Inspection citations
20’22
1’24
8’25
13’26
42 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 25, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 25, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 22, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 16, 2026 | E · potential | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Routine |
| Apr 16, 2026 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Apr 16, 2026 | E · potential | Provide care or services that was trauma informed and/or culturally competent. | Routine |
| Apr 16, 2026 | 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 |
| Apr 16, 2026 | D · potential | Provide or obtain dental services for each resident. | Routine |
| Apr 16, 2026 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Apr 16, 2026 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Apr 16, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 16, 2026 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Apr 16, 2026 | F · potential | Keep all essential equipment working safely. | Routine |
| Nov 14, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Aug 1, 2025 | D · potential | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Complaint |
| Aug 1, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 22, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 18, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 16, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 20, 2025 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| Jan 30, 2025 | E · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Complaint |
| Jun 13, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Mar 30, 2022 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Mar 30, 2022 | 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 |
| Mar 30, 2022 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Mar 30, 2022 | F · potential | Provide activities to meet all resident's needs. | Routine |
| Mar 30, 2022 | E · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 30, 2022 | E · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Mar 30, 2022 | L · harm | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 30, 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 |
| Mar 30, 2022 | 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 |
| Mar 30, 2022 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 30, 2022 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Mar 30, 2022 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 30, 2022 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Mar 30, 2022 | 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 |
| Mar 30, 2022 | F · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Mar 30, 2022 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Mar 30, 2022 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Mar 30, 2022 | E · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Mar 30, 2022 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Mar 30, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 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
Sonoma Post Acute
678 2nd Street West, Sonoma, CA 95476 · (707) 938-1096
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055268
- Certified beds
- 83
- Legal owner
- Sonomaidence Opco LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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