PatrickCorporate directorIndividual01/01/2021
Button, SandraCorporate directorIndividual01/01/2025
Charles, RandallCorporate directorIndividual01/01/2019
Cummings, JamesCorporate directorIndividual01/01/2024
Edwards, RyanCorporate directorIndividual01/01/2023
Farac, LaurenCorporate directorIndividual01/01/2025
Hahn, MarianCorporate directorIndividual01/01/2021
Higgins, LeslieCorporate directorIndividual01/01/2024
Kamath, KiranCorporate directorIndividual01/01/2022
Mahoney, KevinCorporate directorIndividual01/01/2024
McDermott, MichaelCorporate directorIndividual03/21/2025
McIntyer Panetta, CarrieCorporate directorIndividual01/01/2020
Morris, MitchellCorporate directorIndividual01/01/2026
Sunde, DouglasCorporate directorIndividual01/01/2025
Wiest, MargorieCorporate directorIndividual01/01/2023
Cabrales, StevenCorporate officerIndividual02/17/2014
Chibaya, DanielCorporate officerIndividual05/16/2022
Maitland, AliciaCorporate officerIndividual12/29/2025
Smorzewski, GregCorporate officerIndividual07/01/2022
Sober, DeborahCorporate officerIndividual11/01/2018
Swick, SusanCorporate officerIndividual07/01/2022
Community Hospital of the Monterey PeninsulaOperational/managerial controlOrganization06/16/1997
Ehret, SarahOperational/managerial controlIndividual11/07/2022
Romo-Gritzewsky, MarylouOperational/managerial controlIndividual09/01/2016
Community Hospital of the Monterey PeninsulaAdp of the SNFOrganization01/27/2025
Montage HealthAdp of the SNFOrganization07/11/2017
Ehret, SarahAdp of the SNFIndividual11/07/2022
Romo-Gritzewsky, MarylouAdp of the SNFIndividual09/01/2016

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 5 problems in this area, most recently on September 5, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 5, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 5, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 3, 2024: "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."

Other nursing homes nearby

Assisted living in Monterey

Licensed assisted living homes in the same town or within 5 miles, each with its California inspection record.

Assisted living in California

California contacts for a concern about a nursing home

These are the official offices in California. NursingHomeClear cannot take or act on complaints.

Common questions

What is Westland House's Medicare star rating?
CMS rates Westland House 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Westland House get at its last inspection?
4 health deficiencies at the standard inspection on September 5, 2025. The California average is 15.6.
Has Westland House been fined?
CMS lists no fines in the last three years.
Does Westland House 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 Westland House?
CMS lists 30 owners and managers. Legal business name: COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA.

Sources

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