SNF

FOREST HILL MANOR HEALTH CENTER

CCN: 555867 · PACIFIC GROVE, CA 93950 · Monterey County

Overview

Address
551 GIBSON AVENUE, PACIFIC GROVE, CA 93950
Phone
8316575200
Certified beds
26
Avg daily residents
22 (86% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2010-09-23
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures — Data not available.
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 5.42 4.71 4.44 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.14 0.82 0.94 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.50 1.05 1.23 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.77 2.84 2.27 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.65 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.57
hrs / resident / day
RN (weekend)
0.73
hrs / resident / day
Total nurse (adjusted, weekend)
3.75
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
40.5%
annual
RN turnover
50.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.67
higher acuity than avg
Case-Mix Index Ratio
1.21
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-25 7 6 1 64 1 64
Cycle 2/3 (prior) 2024-01-23 12 12 0 84 1 84
Total weighted health score
69.0
lower is better

Deficiencies (27)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

26 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-10-01 2025-10-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-04-25 2025-05-15
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-04-25 2025-05-15
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-04-25 2025-05-15
0761 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. E 2025-04-25 2025-05-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-04-25 2025-05-15
0880 Provide and implement an infection prevention and control program. D 2025-04-25 2025-05-15
0578 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. D 2024-01-23 2024-02-09
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-01-23 2024-02-09
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-01-23 2024-02-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-01-23 2024-02-09
0700 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. F 2024-01-23 2024-02-09
0758 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. D 2024-01-23 2024-02-09
0759 Ensure medication error rates are not 5 percent or greater. E 2024-01-23 2024-02-09
0761 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. D 2024-01-23 2024-02-09
0801 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. D 2024-01-23 2024-02-09
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-01-23 2024-02-09
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-01-23 2024-02-09
0880 Provide and implement an infection prevention and control program. E 2024-01-23 2024-02-09
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2022-08-05 2022-09-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2022-08-05 2022-09-04
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2022-08-05 2022-09-04
0759 Ensure medication error rates are not 5 percent or greater. D 2022-08-05 2022-09-04
0761 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. D 2022-08-05 2022-09-04
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. E 2022-08-05 2022-09-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-08-05 2022-09-04
0880 Provide and implement an infection prevention and control program. E 2022-08-05 2022-09-04

Penalties (2)

Fines issued
2
last 3 years
Total fines
$11,423
Date Type Fine amount
2023-06-12 Fine $3,145
2025-10-01 Fine $8,278

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Operating performance

Operating Margin
24.8%
Total Margin
25.6%
Occupancy Rate
84.2%
Cost per Resident Day
$90

Revenue & costs

Net Patient Revenue
$6.9M
Total Costs
$770K
Net Income
$1.8M

Balance sheet

Total Assets
$3.5M
Total Liabilities
$2.2M
Fund Balance
$1.3M
Current Ratio
1.59

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: BVHC, LLC

Chain ID
82
Facilities in chain
12
Legal business name
551 GIBSON AVE SNF LLC
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.1
Staffing
3.7
QM
3.8

Owner / manager organizations (1)

Organization Role Association
BVHC, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/06/2022

Owner / manager individuals (5)

Name Role Association
BOEHRER, BRYAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/06/2022
MARTIN, RICHARD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/06/2022
BOEHRER, BRYAN CORPORATE OFFICER since 12/06/2022
MARTIN, RICHARD CORPORATE OFFICER since 12/06/2022
MARTIN, RICHARD W-2 MANAGING EMPLOYEE since 12/06/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $90 metrics.cost_per_resident_day
Cost Report Current Ratio 1.59 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 75.4% metrics.medicare_day_share
Cost Report Net Income ($) $1,781,375 metrics.net_income
Cost Report Net Patient Revenue ($) $6,884,430 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 84.2% metrics.occupancy_rate
Cost Report Operating Margin (%) 24.8% metrics.operating_margin
Cost Report Total Assets ($) $3,483,533 metrics.total_assets
Cost Report Total Costs ($) $769,879 metrics.total_costs
Cost Report Total Fund Balances ($) $1,288,897 metrics.fund_balance
Cost Report Total Liabilities ($) $2,194,636 metrics.total_liabilities
Cost Report Total Margin (%) 25.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.23218 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.27322 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.93826 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.44365 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.74665 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 22.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.04563 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.84180 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.82419 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.71162 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.15280 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.7 Chain Average Staffing Rating
Provider Information Chain ID 82 Chain ID
Provider Information Chain Name BVHC, LLC Chain Name
Provider Information City/Town PACIFIC GROVE City/Town
Provider Information CMS Certification Number (CCN) 555867 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Monterey County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2010-09-23 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 36.6157 Latitude
Provider Information Legal Business Name 551 GIBSON AVE SNF LLC Legal Business Name
Provider Information Location 551 GIBSON AVENUE,PACIFIC GROVE,CA,93950 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 2 Long-Stay QM Rating Footnote
Provider Information Longitude -121.92 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 26 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 12 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.66912 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.21157 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 551 GIBSON AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FOREST HILL MANOR HEALTH CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 370 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-23 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 84 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 84 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 12 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.72804 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 50.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.64865 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.50367 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.77409 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.14499 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 5.42274 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 8316575200 Telephone Number
Provider Information Total Amount of Fines in Dollars 11423.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.57216 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 40.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 69.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 93950 ZIP Code