Inspection Reports for
Montecito Post Acute and Care

The onsite complaint survey was conducted on May 07, 2026 and investigated complaints # 00168803. The onsite complaint survey was conducted on May 07, 2026 and investigated complaints # 3004912. There were no deficiencies noted.

This inspection found no deficiencies.

The onsite complaint survey was conducted on April 6, 2026 and investigated complaints #00163410 and 00164317. There were no deficiencies noted.

This inspection resulted in no deficiencies or citations.

An onsite complaint survey was conducted on March 20, 2026 for the following intakes: 2795775, 2797040, 2800471, 2804138 & 2807637. There were no deficiencies cited.

No deficiencies were cited during this inspection.

The Complaint survey was conducted on October 30, 2025, in conjunction with the investigation of the following complaints 2654811 00149130 and 2655419 00149124. The census was 205. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

The complaint investigation found that two residents (#22 and #19) eloped from the facility. Resident #22 was missing on August 17, 2025, and found wandering outside, requiring emergency room care. Resident #19 was missing overnight on August 17-18, 2025, with personal belongings missing, and returned the next day. Both elopements were deemed isolated incidents. The facility's door alarm was not active during some hours, and monitoring was insufficient.

The facility failed to ensure adequate supervision and monitoring to prevent elopement for two residents, resulting in both residents leaving the facility unsupervised. The incidents were deemed isolated, but the facility's door alarm system and monitoring were found insufficient during certain hours.

Investigation of intakes # AZ00225072, SF00135295, AZ00225069, SF00135286, AZ00191356, AZ00191355, AZ00190373, AZ00190372 was conducted on July 15, 2025. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint investigation found that the resident was smoking unsupervised on a non-designated patio, which led to his blanket catching fire and sustaining third-degree burns. The resident's family was notified and the resident was sent to a burn center. The facility's smoking policy and supervision procedures were reviewed and found to have been inadequately followed.

The facility failed to ensure adequate supervision for one resident (#39) while smoking, leading to the resident suffering third-degree burns after his blanket caught fire. Interviews with staff and review of policies revealed lapses in supervision and control of smoking materials.

An onsite complaint survey was conducted on May 5, 2025 for the investigation of intake # 00129212 and intake # AZ00224413. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

An onsite complaint survey was conducted on April 17 through April 18, 2025 for the investigation of intake #AZ00223571, 00127242 and 00127172. Federal comments also note investigation of intake #AZ00223571, AZ00224184, and AZ00224209. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint survey was conducted on April 09, 2025 for the investigation of intake # 00125395, 00125320, 00124030. An onsite complaint survey was conducted on April 09, 2025 for the investigation of intake # AZ00224048, AZ00224039, AZ00223943.

This inspection resulted in no deficiencies cited.

An investigation was conducted on March 14, 2025 of intake # 00212824, 00121069, 00212225, 00122645, 00122078. The following deficiencies were cited; An investigation was conducted on March 14, 2025 of intake # AZ00223723, AZ00223764, AZ00223662, AZ00223679, AZ00223793. There were no deficiencies cited.

Two deficiencies were cited related to laboratory services and medical director responsibilities. No evidence text was provided for either deficiency.

An onsite complaint survey was conducted on February 27 through February 28, 2025 for the investigation of intake # 00115640, 00115642, 00120631 and intake # AZ00223531, AZ00223532, AZ00223493. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The inspection found one deficiency related to the failure to maintain corridor doors properly, which could allow the passage of smoke and pose a risk to patients and staff.

The visit was complaint-related, triggered by concerns about inadequate nail care for resident #104, insufficient staffing affecting residents #59 and #162, and improper medication administration for resident #288. The report includes substantiated findings for all these complaints.

The facility failed to provide proper nail care for one resident, had inadequate staffing levels on weekends affecting multiple residents, and administered pain medication outside of physician-ordered parameters for one resident, potentially causing medication errors.

