Coastal View Healthcare Center

Name: Coastal View Healthcare Center
Address: 4904 Telegraph Road, Ventura, CA, 93003, US
Telephone: 8056424101

4904 Telegraph Road, Ventura, CA 93003 · Ventura County · 96 certified beds · avg 85 residents/day · certified since Jan 1, 1967

Part of chain: THE MANDELBAUM FAMILY (18 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

$8,278

Fines, last 3 years

3.95

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 28, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 13, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (36)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 18, 2025	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 18, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 28, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 28, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Apr 28, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Apr 28, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Feb 27, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 26, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Dec 30, 2024	D · Potential for harm, one-off	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint
Oct 17, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 17, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 17, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 17, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Oct 17, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 17, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 17, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 10, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Jan 25, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 8, 2023	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Nov 8, 2023	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
May 20, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 20, 2022	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 20, 2022	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
May 20, 2022	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 20, 2022	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 20, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
May 20, 2022	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
May 20, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 20, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 20, 2022	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 20, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 20, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2022	12	0	F
2023	2	0	D
2024	10	0	E
2025	12	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $8,278.

Date	Type	Amount / length
Apr 28, 2025	Fine	$8,278

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.95	4.31	3.95	bottom 38% in California; top 41% in the U.S.
Registered Nurse hours	0.69	0.61	0.69	top 25% in California; top 37% in the U.S.
Weekend total nurse staffing	3.62	3.90	3.50	bottom 41% in California; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.65	0.51	0.48	top 18% in California; top 19% in the U.S.
Total nursing staff turnover (%)	24.1	36.7	45.8	top 15% in California; top 6% in the U.S.
RN turnover (%)	27.8	38.1	42.9	top 33% in California; top 25% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.22, RN 0.91, weekend 4.78. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Simcha and Janet Mandelbaum Family Trust	Organization	5% or Greater Indirect Ownership Interest	20%	01/01/2023
Telegraph Operations Partners LLC	Organization	5% or Greater Direct Ownership Interest	30%	04/01/2012
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2	Organization	5% or Greater Indirect Ownership Interest	50%	01/01/2023
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2	Organization	5% or Greater Indirect Ownership Interest	16%	01/01/2023
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2	Organization	5% or Greater Indirect Ownership Interest	14%	01/01/2023
Aguilar, Ginian	Individual	Operational/Managerial Control	NOT APPLICABLE	10/09/2023
Aguilar, Ginian	Individual	ADP of the SNF	NOT APPLICABLE	10/09/2023
Bierly, Kristie	Individual	Operational/Managerial Control	NOT APPLICABLE	10/09/2023
Bierly, Kristie	Individual	ADP of the SNF	NOT APPLICABLE	10/09/2023
Brierwood II, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023
Castro-Garcia, Maria	Individual	Operational/Managerial Control	NOT APPLICABLE	11/06/2019
Castro-Garcia, Maria	Individual	ADP of the SNF	NOT APPLICABLE	11/06/2019
Gobuyan, Lowela	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2021
Gobuyan, Lowela	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2021
Grabau, Adam	Individual	Operational/Managerial Control	NOT APPLICABLE	09/22/2021
Grabau, Adam	Individual	ADP of the SNF	NOT APPLICABLE	09/22/2021
Hansen	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023
Jordan, Cynthia	Individual	Operational/Managerial Control	NOT APPLICABLE	02/18/2025
Jordan, Cynthia	Individual	ADP of the SNF	NOT APPLICABLE	02/18/2025
Mandelbaum, Brenda	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/30/2026

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Ventura Post Acute	0.6 mi	Ventura, CA	★★★★★	4/5
Victoria Care Center	1.3 mi	Ventura, CA	★★★★★	4/5
Oxnard Manor Healthcare Center	4.5 mi	Oxnard, CA	★★★★★	4/5
Glenwood Care Center	5.1 mi	Oxnard, CA	★★★★★	5/5
Shoreline Care Center	7.4 mi	Oxnard, CA	★★☆☆☆	2/5
Maywood Acres Healthcare	7.5 mi	Oxnard, CA	★★★★★	5/5
Santa Paula Post Acute Center	9.9 mi	Santa Paula, CA	★★★★☆	4/5
Camarillo Healthcare Center	11.1 mi	Camarillo, CA	★★★★★	4/5
Community Memorial Continuing Care Center	11.6 mi	Ojai, CA	★★★★★	5/5
Ojai Health & Rehabilitation	12.2 mi	Ojai, CA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Ventura →

Facility data as of CMS processing date 2026-08-01. CCN 055566.

The Care File

Visit checklist — Coastal View Healthcare Center

4904 Telegraph Road, Ventura, CA 93003 · 8056424101

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $8,278

Most serious findings on record:

▲ Apr 28, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055566 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)