Inspection citations
16’22
28’23
19’24
12’25
1’26
76 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jan 28, 2026 | D · potential | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Complaint |
| Jul 28, 2025 | G · harm | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 28, 2025 | G · harm | Provide appropriate foot care. | Complaint |
| Jul 28, 2025 | F · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Complaint |
| Jul 14, 2025 | D · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Complaint |
| Jun 3, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| May 21, 2025 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Apr 10, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 4, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Apr 4, 2025 | F · potential | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Complaint |
| Apr 4, 2025 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Complaint |
| Apr 4, 2025 | L · harm | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Apr 4, 2025 | F · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Complaint |
| Dec 5, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 5, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Oct 25, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 25, 2024 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Oct 25, 2024 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Oct 25, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Oct 25, 2024 | E · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Oct 25, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Oct 25, 2024 | E · potential | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Routine |
| Oct 25, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 25, 2024 | F · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Oct 9, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Oct 1, 2024 | D · potential | Honor the resident's right to choose his or her attending physician. | Complaint |
| Oct 1, 2024 | E · potential | Provide immediate access to any resident. | Complaint |
| Oct 1, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Oct 1, 2024 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Oct 1, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Oct 1, 2024 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Oct 1, 2024 | E · potential | Have policies on smoking. | Complaint |
| Dec 14, 2023 | D · potential | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Complaint |
| Jun 9, 2023 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 9, 2023 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jun 9, 2023 | F · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Jun 9, 2023 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Routine |
| Jun 9, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Jun 9, 2023 | D · potential | Respond appropriately to all alleged violations. | Routine |
| Jun 9, 2023 | E · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Jun 9, 2023 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jun 9, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 9, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jun 9, 2023 | E · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Jun 9, 2023 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jun 9, 2023 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 9, 2023 | E · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Jun 9, 2023 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 9, 2023 | E · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 9, 2023 | F · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Jun 9, 2023 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Jun 9, 2023 | F · potential | 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. | Routine |
| Jun 9, 2023 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jun 9, 2023 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jun 9, 2023 | E · potential | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Jun 9, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 9, 2023 | K · harm | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Routine |
| Jun 9, 2023 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Jun 9, 2023 | E · potential | Keep all essential equipment working safely. | Routine |
| Jun 9, 2023 | F · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Feb 14, 2022 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Feb 14, 2022 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Feb 14, 2022 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Routine |
| Feb 14, 2022 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Feb 14, 2022 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Feb 14, 2022 | D · potential | Ensure a qualified health professional conducts resident assessments. | Routine |
| Feb 14, 2022 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 14, 2022 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Feb 14, 2022 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Feb 14, 2022 | F · potential | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Routine |
| Feb 14, 2022 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 14, 2022 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Feb 14, 2022 | D · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Feb 14, 2022 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Feb 14, 2022 | D · potential | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Routine |
| Feb 14, 2022 | F · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Northvine Postacute Care
446 Arrowood Dr, Santa Rosa, CA 95407 · (707) 528-2100
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056259
- Certified beds
- 62
- Legal owner
- Santa Rosa Postacute Care LLC
- Part of
- Rmg Capital Partners
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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