The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
UKIAH POST ACUTE
UKIAH, CA · Medicare-certified · 57 beds
In good standing
For-profitChain member
5 of 5 overall
UKIAH POST ACUTE has an overall 5-star rating, with strong quality measures and health inspection scores, a 3-star staffing rating, and reported nurse staffing slightly above the federal benchmark (4.24 vs. 4.1 hours per resident per day). It had no fines in the last 24 months, though recent inspection citations included pressure ulcer care, treatment and care according to orders/preferences/goals, and accident hazard/supervision issues.
Facility ratings
Health inspections
Staffing
4.2422 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2422.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.16
- Nurse aides
- 2.66
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff 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
3.7%0%Improving
Residents with a fall causing major injury
5.7%3.3%Improving
Residents with pressure ulcers (bedsores)
2.3%5.9%Worsening
Residents with a urinary tract infection
3.1%0%Improving
Residents who lost too much weight
3.2%3.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.8%10%Improving
Residents whose ability to walk got worse
—2.1%—
Long-stay residents on antianxiety or sleep medication
20.6%20%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2.7%Worsening
Residents with new or worsening incontinence
6.2%14.3%Worsening
Residents with depressive symptoms
15.2%13.8%Improving
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
—97.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.7%—
Short-stay residents given the pneumonia vaccine
98.7%100%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 45.9 residents on an average day (81% of 57 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.