Inspection citations
9’21
5’23
12’24
21’25
3’26
50 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 11, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Mar 11, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 6, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Dec 26, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Dec 26, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Sep 12, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Sep 12, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Sep 12, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Sep 12, 2025 | E · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Sep 12, 2025 | E · potential | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Routine |
| Sep 12, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Sep 12, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 12, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Sep 12, 2025 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Sep 12, 2025 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Sep 2, 2025 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 2, 2025 | F · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| May 2, 2025 | F · potential | Respond appropriately to all alleged violations. | Complaint |
| Apr 25, 2025 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Apr 25, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 9, 2025 | E · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Mar 24, 2025 | E · 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 |
| Feb 24, 2025 | E · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Jan 28, 2025 | G · harm | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | Complaint |
| Dec 5, 2024 | F · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 4, 2024 | D · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Complaint |
| Oct 4, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Aug 28, 2024 | E · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Complaint |
| Aug 6, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Apr 10, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Apr 10, 2024 | D · potential | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Complaint |
| Apr 10, 2024 | D · 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. | Complaint |
| Apr 10, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Complaint |
| Jan 24, 2024 | E · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 24, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 3, 2024 | D · potential | Employ staff that are licensed, certified, or registered in accordance with state laws. | Complaint |
| Dec 22, 2023 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Dec 22, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 15, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 14, 2023 | E · potential | Keep all essential equipment working safely. | Complaint |
| Nov 2, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Apr 23, 2021 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Apr 23, 2021 | D · potential | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Routine |
| Apr 23, 2021 | E · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Apr 23, 2021 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Apr 23, 2021 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Apr 23, 2021 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 23, 2021 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Apr 23, 2021 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Apr 23, 2021 | D · 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
Santa Rosa Post Acute
4650 Hoen Avenue, Santa Rosa, CA 95405 · (707) 546-0471
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055854
- Certified beds
- 99
- Legal owner
- Santa Rosaidence Opco LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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