The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2022 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: L
Nursing home report
SONOMA POST ACUTE
SONOMA, CA · Medicare-certified · 83 beds
In good standing
For-profitChain member
3 of 5 overall
SONOMA POST ACUTE has an overall rating of 3 out of 5 stars. Health inspection is 2 stars and staffing is 3 stars, while quality measures are 5 stars; reported nurse staffing is 3.64 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.637 hrs/resident/day
Quality measures
Last inspection: November 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.637.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.11
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 54%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13%12.5%Improving
Residents with a fall causing major injury
6.9%3.2%Improving
Residents with pressure ulcers (bedsores)
2.7%4.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.9%5.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.7%7.4%No change
Residents whose ability to walk got worse
11.8%22.7%Worsening
Long-stay residents on antianxiety or sleep medication
14.8%8.9%Improving
Short-stay residents newly given an antipsychotic
1.5%6.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.6%8.3%Improving
Residents with depressive symptoms
3.8%6.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to provide activities that met all residents’ needs. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: E
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
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 78.5 residents on an average day (95% of 83 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.