F

BLUE OAK POST-ACUTE

850 SONOMA AVE, SANTA ROSA, CA 95404
Score: 35 / 100

Blue Oak Post-Acute has received an F grade based on CMS data, with a score of 35/100 — placing it among the lowest-rated nursing facilities in California. Families considering this Santa Rosa facility should carefully review its inspection history and quality metrics.

Staffing at Blue Oak Post-Acute is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 63 deficiencies at Blue Oak Post-Acute. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.79 3.8 Average
Registered Nurses (RN) 0.58 0.7 Below Average
Licensed Practical Nurses (LPN) 1.19 0.7 Above Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 3.23 3.8 Below Average
Weekend RN Hours 0.45 0.7 Below Average

🔍 Inspection & Deficiency History

63
Total Deficiencies
Jan 6, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 62 Moderate
View recent deficiencies (5 shown)
  • Tag 0609 Severity E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jan 6, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 21, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Dec 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.6% 4.5% Better
Falls with major injury 0.7% 3.0% Better
On antipsychotic medication 31.2% 14.5% Worse
Urinary tract infections 0.6% 2.5% Better
ADL decline (daily activities) 7.5% 14.0% Better
Excessive weight loss 3.1% 7.5% Better
New/worsened incontinence 10.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $51,518

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
181
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 24, 2025
Deficiencies (Cycle 1)
26