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SANTA ROSA POST ACUTE

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SANTA ROSA POST ACUTE is a for profit - limited liability company facility in SANTA ROSA, CA with 99 certified beds and a 2-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $108K.

4650 HOEN AVENUE, SANTA ROSA, CA 95405

Phone: 7075460471

Overall Rating

2/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055854
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
99
Residents
95
In Hospital
No
County
Sonoma
Last Inspection
Sep 12, 2025

Staffing Data

RN Hours
0.67 (nat'l avg: 0.68)
LPN Hours
0.89
CNA Hours
2.41
Total Nursing Hours
3.97 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
36.3%
RN Turnover
27.3%

What the CMS Record Reveals About SANTA ROSA POST ACUTE

SANTA ROSA POST ACUTE operates 99 certified beds in SANTA ROSA, CA with approximately 95 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $108K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.97 total nursing hours per resident day (national average 3.89), with RN coverage at 0.67 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, SANTA ROSA POST ACUTE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 36.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

G — Isolated - Actual harm Dec 26, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 14, 2026

E — Pattern - Minimal harm Sep 12, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 6, 2025

E — Pattern - Minimal harm Sep 12, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 6, 2025

E — Pattern - Minimal harm Sep 12, 2025 Tag: 0741

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

E — Pattern - Minimal harm Sep 12, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 12, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 6, 2025

E — Pattern - Minimal harm Sep 2, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 5, 2025

F — Widespread - Minimal harm May 2, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 12, 2025

F — Widespread - Minimal harm May 2, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 12, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 16, 2025

E — Pattern - Minimal harm Apr 9, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 2, 2025

E — Pattern - Minimal harm Mar 24, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 7, 2025

E — Pattern - Minimal harm Feb 24, 2025 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2025

G — Isolated - Actual harm Jan 28, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Dec 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 3, 2025

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 23, 2024

D — Isolated - Minimal harm Oct 4, 2024 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Oct 23, 2024

E — Pattern - Minimal harm Aug 28, 2024 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Nov 6, 2024

D — Isolated - Minimal harm Aug 6, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 12, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 12, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 12, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 12, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 3, 2024 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Jan 13, 2024

D — Isolated - Minimal harm Dec 22, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 8, 2024

E — Pattern - Minimal harm Dec 22, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 8, 2024

E — Pattern - Minimal harm Dec 15, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 31, 2023

E — Pattern - Minimal harm Dec 14, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Dec 30, 2023

E — Pattern - Minimal harm Nov 2, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 14, 2023

E — Pattern - Minimal harm Sep 28, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2023

D — Isolated - Minimal harm Jun 22, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 28, 2023

E — Pattern - Minimal harm Jun 20, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2023

E — Pattern - Minimal harm Jun 20, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2023

D — Isolated - Minimal harm Apr 24, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2023

E — Pattern - Minimal harm Apr 24, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2023

D — Isolated - Minimal harm Apr 12, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 29, 2023

E — Pattern - Minimal harm Mar 14, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 29, 2023

D — Isolated - Minimal harm Mar 1, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 3, 2023

G — Isolated - Actual harm Mar 1, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 3, 2023

D — Isolated - Minimal harm Feb 28, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2023

D — Isolated - Minimal harm Feb 14, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.2% Yes

Penalty History 2 penalties totaling $108K

Date Type Amount
Jan 28, 2025 Fine $10K

Frequently Asked Questions

What is the overall CMS rating for SANTA ROSA POST ACUTE?
SANTA ROSA POST ACUTE has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at SANTA ROSA POST ACUTE?
SANTA ROSA POST ACUTE reports 3.97 total nursing hours per resident day (national average: 3.89). RN hours are 0.67 per resident day (national average: 0.68). Nursing staff turnover is 36.3%.
How many beds does SANTA ROSA POST ACUTE have?
SANTA ROSA POST ACUTE has 99 certified beds with approximately 95 residents. The facility is located at 4650 HOEN AVENUE, SANTA ROSA, CA 95405.
Does SANTA ROSA POST ACUTE have any deficiencies on record?
Yes, SANTA ROSA POST ACUTE has 50 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has SANTA ROSA POST ACUTE received any fines or penalties?
Yes, SANTA ROSA POST ACUTE has received 2 penalties totaling $108K.
Who owns SANTA ROSA POST ACUTE?
SANTA ROSA POST ACUTE is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was SANTA ROSA POST ACUTE last inspected?
The most recent health inspection for SANTA ROSA POST ACUTE was on Sep 12, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for SANTA ROSA POST ACUTE?
SANTA ROSA POST ACUTE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial