Starfile / California

BLUE OAK POST-ACUTE

850 SONOMA AVE, SANTA ROSA, CA 95404 · CCN 056090

Abuse icon

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$51,518

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (63)2 actual harm

1. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-07 · Health · corrected 2026-01-08

   Potential for more than minimal harm

2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-07 · Health · corrected 2026-01-08

   Potential for more than minimal harm

3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-22 · Health · corrected 2026-01-06

   Potential for more than minimal harm

4. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-11 · Health · corrected 2026-01-05

   Actual harm

5. DF0610Respond appropriately to all alleged violations.2025-12-11 · Health · corrected 2026-01-05

   Potential for more than minimal harm

6. EF0583Keep residents' personal and medical records private and confidential.2025-11-25 · Health · corrected 2025-12-03

   Potential for more than minimal harm

7. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-25 · Health · corrected 2025-12-03

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2025-11-25 · Health · corrected 2025-12-03

   Potential for more than minimal harm

9. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-25 · Health · corrected 2025-12-03

   Potential for more than minimal harm

10. DF0692Provide enough food/fluids to maintain a resident's health.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

13. EF0761Ensure 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.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

14. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

15. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

16. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

17. DF0814Dispose of garbage and refuse properly.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

18. EF0880Provide and implement an infection prevention and control program.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

19. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

20. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-11-25 · Health · corrected 2025-12-03

    Potential for more than minimal harm

21. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-08 · Health · corrected 2025-09-22

    Potential for more than minimal harm

22. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-22 · Health · corrected 2025-08-26

    Potential for more than minimal harm

23. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-22 · Health · corrected 2025-08-26

    Potential for more than minimal harm

24. DF0761Ensure 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.2025-07-22 · Health · corrected 2025-08-26

    Potential for more than minimal harm

25. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

26. DF0610Respond appropriately to all alleged violations.2025-04-16 · Health · corrected 2025-04-28

    Potential for more than minimal harm

27. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-07 · Health · corrected 2025-01-23

    Actual harm

28. DF0685Assist a resident in gaining access to vision and hearing services.2024-03-29 · Health · corrected 2024-04-24

    Potential for more than minimal harm

29. EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

30. EF0574The resident has the right to receive notices in a format and a language he or she understands.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

31. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

32. EF0584Honor 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.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

33. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

34. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

35. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

36. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

37. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

38. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

39. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

40. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

41. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

42. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

43. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

44. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

45. DF0880Provide and implement an infection prevention and control program.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

46. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

47. DF0908Keep all essential equipment working safely.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

48. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

49. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-11-17 · Health · corrected 2024-01-05

    Potential for more than minimal harm

50. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-07-14 · Health · corrected 2023-07-27

    Potential for more than minimal harm

51. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-14 · Health · corrected 2023-07-27

    Potential for more than minimal harm

52. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-14 · Health · corrected 2023-07-27

    Potential for more than minimal harm

53. EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-03-20 · Health · corrected 2024-07-15

    Potential for more than minimal harm

54. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

55. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

56. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

57. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

58. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

59. EF0730Observe each nurse aide's job performance and give regular training.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

60. EF0761Ensure 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.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

61. CF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-02-07 · Health · corrected 2022-04-05

    Potential for minimal harm

62. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

63. EF0880Provide and implement an infection prevention and control program.2022-02-07 · Health · corrected 2022-04-05

    Potential for more than minimal harm

Ownership

Other facilities in SANTA ROSA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.