Nursing home

Apple Valley Post-Acute Rehab

1035 Gravenstein Hwy South, Sebastopol, CA 95472

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle11
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$0
Beds95

Inspection findings

Inspectors recorded 33 findings in the last three inspection cycles.

2 Actual harm to a resident31 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 21, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Sep 18, 2026
Aug 21, 2026Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
widespread
Corrected: Sep 18, 2026
Aug 21, 2026Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
widespread
Corrected: Sep 18, 2026
Aug 21, 2026Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
widespread
Corrected: Sep 18, 2026
Aug 21, 2026Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated
Corrected: Sep 18, 2026
Aug 21, 2026Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Sep 18, 2026
Aug 21, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
widespread
Corrected: Sep 18, 2026
Aug 21, 2026Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Sep 18, 2026
Aug 21, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Sep 18, 2026
Aug 21, 2026Resident rightsHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (F0561)No harm, but a risk of harm
isolated
Corrected: Sep 18, 2026
Jun 18, 2026Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 12, 2026
Sep 9, 2025Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 25, 2025
Earlier inspections (21)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Apr 23, 2025Resident rightsHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (F0561)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 8, 2025
Nov 8, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Dec 8, 2024
Nov 8, 2024Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Dec 8, 2024
Nov 8, 2024Resident rightsNotify 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. (F0625)No harm, but a risk of harm
isolated
Corrected: Dec 8, 2024
Jul 2, 2024Resident assessment and care planningEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (F0661)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 19, 2024
Apr 25, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 26, 2024
Dec 12, 2023Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
pattern · from a complaint
Corrected: Dec 21, 2023
Oct 31, 2023Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Nov 20, 2023
Nov 18, 2022Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
widespread
Corrected: Dec 31, 2022
Nov 18, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Nursing and physician servicesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726)Actual harm to a resident
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
pattern
Corrected: Dec 31, 2022
Nov 18, 2022Nursing and physician servicesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (F0711)No harm, but a risk of harm
pattern
Corrected: Dec 31, 2022
Nov 18, 2022Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
pattern
Corrected: Dec 31, 2022
Nov 18, 2022Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)Actual harm to a resident
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Quality of life and careProvide activities to meet all resident's needs. (F0679)No harm, but a risk of harm
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern
Corrected: Dec 31, 2022
Nov 18, 2022Resident rightsLet each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573)No harm, but a risk of harm
isolated
Corrected: Dec 31, 2022
Nov 18, 2022Resident rightsHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557)No harm, but a risk of harm
isolated
Corrected: Dec 31, 2022

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.56California median: 4.27
Registered nurse hours per resident per day0.71California median: 0.52
Nurse staff hours on weekends4.04California median: 3.85
Nursing staff who left within a year25.3%California median: 36.0%

About this home

Beds95
Residents per day, average83.2
OwnershipFor-profit, corporation
Legal business nameA.V.C.H., Inc.
ChainNAHS (12 homes)
In Medicare/Medicaid sinceOct 1, 1968

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error
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