County: Santa Cruz

City: Capitola

Golden Age Convalescent Hospital
(831) 475-0722 — 523 Burlingame Avenue — Capitola, CA 95010


Services
How to interpret services information.

Cap.= 40 Type = SNF Medi-Cal: yes Medicare: no

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 12/16/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 34 20.8 8 12.5
2007 0 0 1 3 22.1 11 15.1
2008 0 0 0 40 18.2 8 14.4
2009 0 0 1 24 8.5 7 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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City: Capitola

Pacific Coast Manor
(831) 476-0770 — 1935 Wharf Road — Capitola, CA 95010


Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 5/6/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 1 20.8 10 12.5
2007 1 2 0 47 22.1 33 15.1
2008 0 0 0 23 18.2 13 14.4
2009 0 0 1 0 8.5 19 14
2010 0 0 0 16 11.7 8 6.5
2011 0 0 0 0 NA 0 NA

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City: Santa Cruz

Cresthaven Nursing Home
(831) 475-3812 — 740 17th Avenue — Santa Cruz, CA 95062


Services
How to interpret services information.

Cap.= 20 Type = SNF Medi-Cal: yes Medicare: no

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 9/16/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 30 20.8 4 12.5
2007 0 0 0 24 22.1 6 15.1
2008 0 0 0 20 18.2 2 14.4
2009 0 0 0 36 8.5 7 14
2010 0 0 1 5 11.7 6 6.5
2011 0 0 2 0 NA 0 NA

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City: Santa Cruz

Dominican Hospital D/P Snf
(831) 457-7160 — 610 Frederick Street — Santa Cruz, CA 95062


Services
How to interpret services information.

Cap.= 37 Type = D/P SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 7/11/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 15 20.8 0 12.5
2007 0 0 0 12 22.1 0 15.1
2008 0 0 0 11 18.2 1 14.4
2009 0 0 0 0 8.5 1 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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City: Santa Cruz

Driftwood Healthcare Center - Santa Cruz
(831) 475-6323 — 675 24th Avenue — Santa Cruz, Ca 95060


Services
How to interpret services information.

Cap.= 92 Type = SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 3/23/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 1 20.8 22 12.5
2007 0 1 0 24 22.1 26 15.1
2008 0 0 0 10 18.2 6 14.4
2009 0 0 1 1 8.5 42 14
2010 0 0 3 20 11.7 21 6.5
2011 0 0 1 0 NA 0 NA

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City: Santa Cruz

Santa Cruz HealthCare Center
(831) 475-4055 — 1115 Capitola Road — Santa Cruz, Ca 95062


Services
How to interpret services information.

Cap.= 149 Type = SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 12/15/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 1 25 20.8 28 12.5
2007 0 0 0 34 22.1 21 15.1
2008 0 0 2 9 18.2 25 14.4
2009 0 1 5 18 8.5 45 14
2010 1 0 1 5 11.7 25 6.5
2011 0 0 0 0 NA 0 NA

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City: Santa Cruz

SANTA CRUZ SKILLED NURSING CENTER
(831) 479-9000 — 2990 Soquel Avenue — Santa Cruz, Ca 95062


Services
How to interpret services information.

Cap.= 144 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/25/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L O S U V
Types of Residents Not Accepted: B J M N Q R T
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 9/16/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 3 64 20.8 108 12.5
2007 0 0 4 120 22.1 99 15.1
2008 0 0 4 64 18.2 64 14.4
2009 0 0 4 11 8.5 72 14
2010 0 0 1 7 11.7 20 6.5
2011 0 0 1 0 NA 0 NA

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City: Watsonville

Country Villa Watsonville East Nursing Center
(831) 724-7505 — 535 Auto Center Drive — Watsonville, CA 95076


Services
How to interpret services information.

Cap.= 87 Type = SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 5/17/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 5 48 20.8 48 12.5
2007 0 1 1 42 22.1 22 15.1
2008 0 0 2 50 18.2 22 14.4
2009 0 0 0 6 8.5 29 14
2010 0 0 0 26 11.7 8 6.5
2011 0 0 2 0 NA 0 NA

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City: Watsonville

Country Villa Watsonville West Nursing & Rehab Center
(831) 724-7505 — 525 Auto Center Drive — Watsonville, CA 95076


Services
How to interpret services information.

Cap.= 95 Type = SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 5/18/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 1 45 20.8 66 12.5
2007 0 0 2 46 22.1 31 15.1
2008 0 2 2 50 18.2 20 14.4
2009 0 0 3 6 8.5 20 14
2010 0 0 2 40 11.7 12 6.5
2011 0 0 1 0 NA 0 NA

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City: Watsonville

Valley Convalescent Hospital
(831) 722-3581 — 919 Freedom Boulevard — Watsonville, CA 95076


Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 12/16/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 16 20.8 5 12.5
2007 0 0 1 18 22.1 10 15.1
2008 0 0 2 3 18.2 11 14.4
2009 0 0 2 14 8.5 13 14
2010 0 0 3 2 11.7 11 6.5
2011 0 0 2 0 NA 0 NA

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California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171