★★★★★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 cycle15
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$10,166
Beds99
Inspection findings
Inspectors recorded 50 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 |
|---|---|---|---|---|
| Mar 11, 2026 | Quality of life and care | Ensure 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 · from a complaint | Corrected: Apr 5, 2026 |
| Mar 11, 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 isolated · from a complaint | Corrected: Mar 9, 2026 |
| Feb 6, 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 isolated · from a complaint | Corrected: Mar 13, 2026 |
| Dec 26, 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 · from a complaint | Corrected: Jan 4, 2026 |
| Dec 26, 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: Jan 4, 2026 |
Earlier inspections (45)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Sep 12, 2025 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm pattern | Corrected: Oct 6, 2025 |
| Sep 12, 2025 | 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 isolated | Corrected: Oct 6, 2025 |
| Sep 12, 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 isolated | Corrected: Oct 6, 2025 |
| Sep 12, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Oct 6, 2025 |
| Sep 12, 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: Oct 6, 2025 |
| Sep 12, 2025 | Quality of life and care | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (F0741) | No harm, but a risk of harm pattern | Corrected: Oct 6, 2025 |
| Sep 12, 2025 | 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: Oct 6, 2025 |
| Sep 12, 2025 | 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 isolated | Corrected: Oct 6, 2025 |
| Sep 12, 2025 | 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 | Corrected: Oct 6, 2025 |
| Sep 12, 2025 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated | Corrected: Oct 6, 2025 |
| Sep 2, 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 pattern · from a complaint | Corrected: Oct 5, 2025 |
| May 2, 2025 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm widespread · from a complaint | Corrected: May 12, 2025 |
| May 2, 2025 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm widespread · from a complaint | Corrected: May 12, 2025 |
| Apr 25, 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: May 16, 2025 |
| Apr 25, 2025 | 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 · from a complaint | Corrected: May 16, 2025 |
| Apr 9, 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 pattern · from a complaint | Corrected: May 2, 2025 |
| Mar 24, 2025 | 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 · from a complaint | Corrected: Apr 7, 2025 |
| Feb 24, 2025 | Resident rights | Let 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 pattern · from a complaint | Corrected: Mar 11, 2025 |
| Jan 28, 2025 | Quality of life and care | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (F0678) | Actual harm to a resident isolated · from a complaint | Corrected: Feb 13, 2025 |
| Dec 5, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread · from a complaint | Corrected: Jan 3, 2025 |
| Oct 4, 2024 | 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 · from a complaint | Corrected: Oct 23, 2024 |
| Oct 4, 2024 | Resident rights | Ensure residents have reasonable access to and privacy in their use of communication methods. (F0576) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 23, 2024 |
| Aug 28, 2024 | Resident rights | Ensure residents have reasonable access to and privacy in their use of communication methods. (F0576) | No harm, but a risk of harm pattern · from a complaint | Corrected: Nov 6, 2024 |
| Aug 6, 2024 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 15, 2024 |
| Apr 10, 2024 | 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 · from a complaint | Corrected: Jul 12, 2024 |
| Apr 10, 2024 | Food and nutrition | 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. (F0801) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 12, 2024 |
| Apr 10, 2024 | Food and nutrition | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (F0800) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 12, 2024 |
| Apr 10, 2024 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 12, 2024 |
| Jan 24, 2024 | 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 · from a complaint | Corrected: Feb 16, 2024 |
| Jan 24, 2024 | 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: Feb 16, 2024 |
| Jan 3, 2024 | Administration | Employ staff that are licensed, certified, or registered in accordance with state laws. (F0839) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 13, 2024 |
| Dec 22, 2023 | 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 · from a complaint | Corrected: Jan 8, 2024 |
| Dec 22, 2023 | 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 pattern · from a complaint | Corrected: Jan 8, 2024 |
| Dec 15, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 31, 2023 |
| Dec 14, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 30, 2023 |
| Nov 2, 2023 | 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 pattern · from a complaint | Corrected: Nov 14, 2023 |
| Apr 23, 2021 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: May 25, 2021 |
| Apr 23, 2021 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: May 25, 2021 |
| Apr 23, 2021 | 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 | Corrected: May 25, 2021 |
| Apr 23, 2021 | 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: May 25, 2021 |
| Apr 23, 2021 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: May 25, 2021 |
| Apr 23, 2021 | 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 | Corrected: May 25, 2021 |
| Apr 23, 2021 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm pattern | Corrected: May 25, 2021 |
| Apr 23, 2021 | Resident rights | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (F0575) | No harm, but a risk of harm isolated | Corrected: May 25, 2021 |
| Apr 23, 2021 | 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 | Corrected: May 25, 2021 |
Fines and payment denials
Federal fines in the last three years: $10,166 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jan 28, 2025 | Fine | $10,166 |
Staffing
| Nurse staff hours per resident per day | 3.92 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.59 | California median: 0.52 |
| Nurse staff hours on weekends | 3.41 | California median: 3.85 |
| Nursing staff who left within a year | 32.3% | California median: 36.0% |
About this home
| Beds | 99 |
| Residents per day, average | 95.6 |
| Ownership | For-profit, limited liability company |
| Legal business name | Santa Rosaidence Opco LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Nov 3, 1967 |
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
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