The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
SANTA ROSA POST ACUTE
SANTA ROSA, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
2 of 5 overall
Santa Rosa Post Acute has an overall 2-star rating, with a very low 1-star health inspection rating but stronger 4-star staffing and 5-star quality scores. It also has recent federal penalties totaling $10,166, and its reported staffing of 4.02 hours per resident day is slightly below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.0191 hrs/resident/day
Quality measures
Last inspection: March 11, 2026Penalties, last 24 months: $10,166recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0191.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.43
- Weekend nursing
- 3.47
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 15%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.7%Worsening
Residents with a fall causing major injury
0.6%Improving
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
0.3%Improving
Residents who lost too much weight
1.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.1%Improving
Residents whose ability to walk got worse
8.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.4%Improving
Residents with depressive symptoms
1.2%Worsening
Long-stay residents given the seasonal flu vaccine
97.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95.5%Steady
Short-stay residents given the pneumonia vaccine
97.7%Steady
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: G
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: F
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 610 — 42 CFR §483.12 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,166 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $10,166 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Dec 26, 2025
- $10,166
Federal fine
Jan 28, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 95.3 residents on an average day (96% of 99 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.