Carmel Hills Care Center
23795 W. R. Holman Highway · Monterey, CA · 93940 · 8316241875
99 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 3.70 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · E April 17, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 7, 2026 · Resident Rights
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Potential for harm · D April 17, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 7, 2026 · Resident Rights
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Potential for harm · E April 17, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 7, 2026 · Resident Rights
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Potential for harm · E April 17, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 17, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 7, 2026 · Quality of Life and Care
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Potential for harm · D April 17, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2026 · Quality of Life and Care
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Potential for harm · D April 17, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected May 7, 2026 · Quality of Life and Care
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Potential for harm · E April 17, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 7, 2026 · Quality of Life and Care
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Potential for harm · D April 17, 2026
Observe each nurse aide's job performance and give regular training.
Corrected May 7, 2026 · Nursing and Physician Services
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Potential for harm · F April 17, 2026
Post nurse staffing information every day.
Corrected May 7, 2026 · Nursing and Physician Services
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Potential for harm · E April 17, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 7, 2026 · Pharmacy Service
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Potential for harm · E April 17, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 7, 2026 · Pharmacy Service
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Potential for harm · D April 17, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected May 7, 2026 · Pharmacy Service
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Potential for harm · D April 17, 2026
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.
Corrected May 7, 2026 · Pharmacy Service
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Potential for harm · F April 17, 2026
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.
Corrected May 4, 2026 · Nutrition and Dietary
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Potential for harm · E April 17, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 7, 2026 · Nutrition and Dietary
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Potential for harm · F April 17, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 7, 2026 · Nutrition and Dietary
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Potential for harm · D April 17, 2026
Provide and implement an infection prevention and control program.
Corrected May 7, 2026 · Infection Control
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Potential for harm · D April 17, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 7, 2026 · Environmental
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Potential for harm · D December 19, 2024
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.
Corrected January 9, 2025 · Pharmacy Service
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 9, 2025 · Nutrition and Dietary
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Potential for harm · F December 19, 2024
Provide and implement an infection prevention and control program.
Corrected January 9, 2025 · Infection Control
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Potential for harm · D March 28, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 20, 2022 · Resident Rights
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Potential for harm · E March 28, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 20, 2022 · Resident Rights
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Potential for harm · E March 28, 2022
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 20, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056055 · certified since December 31, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.