The recertification and complaint survey was conducted in conjunction with the investigation of complaints #s AZ00188608, AZ0018747, AZ00188913, AZ00188914, AZ00189054, AZ00189055, AZ00220611, AZ00220614, AZ00188304, AZ00187894, AZ00187895, AZ00187766, AZ00187767, AZ00194519, AZ00194522, AZ00189263, AZ00189261, AZ00189480, AZ00189481, AZ00189434, AZ00187299, AZ00187300, AZ00186792, AZ00186794, AZ00186610, AZ00186655, AZ00186656, AZ00186523, AZ00186600, AZ00186601, AZ00187287, AZ00187288, AZ00186736, AZ00188299, AZ00188301, AZ00188296 AND AZ00188298.

Four deficiencies were cited during this inspection. No evidence was provided in the report to detail the specific violations.

The facility was found deficient in providing proper nail care for a resident, ensuring adequate staffing on weekends, and following physician orders for pain medication administration. Deficiencies were noted in resident grooming, staffing levels, and medication administration practices, all posing minimal harm or potential for actual harm.

A complaint survey was conducted on December 31, 2024 for the investigation of intake # AZ00220674 and intake # AZ00220671. There were no deficiencies cited.

This inspection found no deficiencies.

An onsite complaint survey was conducted on December 23, 2024 for the investigation of intake # AZ00220833, AZ00220840, and AZ00220831. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

The onsite investigation of intake AZ00218774 was conducted on November 18,2024. The onsite investigation of intake AZ00218772 was conducted on November 18,2024. No deficiencies were cited.

No deficiencies were cited during this inspection.

An investigation of complaint AZ00217768 was conducted October 24, 2024 and October 25, 2024. An investigation of complaint AZ00217766 was conducted October 24, 2024 and October 25, 2024. There were no deficiencies cited.

No deficiencies were cited during this inspection.

An onsite complaint survey was conducted on October 21, 2024 for the investigation of intake # AZ00217396, AZ00216034, AZ00205039, AZ00203677, AZ00196707. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The complaint survey was conducted on September 25, 2024 of the following complaint #'s AZ00215782 and AZ00215780. No deficiencies were cited.

No deficiencies were found during this complaint investigation.

An onsite complaint survey was conducted on August 29 through August 30, 2024 for the investigation of intake # AZ00183221, AZ00182927, AZ00182126, AZ00177661, AZ00177583, AZ00177172, AZ00177082, AZ00176806, AZ00175880, AZ00173405, AZ00172830. There were no deficiencies cited.

No deficiencies were cited during this inspection.

The complaint survey was conducted on August 28, 2024 through August 29, 2024 of the following complaint # AZ00214787, AZ00214861, and AZ00215130. The complaint survey was conducted on August 28, 2024 through August 29, 2024 of the following complaint # AZ00214786, AZ00214860, AZ00215126. No deficiencies were cited.

This inspection resulted in no citations or deficiency findings.

An onsite complaint survey was conducted on August 14, 2024 for the investigation of intake # AZ00214368, AZ00214362, AZ00214133, AZ00214023. There were no deficiencies cited. Federal comments also note an onsite complaint survey for intakes AZ00214367, AZ00214362, AZ00214130, AZ00214023 with no deficiencies cited.

This inspection resulted in no deficiencies cited.

An onsite complaint survey was conducted on July 31, 2024 for the investigation of intake # AZ00213631 and intake # AZ00213630. There were no deficiencies cited.

This inspection found no deficiencies.

A complaint survey was conducted on July 17, 2024 for the investigation of intake #s: AZ00213138 and AZ00213025. Federal comments also note investigation of intake #s: AZ00213138 and AZ00213024. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

The complaint survey was conducted on June 25 through 26, 2024 for the investigation of intake numbers AZ00205149, AZ00205039, AZ00205071, AZ00203677, AZ00211575 and AZ00211706. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The investigation of complaints AZ00184764, AZ00184666, AZ00184412, AZ00210519, AZ00185935, and AZ00183703 were conducted on 5/20/2024 through 5/21/2024. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint survey was conducted on March 12, 2024 for the investigation of intake #s AZ00192350, AZ00192455, AZ00206938. Federal comments note investigation of intake #s AZ00192350, AZ00192454, AZ00206931. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

A complaint survey was conducted on January 30, 2024 to February 1, 2024 to investigate intake # AZ00205313. A complaint survey was conducted on January 30, 2024 to February 1, 2024 to investigate intake # AZ00205311. There were no deficiencies cited.

