Forest Hill Manor Health Center
Forest Hill Manor Health Center is a 3-star rated nursing home in Pacific Grove, CA with 26 beds. CMS sub-ratings: health inspections 3/5, staffing 4/5, quality measures 4/5.
The facility has 50 health violations on record. Most recent inspection: April 25, 2025.
Data synthesized from CMS.gov and California public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
News Coverage About This Facility
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.
Our Coverage of Forest Hill Manor Health Center
Inspection History Overview
Data current as of May 7, 2026 · Source: CMS Provider Data
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.
Fines and Penalties by Year
Health Violations by Year
2025 6 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2024 12 violations
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.
PASARR screening for Mental disorders or Intellectual Disabilities
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Ensure medication error rates are not 5 percent or greater.
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.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2022 8 violations
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
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.
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2020 1 violations
Provide and implement an infection prevention and control program.
2019 5 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2018 12 violations
Ensure that residents are fully informed and understand their health status, care and treatments.
Keep residents' personal and medical records private and confidential.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
Respond appropriately to all alleged violations.
2017 6 violations
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Ensure medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Have a plan that describes the process for conducting QAPI and QAA activities.
Implement a program that monitors antibiotic use.
Frequently Asked Questions About Forest Hill Manor Health Center
- What violations has Forest Hill Manor Health Center received?
- Forest Hill Manor Health Center has 50 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: (831) 657-5200. 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.
Compare Nursing Homes in Pacific Grove, CA
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Forest Hill Manor Health Center (this facility) | ★★★☆☆ | 50 | 26 |
| Canterbury Woods | ★★★★★ | 0 | 24 |
| Canterbury Woods | ★★★★★ | 27 | 24 |
| Oceanview Post Acute | ★★★★☆ | 95 | 51 |
| Pacific Grove Healthcare Center | ★★★★☆ | 0 | 51 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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