Manresa Healthcare Center
919 Freedom Blvd, Watsonville, CA 95076 · Santa Cruz County · 59 certified beds · avg 57 residents/day · certified since Mar 24, 1970
Part of chain: ABRAHAM BAK & MENACHEM GASTWIRTH (18 facilities, chain avg rating 2.5★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.63
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: 4/5
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.
All citations in the current public record (23)
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 |
|---|---|---|
| Nov 18, 2025 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Nov 18, 2025 | 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. |
| Nov 18, 2025 | E · Potential for harm, repeated | 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. |
| Nov 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. |
| Nov 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 20, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 12, 2024 | F · Potential for harm, facility-wide | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Apr 12, 2024 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Apr 12, 2024 | 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. |
| Apr 12, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Apr 12, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 12, 2024 | E · Potential for harm, repeated | 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. |
| Apr 12, 2024 | E · Potential for harm, repeated | 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. |
| Apr 12, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 12, 2024 | 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. |
| Apr 12, 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. |
| Apr 12, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 17, 2023 | E · Potential for harm, repeated | 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. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 29, 2022 | E · Potential for harm, repeated | 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. |
| Jul 29, 2022 | E · Potential for harm, repeated | 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. |
| Jul 29, 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. |
| Jul 29, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2023 | 2 | 0 | E |
| 2024 | 12 | 0 | F |
| 2025 | 5 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 3.63 | 4.31 | 3.95 | bottom 17% in California; bottom 43% in the U.S. |
| Registered Nurse hours | 0.42 | 0.61 | 0.69 | bottom 37% in California; bottom 25% in the U.S. |
| Weekend total nurse staffing | 3.49 | 3.90 | 3.50 | bottom 30% in California; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.51 | 0.48 | bottom 41% in California; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 35.6 | 36.7 | 45.8 | top 48% in California; top 25% in the U.S. |
| RN turnover (%) | 33.3 | 38.1 | 42.9 | top 40% in California; top 33% 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 3.86, RN 0.44, weekend 3.71. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ab1 Tr | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Ab3 Tr | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Bak, Abraham | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Bak, Rachel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Gastwirth, Joshua | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Gastwirth, Menachem | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Gastwirth, Solomon | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Gewirtz, Chonoch | Individual | Direct Ownership Interest | NOT APPLICABLE | 04/01/2024 |
| Kay, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Kay, Noah | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Mayer, Akiva | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| McCormack, Ryan | Individual | 5% or Greater Indirect Ownership Interest | 20% | 07/01/2025 |
| O'Shea, Brady | Individual | 5% or Greater Indirect Ownership Interest | 5% | 07/01/2025 |
| Oscherowitz, Avishai | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/10/2024 |
| Rosenbluth, Yosef | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Spyglass Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 07/01/2025 |
| Bak, Abraham | Individual | ADP of the SNF | NOT APPLICABLE | 10/02/2024 |
| Bayuga, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Bayuga, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Gastwirth, Menachem | Individual | ADP of the SNF | NOT APPLICABLE | 10/02/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "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 | Flags |
|---|---|---|---|---|---|
| Watsonville Nursing Center | 0.6 mi | Watsonville, CA | ★★★☆☆ | 3/5 | |
| Watsonville Post Acute Center | 0.6 mi | Watsonville, CA | ★★★★★ | 4/5 | |
| Pacific Coast Manor | 11.8 mi | Capitola, CA | ★★★★★ | 5/5 | |
| Gilroy Healthcare Center | 12.5 mi | Gilroy, CA | ★★☆☆☆ | 1/5 | |
| Driftwood Healthcare Center - Santa Cruz | 12.5 mi | Santa Cruz, CA | ★★★★☆ | 3/5 | |
| Redwood Grove Post Acute | 13.0 mi | Santa Cruz, CA | ★★★☆☆ | 3/5 | |
| Santa Cruz Post Acute | 13.3 mi | Santa Cruz, CA | ★★☆☆☆ | 1/5 | |
| Morgan Hill Healthcare Center | 15.1 mi | Morgan Hill, CA | ★★★★☆ | 3/5 | |
| Pacific Hills Post Acute | 15.2 mi | Morgan Hill, CA | ★★★★☆ | 3/5 | |
| Coastal Post Acute | 16.6 mi | Salinas, CA | ★★★★☆ | 3/5 | |
| Windsor the Ridge Rehabilitation Center | 16.6 mi | Salinas, CA | ★★★★★ | 4/5 | |
| Katherine Healthcare | 18.8 mi | Salinas, CA | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 056178.