This inspection found no deficiencies.

A complaint survey was conducted from November 18 through November 22, 2023 for the investigation of intake numbers AZ00202798, AZ00181204, AZ00181738, AZ00181814, AZ00182067, AZ00182104, and AZ00185247. Federal comments referenced similar intake numbers AZ00202797, AZ00181203, AZ00181737, AZ00181813, AZ00182066, AZ00182103, and AZ00185246.

The inspection found four deficiencies related to inaccurate clinical record documentation of showers/baths and failure to ensure appropriate antibiotic use for one resident. The facility failed to ensure accurate and complete documentation and proper indication for antibiotic administration.

A complaint survey was conducted on October 23-25, 2023, that included the investigation of complaint #'s: AZ00201711, AZ00189972, AZ00188607, AZ00187568, AZ00185811, AZ00185760, AZ00181951, AZ00180990, AZ00180741, AZ00180717, AZ00179996, AZ00179785 and AZ00179784. No deficiencies were cited. Federal comments also note investigation of complaint #'s: AZ00201710, AZ00189971, AZ00188607, AZ00187567, AZ00185810, AZ00185760, AZ00181949, AZ00180989, AZ00180737, AZ00180716, AZ00179994, AZ00179781 and AZ00179783. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The Complaints AZ00200225, AZ00200239, AZ00200234, and AZ00200348 were investigated on 9/5//23. The Complaints AZ00200223, AZ00200239, AZ00200233 , and AZ00200347 were investigated on 9/5//23. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint survey was conducted on August 21, 2023 for the investigation of intake #AZ00199548. The complaint survey was conducted on August 21, 2023 for the investigation of intake #AZ00199543. No deficiencies were cited.

No deficiencies were found during this complaint investigation.

The complaint investigation focused on two residents: resident #287 who reported that dietary preferences were not honored and poor communication by staff, and resident #27 who was not wearing the prescribed C-collar as ordered. Interviews with staff revealed lack of documentation and unclear adherence to orders. The complaint was substantiated with findings of deficient practices.

The facility failed to honor the dietary preferences of resident #287, resulting in a lack of resident autonomy, and failed to ensure that resident #27 wore a prescribed C-collar as ordered by the physician, with no documentation of refusals or physician notification.

No deficiencies were found during this inspection. The facility met all applicable provisions of the Life Safety Code and emergency preparedness requirements.

The State survey was conducted August 15-18, 2023, in conjunction with investigation of intake numbers AZ00188012 and AZ00198854. The recertification survey was conducted concurrently with investigation of intake numbers AZ00188007 and AZ00198852.

The inspection found four deficiencies related to failure to honor resident dietary preferences and failure to ensure treatment was administered as ordered by the physician. Deficiencies involved inadequate documentation and communication regarding resident meal preferences and inconsistent use of a prescribed cervical collar.

The Complaint AZ00197618 was investigated on 7/21/23. No deficiencies were cited. The Complaint AZ00197616 was investigated on 7/21/23. No deficiencies were cited.

No deficiencies were found during this complaint investigation.

An on-site survey was conducted on July 10, 2023, for the investigation of compliant intakes #AZ00197045, #AZ00197049, #AZ00197268 and #AZ00197201. No deficiencies were cited. A complaint survey was conducted on July 10, 2023, for the investigation of intakes #AZ00197045, #AZ00197267 and #AZ00197201. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The facility was found deficient in multiple areas including failure to honor resident self-determination, incomplete bed hold notification documentation, inaccurate Minimum Data Set (MDS) assessments, inadequate pressure ulcer care, failure to obtain ordered resident weights, improper care and flushing of feeding tubes, failure to maintain accurate medical records including advance directives, failure to follow infection control protocols during perineal/catheter care, and food safety violations related to hair restraints and food storage.