California › Sonoma County › Sebastopol
Apple Valley Post-Acute Rehab
1035 Gravenstein Hwy South, Sebastopol, CA 95472
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 95 beds, Apple Valley Post-Acute Rehab serves Sebastopol in Sonoma County, California and has taken Medicare and Medicaid residents since 1968.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (5, 14, 5 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 25.3 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 29.9%.
Compared with county, state and nation
| Measure | This facility | Sonoma Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 36 | 44 | 28.7 |
| Citations per 100 beds | 25.3 | 47.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.4 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 29.9% | 34.8% | 36.4% | 45.8% |
| Fines listed | $0 | $10,166 | $0 | — |
County and state figures are medians across facilities (18 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Nov 2024, 18 Nov 2022.
Severity mix: G ×2 D ×16 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Jul 2026 |
| 9 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Sep 2025 |
| 23 Apr 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 8 May 2025 |
| 8 Nov 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 8 Dec 2024 |
| 8 Nov 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 8 Dec 2024 |
| 8 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Dec 2024 |
| 2 Jul 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 19 Jul 2024 |
| 25 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Apr 2024 |
| 12 Dec 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint investigation | 21 Dec 2023 |
| 31 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Nov 2023 |
| 18 Nov 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | G | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0584 | 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 | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 31 Dec 2022 |
| 18 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Dec 2022 |
| 18 Jul 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Aug 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 29.9%, RNs 41.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: A.V.C.H., Inc.. Chain: Nahs (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nahs North Inc | 5% or greater direct ownership interest | 100% | 06/30/2018 |
| Nahs Holding Inc | 5% or greater indirect ownership interest | 100% | 06/30/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sonoma County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Arbol Healthcare Center of Santa Rosa | Santa Rosa | 45 | 5 | 4 | 4 | 36 | 80.0 | — | 9 Dec 2025 |
| Broadway Villa Post Acute | Sonoma | 144 | 5 | 3 | 5 | 33 | 22.9 | — | 2 Jul 2026 |
| Cloverdale Healthcare Center | Cloverdale | 72 | 5 | 5 | 3 | 13 | 18.1 | — | 19 Dec 2025 |
| Petaluma Post-Acute Rehabilitation | Petaluma | 90 | 5 | 5 | 5 | 16 | 17.8 | — | 19 Dec 2025 |
| Spring Lake Village | Santa Rosa | 70 | 5 | 4 | 5 | 26 | 37.1 | — | 22 Jan 2026 |
| Summerfield Health Care Center | Santa Rosa | 70 | 5 | 5 | 4 | 18 | 25.7 | — | 5 Sep 2025 |
| Healdsburg Hospital D/P SNF | Healdsburg | 17 | 4 | 5 | 1 | 6 | 35.3 | $46K | 16 Aug 2024 |
| Hillcrest Post Acute | Petaluma | 59 | 4 | 4 | 4 | 30 | 50.8 | — | 11 Sep 2025 |
All 18 facilities in Sonoma County
Questions and answers
How many deficiencies has Apple Valley Post-Acute Rehab been cited for?
24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Apple Valley Post-Acute Rehab been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Apple Valley Post-Acute Rehab compare?
Reported total nurse staffing is 4.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Apple Valley Post-Acute Rehab?
It is part of the Nahs chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nahs North Inc and Nahs Holding Inc. Individual owners and managers are not listed on this site.
When was Apple Valley Post-Acute Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 8 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.