★★★★★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 cycle28
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$36,892
Beds181
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse.
Inspection findings
Inspectors recorded 67 findings in the last three inspection cycles.
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 date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Jul 29, 2026 | Resident rights | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 4, 2026 |
| Jul 29, 2026 | Resident rights | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 4, 2026 |
| Jun 10, 2026 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 13, 2026 |
| Jun 10, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 13, 2026 |
| May 1, 2026 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 4, 2026 |
Earlier inspections (62)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 16, 2026 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm pattern · from a complaint | Corrected: Apr 17, 2026 |
| Apr 2, 2026 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 3, 2026 |
| Apr 2, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 3, 2026 |
| Jan 7, 2026 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 8, 2026 |
| Jan 7, 2026 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 8, 2026 |
| Dec 22, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 6, 2026 |
| Dec 11, 2025 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 5, 2026 |
| Dec 11, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | Actual harm to a resident isolated · from a complaint | Corrected: Jan 5, 2026 |
| Nov 25, 2025 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm pattern | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Infection control | 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. (F0887) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Food and nutrition | Procure 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 pattern | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm pattern | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm pattern | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Pharmacy and medications | Provide 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 isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated | Corrected: Dec 3, 2025 |
| Nov 25, 2025 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm pattern | Corrected: Dec 3, 2025 |
| Sep 8, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 22, 2025 |
| Jul 22, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 26, 2025 |
| Jul 22, 2025 | Abuse, neglect and exploitation | Timely 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: Aug 26, 2025 |
| Jul 22, 2025 | Resident rights | Honor 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: Aug 26, 2025 |
| May 8, 2025 | Resident rights | Honor 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: Jun 5, 2025 |
| Apr 16, 2025 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 28, 2025 |
| Jan 7, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated · from a complaint | Corrected: Jan 23, 2025 |
| Mar 29, 2024 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 24, 2024 |
| Nov 17, 2023 | Abuse, neglect and exploitation | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (F0943) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Infection control | 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. (F0887) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Administration | Hire a qualified full-time social worker in a facility with more than 120 beds. (F0850) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Food and nutrition | Procure 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: Jan 5, 2024 |
| Nov 17, 2023 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Nursing and physician services | Provide 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: Jan 5, 2024 |
| Nov 17, 2023 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Resident rights | The resident has the right to receive notices in a format and a language he or she understands. (F0574) | No harm, but a risk of harm pattern | Corrected: Jan 5, 2024 |
| Nov 17, 2023 | Resident rights | Honor 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 pattern | Corrected: Jan 5, 2024 |
| Feb 7, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Administration | Have a plan that describes the process for conducting QAPI and QAA activities. (F0865) | No harm, but a risk of harm pattern | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Administration | 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. (F0838) | No harm, minimal risk widespread | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Nursing and physician services | Observe each nurse aide's job performance and give regular training. (F0730) | No harm, but a risk of harm pattern | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm pattern | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm pattern | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated | Corrected: Apr 5, 2022 |
| Feb 7, 2022 | Resident rights | Honor 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 pattern | Corrected: Apr 5, 2022 |
Fines and payment denials
Federal fines in the last three years: $36,892 (2). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Dec 11, 2025 | Fine | $28,614 |
| Jan 7, 2025 | Fine | $8,278 |
Staffing
| Nurse staff hours per resident per day | 3.34 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.46 | California median: 0.52 |
| Nurse staff hours on weekends | 3.00 | California median: 3.85 |
| Nursing staff who left within a year | 32.0% | California median: 36.0% |
About this home
| Beds | 181 |
| Residents per day, average | 172.1 |
| Ownership | For-profit, corporation |
| Legal business name | Macao Holdings LLC |
| Chain | Spyglass Healthcare (14 homes) |
| In Medicare/Medicaid since | Feb 1, 1974 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
More in Santa Rosa
Santa Rosa Post AcuteNorthvine Postacute CareSummerfield Health Care CenterPark View Post AcuteSpring Lake VillageArbol Healthcare Center of Santa RosaSanta Rosa →More in ZIP 95404