The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SHERWOOD OAKS POST ACUTE CARE, LLC
FORT BRAGG, CA · Medicare-certified · 79 beds
Needs attention
Abuse citationFor-profit
1 of 5 overall
SHERWOOD OAKS POST ACUTE CARE, LLC (Fort Bragg, CA) has a 1-star overall rating, with 1-star health inspection results, a recent abuse citation, and $8,970 in fines over the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.76 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.7553 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $8,970recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7553.
Staffing detail
- Registered nurses
- 0.89
- Licensed practical nurses
- 0.15
- Nurse aides
- 2.71
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30.1%Improving
Residents with a fall causing major injury
6.2%Steady
Residents with pressure ulcers (bedsores)
2.1%Improving
Residents with a urinary tract infection
3.1%Worsening
Residents who lost too much weight
6.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
30.8%Worsening
Residents whose ability to walk got worse
26.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.9%Worsening
Short-stay residents newly given an antipsychotic
9.7%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
17.3%Worsening
Residents with depressive symptoms
27.6%Worsening
Long-stay residents given the seasonal flu vaccine
97%Steady
Long-stay residents given the pneumonia vaccine
96.9%Improving
Short-stay residents given the pneumonia vaccine
69.8%Steady
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to submit complete and accurate staffing information based on verifiable records. Cited May 2024 — widespread issue, potential for harm.
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F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2024 — widespread issue, potential for harm.
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F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — 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 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $8,970 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $34,710 in total fines · 1 payment denial.
- 25 days
Medicare/Medicaid payment denial
Feb 12, 2025
- $8,970
Federal fine
Feb 12, 2025
- $25,740
Federal fine
Jun 7, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 33.7 residents on an average day (43% of 79 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.