All citations for Sonoma Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Sonoma Post Acute

Last standard health inspection on record

April 16, 2026

Showing 1 to 25 of 37 citations

  1. Immediate jeopardy to resident health or safety

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

    Widespread (many residents). CMS level L.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  2. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Widespread (many residents). CMS level F.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  3. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  4. No harm, with potential for more than minimal harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  6. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  9. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  10. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  12. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  13. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  14. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  15. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  16. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  17. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  18. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 20, 2024).

  20. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  21. No harm, with potential for more than minimal harm

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0810, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2022).

  22. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  23. No harm, with potential for more than minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  24. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  25. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.