Starfile / California

SANTA ROSA POST ACUTE

4650 HOEN AVENUE, SANTA ROSA, CA 95405 · CCN 055854

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

$107,746

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (57)3 actual harm

1. GF0760Ensure that residents are free from significant medication errors.2025-12-26 · Health · corrected 2026-01-14

   Actual harm

2. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

4. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

5. EF0730Observe each nurse aide's job performance and give regular training.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

6. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

7. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

8. DF0880Provide and implement an infection prevention and control program.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

9. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-09-12 · Health · corrected 2025-10-06

   Potential for more than minimal harm

10. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-12 · Health · corrected 2025-10-06

    Potential for more than minimal harm

11. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-09-12 · Health · corrected 2025-10-06

    Potential for more than minimal harm

12. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-02 · Health · corrected 2025-10-05

    Potential for more than minimal harm

13. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-02 · Health · corrected 2025-05-12

    Potential for more than minimal harm

14. FF0610Respond appropriately to all alleged violations.2025-05-02 · Health · corrected 2025-05-12

    Potential for more than minimal harm

15. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-25 · Health · corrected 2025-05-16

    Potential for more than minimal harm

16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-25 · Health · corrected 2025-05-16

    Potential for more than minimal harm

17. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-09 · Health · corrected 2025-05-02

    Potential for more than minimal harm

18. 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.2025-03-24 · Health · corrected 2025-04-07

    Potential for more than minimal harm

19. EF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-02-24 · Health · corrected 2025-03-11

    Potential for more than minimal harm

20. GF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-01-28 · Health · corrected 2025-02-13

    Actual harm

21. FF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-03

    Potential for more than minimal harm

22. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-10-04 · Health · corrected 2024-10-23

    Potential for more than minimal harm

23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-04 · Health · corrected 2024-10-23

    Potential for more than minimal harm

24. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-08-28 · Health · corrected 2024-11-06

    Potential for more than minimal harm

25. DF0692Provide enough food/fluids to maintain a resident's health.2024-08-06 · Health · corrected 2024-09-15

    Potential for more than minimal harm

26. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-10 · Health · corrected 2024-07-12

    Potential for more than minimal harm

27. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-04-10 · Health · corrected 2024-07-12

    Potential for more than minimal harm

28. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-04-10 · Health · corrected 2024-07-12

    Potential for more than minimal harm

29. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-04-10 · Health · corrected 2024-07-12

    Potential for more than minimal harm

30. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-24 · Health · corrected 2024-02-16

    Potential for more than minimal harm

31. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-24 · Health · corrected 2024-02-16

    Potential for more than minimal harm

32. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-01-03 · Health · corrected 2024-01-13

    Potential for more than minimal harm

33. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-22 · Health · corrected 2024-01-08

    Potential for more than minimal harm

34. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-22 · Health · corrected 2024-01-08

    Potential for more than minimal harm

35. EF0880Provide and implement an infection prevention and control program.2023-12-15 · Health · corrected 2023-12-31

    Potential for more than minimal harm

36. EF0908Keep all essential equipment working safely.2023-12-14 · Health · corrected 2023-12-30

    Potential for more than minimal harm

37. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-02 · Health · corrected 2023-11-14

    Potential for more than minimal harm

38. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-28 · Health · corrected 2023-10-13

    Potential for more than minimal harm

39. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-22 · Health · corrected 2023-07-28

    Potential for more than minimal harm

40. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-20 · Health · corrected 2023-08-05

    Potential for more than minimal harm

41. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-20 · Health · corrected 2023-08-05

    Potential for more than minimal harm

42. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-24 · Health · corrected 2023-05-11

    Potential for more than minimal harm

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-24 · Health · corrected 2023-05-11

    Potential for more than minimal harm

44. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-12 · Health · corrected 2023-04-28

    Potential for more than minimal harm

45. EF0558Reasonably accommodate the needs and preferences of each resident.2023-03-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

46. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

47. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-01 · Health · corrected 2023-04-03

    Actual harm

48. DF0880Provide and implement an infection prevention and control program.2023-03-01 · Health · corrected 2023-04-03

    Potential for more than minimal harm

49. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

50. DF0575Post 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.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

51. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

53. DF0679Provide activities to meet all resident's needs.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

54. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

55. 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.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

56. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-04-23 · Health · corrected 2021-05-25

    Potential for more than minimal harm

57. DF0880Provide and implement an infection prevention and control program.2021-04-23 · Health · corrected 2021-05-25

    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.