★★★★★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 cycle14
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$12,006
Beds83
Inspection findings
Inspectors recorded 42 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 |
|---|---|---|---|---|
| Jun 25, 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 isolated · from a complaint | Corrected: Jul 17, 2026 |
| Jun 25, 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: Jul 17, 2026 |
| Apr 22, 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) | Actual harm to a resident isolated · from a complaint | Corrected: May 13, 2026 |
| Apr 16, 2026 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: May 8, 2026 |
| Apr 16, 2026 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm isolated | Corrected: May 8, 2026 |
| Apr 16, 2026 | 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 widespread | Corrected: May 8, 2026 |
| Apr 16, 2026 | 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: May 8, 2026 |
| Apr 16, 2026 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm isolated | Corrected: May 8, 2026 |
| Apr 16, 2026 | Quality of life and care | Provide or obtain dental services for each resident. (F0791) | No harm, but a risk of harm isolated | Corrected: May 8, 2026 |
| Apr 16, 2026 | 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: May 8, 2026 |
| Apr 16, 2026 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm pattern | Corrected: May 8, 2026 |
| Apr 16, 2026 | 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 | Corrected: May 8, 2026 |
| Apr 16, 2026 | Resident rights | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (F0577) | No harm, but a risk of harm pattern | Corrected: May 8, 2026 |
Earlier inspections (29)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Nov 14, 2025 | 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: Jan 5, 2026 |
| Aug 1, 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 · from a complaint | Corrected: Aug 14, 2025 |
| Aug 1, 2025 | Abuse, neglect and exploitation | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (F0606) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 14, 2025 |
| Jul 22, 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 · from a complaint | Corrected: Jul 31, 2025 |
| Jul 18, 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 · from a complaint | Corrected: Aug 8, 2025 |
| May 16, 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 · from a complaint | Corrected: Jun 16, 2025 |
| Mar 20, 2025 | Resident rights | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (F0622) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 7, 2025 |
| Jan 30, 2025 | 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: Feb 5, 2025 |
| Jun 13, 2024 | 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 · from a complaint | Corrected: Jun 20, 2024 |
| Mar 30, 2022 | 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: Apr 24, 2022 |
| Mar 30, 2022 | Food and nutrition | Provide special eating equipment and utensils for residents who need them and appropriate assistance. (F0810) | No harm, but a risk of harm isolated | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | 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: Apr 24, 2022 |
| Mar 30, 2022 | 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: Apr 24, 2022 |
| Mar 30, 2022 | 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: Apr 24, 2022 |
| Mar 30, 2022 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm widespread | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | 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 widespread | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | 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 pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | 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: Apr 24, 2022 |
| Mar 30, 2022 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | Immediate jeopardy widespread | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Quality of life and care | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (F0693) | No harm, but a risk of harm pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm widespread | Corrected: Apr 24, 2022 |
| Mar 30, 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 pattern | Corrected: Apr 24, 2022 |
| Mar 30, 2022 | 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: Apr 24, 2022 |
| Mar 30, 2022 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Apr 24, 2022 |
Fines and payment denials
Federal fines in the last three years: $12,006 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Apr 16, 2026 | Fine | $12,006 |
Staffing
| Nurse staff hours per resident per day | 3.59 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.60 | California median: 0.52 |
| Nurse staff hours on weekends | 2.86 | California median: 3.85 |
| Nursing staff who left within a year | 37.3% | California median: 36.0% |
About this home
| Beds | 83 |
| Residents per day, average | 79.7 |
| Ownership | For-profit, limited liability company |
| Legal business name | Sonomaidence Opco LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Jan 1, 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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