Pacific Coast Post Acute
PACIFIC COAST POST ACUTE in SALINAS, CA — inspection on May 27, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident 1's Order Listing Report dated 1/31/25 indicated the physician ordered a Referral to Oncology for left breast metastatic cancer.Review of Resident 1's Oncology Consultation Report dated 10/13/25 indicated the oncologist reviewed Resident 1's pathology results from 12/13/24, which indicated invasive ductal carcinoma of the left breast and metastatic adenocarcinoma involving the left axillary lymph node.
The oncology report indicated No further workup or referrals.
The report indicated the oncologist did not know why Resident 1 had not been referred for further evaluation or treatment.
The report also indicated there were no records of complete staging for the breast cancer.
The oncologist ordered Letrozole (used to treat breast cancer), PET (Positron Emission tomography, a medical imaging test that shows how the tissues and organs are functioning at a cellular level), CT (Computed Tomography, imaging test that combines x-rays and computer technology) scan, referral to surgeon and follow-up in 4 to 6 weeks.During a concurrent interview and record review with the Director of Nursing (DON) on 6/3/26 at 4:20 p.m., the DON stated the facility was unable to locate the scheduler's appointment calendar and was unable to locate documentation indicating the December 17, 2024 oncology and surgeon referrals were scheduled or completed.
The DON also stated there was no documentation indicating Resident 1 refused the referrals.
The DON stated resident refusals and family notifications would normally be documented in the Health Status Note.
During a follow-up phone interview and record review with the DON on 6/4/26 at 1:52 p.m., the DON provided Resident 1's physician order dated 1/31/25 for an oncology referral related to metastatic left breast cancer.
The DON stated there was no documentation showing the referral was scheduled, completed, or refused by Resident 1.
The DON also confirmed the facility was unable to locate the physician orders related to the 12/17/24 oncology and surgeon referrals.
Review of the facility's undated policy titled Medication and Treatment Orders indicated Orders for medications and treatments will be consistent with principles of safe and effective order writing.Drug and biological orders must be recorded on the physician's order sheet in the resident's chart.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.