Recent News About This Facility

Nursing Assistant Arrested for Assault at CA Home
March 14, 2026

PACIFIC GROVE, CA — California Attorney General Rob Bonta has announced the arrest of Paul Nkoy Lumbi Jr., a certified nursing assistant, on felony charges related to the alleged sexual assault of three elderly patients at Forest Hill Manor, a nursing and rehabilitation facility in Pacific Grove.

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

October 1, 2025 Complaint Investigation

Fines and Penalties by Year

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Health Violations by Year

2025 6 violations

Tag 0550 D Apr 25, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 15, 2025
Tag 0755 E Apr 25, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 15, 2025
Tag 0757 D Apr 25, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: May 15, 2025
Tag 0761 E Apr 25, 2025

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 15, 2025
Tag 0812 F Apr 25, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 15, 2025
Tag 0880 D Apr 25, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: May 15, 2025

2024 12 violations

Tag 0578 D Jan 23, 2024

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: Feb 9, 2024
Tag 0645 D Jan 23, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Feb 9, 2024
Tag 0655 D Jan 23, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 9, 2024
Tag 0695 D Jan 23, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 9, 2024
Tag 0700 F Jan 23, 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.

✓ Corrected: Feb 9, 2024
Tag 0758 D Jan 23, 2024

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.

✓ Corrected: Feb 9, 2024
Tag 0759 E Jan 23, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 9, 2024
Tag 0761 D Jan 23, 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: Feb 9, 2024
Tag 0801 D Jan 23, 2024

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: Feb 9, 2024
Tag 0806 D Jan 23, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Feb 9, 2024
Tag 0812 F Jan 23, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 9, 2024
Tag 0880 E Jan 23, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 9, 2024

2022 8 violations

Tag 0552 D Aug 5, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Sep 4, 2022
Tag 0684 D Aug 5, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 4, 2022
Tag 0755 D Aug 5, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 4, 2022
Tag 0759 D Aug 5, 2022

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Sep 4, 2022
Tag 0761 D Aug 5, 2022

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: Sep 4, 2022
Tag 0800 E Aug 5, 2022

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

✓ Corrected: Sep 4, 2022
Tag 0812 E Aug 5, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 4, 2022
Tag 0880 E Aug 5, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 4, 2022

2020 1 violations

Tag 0880 E May 27, 2020

Provide and implement an infection prevention and control program.

2019 5 violations

Tag 0550 D Dec 18, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jan 2, 2020
Tag 0755 D Dec 18, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 2, 2020
Tag 0761 D Dec 18, 2019

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: Jan 2, 2020
Tag 0812 E Dec 18, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 2, 2020
Tag 0880 D Dec 18, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 2, 2020

2018 12 violations

Tag 0552 D Nov 21, 2018

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Dec 26, 2018
Tag 0583 D Nov 21, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Dec 26, 2018
Tag 0656 G Nov 21, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 26, 2018
Tag 0684 D Nov 21, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 26, 2018
Tag 0690 D Nov 21, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 26, 2018
Tag 0691 D Nov 21, 2018

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

✓ Corrected: Dec 26, 2018
Tag 0758 D Nov 21, 2018

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.

✓ Corrected: Dec 26, 2018
Tag 0761 D Nov 21, 2018

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: Dec 26, 2018
Tag 0812 F Nov 21, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 26, 2018
Tag 0880 D Nov 21, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 26, 2018
Tag 0881 D Nov 21, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 26, 2018
Tag 0610 D Aug 22, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Aug 29, 2018

2017 6 violations

Tag 0661 D Dec 13, 2017

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Dec 29, 2017
Tag 0759 D Dec 13, 2017

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Dec 29, 2017
Tag 0812 F Dec 13, 2017

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 29, 2017
Tag 0849 D Dec 13, 2017

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Dec 29, 2017
Tag 0865 D Dec 13, 2017

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Dec 29, 2017
Tag 0881 D Dec 13, 2017

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 29, 2017
🏥 Facility Summary

FOREST HILL MANOR HEALTH CENTER is a 3-star nursing home in PACIFIC GROVE, CA with 26 beds.

Most recent inspection: Data not available. No current violations on record.

📞 8316575200
📍 551 GIBSON AVENUE, PACIFIC GROVE, CA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About FOREST HILL MANOR HEALTH CENTER

What violations has FOREST HILL MANOR HEALTH CENTER received?
FOREST HILL MANOR HEALTH CENTER has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of FOREST HILL MANOR HEALTH CENTER?
FOREST HILL MANOR HEALTH CENTER has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was FOREST HILL MANOR HEALTH CENTER last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is FOREST HILL MANOR HEALTH CENTER safe?
Safety at FOREST HILL MANOR HEALTH CENTER should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact FOREST HILL MANOR HEALTH CENTER?
Phone: 8316575200. Address: 551 GIBSON AVENUE, PACIFIC GROVE, CA. For visiting hours and admission information, call the facility directly.
What services does FOREST HILL MANOR HEALTH CENTER offer?
FOREST HILL MANOR HEALTH CENTER is a skilled nursing facility with 26 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near PACIFIC GROVE, CA?
Compare FOREST HILL MANOR HEALTH CENTER with other nursing homes in PACIFIC GROVE, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.