Deficiency timeline

BLUE OAK POST-ACUTE

Dated inspection findings, penalties, and correction notes for this nursing home in Santa Rosa, CA. Newest events first.

68 eventsTimeline fines $36,384Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jun 4, 2026

  2. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Apr 17, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Apr 3, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Apr 3, 2026

  5. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Jan 8, 2026

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Jan 8, 2026

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Jan 6, 2026

  8. Class IIActual harm (G)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Jan 5, 2026

  9. Fine $28,106cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  10. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jan 5, 2026

  11. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Dec 3, 2025

  12. Class IIIPotential for more than minimal harm (E)cms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Dec 3, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Dec 3, 2025

  14. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Dec 3, 2025

  15. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Dec 3, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Dec 3, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Dec 3, 2025

  18. Class IIIPotential for more than minimal harm (E)cms

    F0805: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected Dec 3, 2025

  19. Class IIIPotential for more than minimal harm (E)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Dec 3, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Dec 3, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Dec 3, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0887: Infection Control

    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.

    Corrected Dec 3, 2025

  23. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Dec 3, 2025

  24. Class IIIPotential for more than minimal harm (E)cms

    F0806: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected Dec 3, 2025

  25. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Dec 3, 2025

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Sep 22, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 26, 2025

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Aug 26, 2025

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Aug 26, 2025

  30. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Jun 5, 2025

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Apr 28, 2025

  32. Fine $8,278cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  33. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jan 23, 2025

  34. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0685: Quality of Life and Care

    Quality of life & care

    Assist a resident in gaining access to vision and hearing services.

    Corrected Apr 24, 2024

  35. Class IIIPotential for more than minimal harm (D)cms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Jan 5, 2024

  36. Class IIIPotential for more than minimal harm (E)cms

    F0557: Resident Rights

    Resident rights

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected Jan 5, 2024

  37. Class IIIPotential for more than minimal harm (E)cms

    F0574: Resident Rights

    Resident rights

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected Jan 5, 2024

  38. Class IIIPotential for more than minimal harm (E)cms

    F0584: Resident Rights

    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.

    Corrected Jan 5, 2024

  39. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Jan 5, 2024

  40. Class IIIPotential for more than minimal harm (E)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jan 5, 2024

  41. Class IIIPotential for more than minimal harm (E)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Jan 5, 2024

  42. Class IIIPotential for more than minimal harm (E)cms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Jan 5, 2024

  43. Class IIIPotential for more than minimal harm (E)cms

    F0725: Nursing and Physician Services

    Nursing & 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.

    Corrected Jan 5, 2024

  44. Class IIIPotential for more than minimal harm (E)cms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Jan 5, 2024

  45. Class IIIPotential for more than minimal harm (E)cms

    F0850: Administration

    Administration

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected Jan 5, 2024

  46. Class IIIPotential for more than minimal harm (E)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Jan 5, 2024

  47. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0943: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected Jan 5, 2024

  48. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Jan 5, 2024

  49. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Jan 5, 2024

  50. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Jan 5, 2024

  51. Class IIIPotential for more than minimal harm (D)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Jan 5, 2024

  52. Class IIIPotential for more than minimal harm (D)cms

    F0803: Nutrition and Dietary

    Nutrition & dietary

    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.

    Corrected Jan 5, 2024

  53. Class IIIPotential for more than minimal harm (D)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jan 5, 2024

  54. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jan 5, 2024

  55. Class IIIPotential for more than minimal harm (D)cms

    F0887: Infection Control

    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.

    Corrected Jan 5, 2024

  56. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Jul 27, 2023

  57. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Jul 27, 2023

  58. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Jul 27, 2023

  59. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & 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.

    Corrected Apr 5, 2022

  60. Class IIIPotential for more than minimal harm (E)cms

    F0730: Nursing and Physician Services

    Nursing & physician services

    Observe each nurse aide's job performance and give regular training.

    Corrected Apr 5, 2022

  61. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Apr 5, 2022

  62. Class IIIPotential for more than minimal harm (E)cms

    F0865: Administration

    Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected Apr 5, 2022

  63. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 5, 2022

  64. Class IIIPotential for more than minimal harm (D)cms

    F0607: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected Apr 5, 2022

  65. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Apr 5, 2022

  66. Class IVMinimal harm / potential for minimal harm (C)cms

    F0838: Administration

    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.

    Corrected Apr 5, 2022

  67. Class IIIPotential for more than minimal harm (E)cms

    F0561: Resident Rights

    Resident rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected Apr 5, 2022

  68. Class IIIPotential for more than minimal harm (E)cms

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected Apr 5, 2022

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

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