Nursing homes › California › Santa Rosa Post Acute
4650 Hoen Avenue, Santa Rosa, CA 95405 · 7075460471 · 99 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 3.98 (California median: 4.24). RN hours: 0.64. Weekend total: 3.49. Nursing staff turnover: 31%.
All-time on record: 51 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-04-05 |
| 2026-03-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-03-09 |
| 2026-02-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-03-13 |
| 2025-12-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-01-04 |
| 2025-12-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-01-04 |
| 2025-09-12 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-10-06 |
| 2025-09-12 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Health | corrected 2025-10-06 |
| 2025-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-10-06 |
| 2025-09-12 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | corrected 2025-10-06 |
| 2025-09-12 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-10-06 |
| 2025-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-10-06 |
| 2025-09-12 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-10-06 |
| 2025-09-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-10-06 |
| 2025-09-12 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-10-06 |
| 2025-09-12 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2025-10-06 |
| 2025-09-02 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2025-10-05 |
| 2025-05-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | complaint | corrected 2025-05-12 |
| 2025-05-02 | Respond appropriately to all alleged violations. | F | complaint | corrected 2025-05-12 |
| 2025-04-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-05-16 |
| 2025-04-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-05-16 |
| 2025-04-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-05-02 |
| 2025-03-24 | 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. | E | complaint | corrected 2025-04-07 |
| 2025-02-24 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | E | complaint | corrected 2025-03-11 |
| 2025-01-28 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | G | complaint | corrected 2025-02-13 |
| 2024-12-05 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2025-01-03 |
| 2024-10-04 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | complaint | corrected 2024-10-23 |
| 2024-10-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-10-23 |
| 2024-08-28 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | complaint | corrected 2024-11-06 |
| 2024-08-06 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2024-09-15 |
| 2024-04-10 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | complaint | corrected 2024-07-12 |
| 2024-04-10 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-07-12 |
| 2024-04-10 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | complaint | corrected 2024-07-12 |
| 2024-04-10 | 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. | D | complaint | corrected 2024-07-12 |
| 2024-01-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2024-02-16 |
| 2024-01-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-02-16 |
| 2024-01-03 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | complaint | corrected 2024-01-13 |
| 2023-12-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-01-08 |
| 2023-12-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-01-08 |
| 2023-12-15 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-12-31 |
| 2023-12-14 | Keep all essential equipment working safely. | E | complaint | corrected 2023-12-30 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-28 | Fine | $10,166 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP WINE COUNTRY LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/16/2016 |
| PROVIDENCE GROUP NH, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 06/30/2023 |
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| BILLS, KEVAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055854. Corrections: data@carerecords.org.