★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle27
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$8,428
Beds102
Inspection findings
Inspectors recorded 75 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 12, 2026 | Resident rights | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627) | Actual harm to a resident isolated · from a complaint | Corrected: Aug 14, 2026 |
| Jul 21, 2026 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 4, 2026 |
| Nov 17, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 10, 2025 |
Earlier inspections (72)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Sep 11, 2025 | Resident rights | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627) | Actual harm to a resident isolated · from a complaint | Corrected: Sep 25, 2025 |
| Jul 14, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 2, 2025 |
| Jul 14, 2025 | Resident rights | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 2, 2025 |
| Jul 14, 2025 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 2, 2025 |
| Mar 28, 2025 | Building and environment | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911) | No harm, minimal risk pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Infection control | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Infection control | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (F0882) | No harm, but a risk of harm widespread | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm pattern | Corrected: Apr 16, 2025 |
| Mar 28, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Apr 16, 2025 |
| Mar 21, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 19, 2024 |
| Feb 22, 2024 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 15, 2024 |
| Feb 22, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 15, 2024 |
| Feb 22, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 15, 2024 |
| Feb 22, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 15, 2024 |
| Feb 22, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 15, 2024 |
| Jan 2, 2024 | Resident rights | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 15, 2024 |
| Oct 27, 2023 | Building and environment | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911) | No harm, minimal risk pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Quality of life and care | Provide medically-related social services to help each resident achieve the highest possible quality of life. (F0745) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Quality of life and care | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Quality of life and care | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (F0693) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm pattern | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Resident rights | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Oct 27, 2023 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated | Corrected: Nov 26, 2023 |
| Jan 10, 2022 | Building and environment | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911) | No harm, minimal risk pattern | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Infection control | Perform COVID19 testing on residents and staff. (F0886) | No harm, but a risk of harm pattern | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm pattern | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Quality of life and care | Provide medically-related social services to help each resident achieve the highest possible quality of life. (F0745) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Resident rights | 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. (F0578) | No harm, but a risk of harm pattern | Corrected: Feb 9, 2022 |
| Jan 10, 2022 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Feb 9, 2022 |
Fines and payment denials
Federal fines in the last three years: $8,428 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jul 14, 2025 | Fine | $8,428 |
Staffing
| Nurse staff hours per resident per day | 3.96 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.75 | California median: 0.52 |
| Nurse staff hours on weekends | 3.60 | California median: 3.85 |
| Nursing staff who left within a year | 59.1% | California median: 36.0% |
About this home
| Beds | 102 |
| Residents per day, average | 97.1 |
| Ownership | For-profit, limited liability company |
| Legal business name | Estoril Holdings LLC |
| Chain | Spyglass Healthcare (14 homes) |
| In Medicare/Medicaid since | Jan 1, 1979 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov