California › Sonoma County › Santa Rosa
Blue Oak Post-Acute
850 Sonoma Ave, Santa Rosa, CA 95404
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.
Blue Oak Post-Acute, in Santa Rosa, California, is certified for 181 beds under for-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 5 and quality measures 3.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (27, 27, 11 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 35.9 per 100 beds, fewer than the state median of 51.1.
CMS lists 2 penalties in the period covered: fines totalling $37K.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 18.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Sonoma Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 65 | 36 | 44 | 28.7 |
| Citations per 100 beds | 35.9 | 47.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.4 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 18.5% | 34.8% | 36.4% | 45.8% |
| Fines listed | $36,892 | $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: 25 Nov 2025, 17 Nov 2023.
Severity mix: G ×2 D ×34 E ×28 C ×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 |
|---|---|---|---|---|---|
| 10 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 10 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Jun 2026 |
| 16 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 17 Apr 2026 |
| 2 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 3 Apr 2026 |
| 2 Apr 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 3 Apr 2026 |
| 7 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 8 Jan 2026 |
| 7 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Jan 2026 |
| 22 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Jan 2026 |
| 11 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 5 Jan 2026 |
| 11 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Jan 2026 |
| 25 Nov 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 3 Dec 2025 |
| 25 Nov 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 3 Dec 2025 |
| 8 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Sep 2025 |
| 22 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Aug 2025 |
| 22 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Aug 2025 |
| 22 Jul 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 26 Aug 2025 |
| 8 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Jun 2025 |
| 16 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Apr 2025 |
| 7 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Jan 2025 |
| 29 Mar 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 24 Apr 2024 |
| 17 Nov 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | 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 | 5 Jan 2024 |
| 17 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 5 Jan 2024 |
| 17 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | 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 | 5 Jan 2024 |
| 17 Nov 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 5 Jan 2024 |
| 17 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Jan 2024 |
| 17 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 5 Jan 2024 |
| 17 Nov 2023 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 5 Jan 2024 |
| 7 Feb 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Apr 2022 |
| 7 Feb 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard survey | 5 Apr 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Dec 2025 | Fine | $28,614 | |
| 7 Jan 2025 | Fine | $8,278 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 18.5%, RNs 19.0%; 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 | 5.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 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: Hilborn Care, Inc..
No organisations are listed in the CMS ownership record for this facility.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apple Valley Post-Acute Rehab | Sebastopol | 95 | 5 | 4 | 4 | 24 | 25.3 | — | 18 Jun 2026 |
| 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 |
All 18 facilities in Sonoma County
Questions and answers
How many deficiencies has Blue Oak Post-Acute been cited for?
65 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 Blue Oak Post-Acute been fined?
Yes. CMS lists fines totalling $37K in the period covered.
How does staffing at Blue Oak Post-Acute compare?
Reported total nurse staffing is 3.4 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Blue Oak Post-Acute?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Blue Oak Post-Acute last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 25 Nov 2025.
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.