Federal inspection record · CMS data as of October 1, 2026

Sherwood Oaks Post Acute Care, LLC

130 Dana Street, Fort Bragg, CA · (707) 964-6333

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
79
Residents per day
30
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 2, 1997

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Sherwood Oaks Post Acute Care, LLC carries 215 inspection points. That is fewer than 8% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 215 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

48 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 22 8 pts
F 10 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

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

    March 6, 2026 · Standard inspection · Quality of Life and Care · F684 · Corrected April 23, 2026

  2. G

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

    February 12, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 27, 2025

Everything else, by area of care

Nutrition and Dietary9F
  1. F

    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.

    March 6, 2026 · Standard · F801 · Corrected May 6, 2026

  2. E

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

    March 6, 2026 · Standard · F804 · Corrected May 6, 2026

  3. E

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

    February 5, 2026 · Complaint · F812 · Corrected March 4, 2026

  4. E

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

    May 24, 2024 · Standard · F804 · Corrected July 27, 2024

  5. F

    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.

    December 6, 2023 · Complaint · F801 · Corrected December 20, 2023

  6. F

    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.

    May 20, 2022 · Standard · F801 · Corrected July 29, 2022

  7. F

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

    May 20, 2022 · Standard · F812 · Corrected July 29, 2022

  8. E

    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.

    May 20, 2022 · Standard · F803 · Corrected July 29, 2022

  9. E

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    May 20, 2022 · Standard · F808 · Corrected July 29, 2022

Freedom from Abuse, Neglect, and Exploitation6E
  1. D

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

    February 12, 2025 · Complaint · F600 · Corrected February 27, 2025

  2. D

    Respond appropriately to all alleged violations.

    February 12, 2025 · Complaint · F610 · Corrected February 27, 2025

  3. D

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

    December 24, 2024 · Complaint · F600 · Corrected January 23, 2025

  4. D

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

    December 24, 2024 · Complaint · F609 · Corrected January 23, 2025

  5. E

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

    May 24, 2024 · Complaint · F600 · Corrected July 27, 2024

  6. E

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

    May 24, 2024 · Complaint · F609 · Corrected July 27, 2024

Quality of Life and Care6E
  1. E

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

    May 24, 2024 · Standard · F677 · Corrected July 27, 2024

  2. E

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

    May 24, 2024 · Standard · F692 · Corrected July 27, 2024

  3. D

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

    May 24, 2024 · Standard · F684 · Corrected July 27, 2024

  4. D

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

    May 24, 2024 · Standard · F685 · Corrected July 27, 2024

  5. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    May 24, 2024 · Standard · F688 · Corrected July 27, 2024

  6. E

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    May 20, 2022 · Standard · F676 · Corrected July 29, 2022

Resident Assessment and Care Planning5E
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    July 21, 2026 · Complaint · F655 · Corrected August 11, 2026

  2. D

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

    March 6, 2026 · Standard · F656 · Corrected April 23, 2026

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 6, 2026 · Standard · F657 · Corrected April 23, 2026

  4. E

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    May 24, 2024 · Standard · F655 · Corrected July 27, 2024

  5. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    May 24, 2024 · Standard · F644 · Corrected July 27, 2024

Administration5F
  1. E

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

    March 6, 2026 · Standard · F865 · Corrected April 23, 2026

  2. E

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    March 6, 2026 · Standard · F868 · Corrected April 23, 2026

  3. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    May 24, 2024 · Standard · F851 · Corrected July 27, 2024

  4. F

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

    May 24, 2024 · Standard · F865 · Corrected July 27, 2024

  5. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    May 20, 2022 · Standard · F867 · Corrected July 29, 2022

Nursing and Physician Services5F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    May 24, 2024 · Complaint · F727 · Corrected July 27, 2024

  2. E

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

    May 24, 2024 · Standard · F725 · Corrected July 27, 2024

  3. E

    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.

    May 24, 2024 · Complaint · F726 · Corrected July 27, 2024

  4. E

    Post nurse staffing information every day.

    May 24, 2024 · Standard · F732 · Corrected July 27, 2024

  5. E

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

    May 20, 2022 · Standard · F725 · Corrected July 29, 2022

Infection Control3F
  1. F

    Provide and implement an infection prevention and control program.

    March 6, 2026 · Standard · F880 · Corrected April 23, 2026

  2. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    March 6, 2026 · Standard · F882 · Corrected April 23, 2026

  3. E

    Provide and implement an infection prevention and control program.

    May 24, 2024 · Standard · F880 · Corrected July 27, 2024

Pharmacy Service3E
  1. E

    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.

    March 6, 2026 · Standard · F761 · Corrected April 23, 2026

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 6, 2026 · Standard · F757 · Corrected April 23, 2026

  3. E

    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.

    May 24, 2024 · Complaint · F761 · Corrected July 27, 2024

Resident Rights3E
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 6, 2026 · Standard · F552 · Corrected April 23, 2026

  2. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    May 24, 2024 · Complaint · F623 · Corrected July 27, 2024

  3. D

    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.

    May 20, 2022 · Standard · F622 · Corrected July 29, 2022

Environmental1F
  1. F

    Keep all essential equipment working safely.

    March 6, 2026 · Standard · F908 · Corrected April 23, 2026

Inspection history

  1. 2026-03-06

    15 health deficiencies · 8 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

  2. 2024-05-24

    24 health deficiencies · 15 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)

  3. 2022-05-20

    9 health deficiencies · 10 fire-safety deficiencies

    Top issue: Nutrition and Dietary (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 58 min of nursing staff time a day, 46 min of it from a registered nurse.

This home

3 h 58 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 29% of nursing staff and 17% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$87,802 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-06Fine$78,832
2026-03-06Payment Denial · 32 day denial$0
2025-02-12Fine$8,970
2025-02-12Payment Denial · 25 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.92.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse3.71.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse5.9%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms18.8 pts worse26.4%7.6%13.5%
Percentage of long-stay residents who lose too much weight2 pts worse6.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.1 pts worse14.8%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.5 pts worse18.8%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened13 pts worse21.9%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased24.7 pts worse34.9%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection3 pts worse4.2%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.9 pts worse19.7%9.8%18.3%
Percentage of long-stay residents with pressure ulcers4.3 pts better0.0%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts worse92.0%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit11.9 pts worse23.0%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse2.4%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.3 pts worse77.8%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission9.8 pts better12.8%22.6%23.4%

·

Who owns and runs it

14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sherwood Oaks Post Acute Care, LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Baldwin, RonaldOperational/Managerial Control · Individual0%3 facilities
Baldwin, RonaldAdp Of The SNF · Individual0%3 facilities
Dickman Weston GroupOperational/Managerial Control · Organization0%4 facilities
Dickman Weston GroupAdp Of The SNF · Organization0%4 facilities
Hansen Hunter LLCOperational/Managerial Control · Organization0%40 facilities
Hansen Hunter LLCAdp Of The SNF · Organization0%40 facilities
Ng, AndrewOperational/Managerial Control · Individual0%8 facilities
Ng, AndrewAdp Of The SNF · Individual0%8 facilities
Serenethos LLCAdp Of The SNF · Organization0%1 facilities
Sherwood Oaks Post Acute Care, LLCOperational/Managerial Control · Organization0%1 facilities
Sherwood Oaks Post Acute Care, LLC.Adp Of The SNF · Organization0%1 facilities
Xie, QingOperational/Managerial Control · Individual0%3 facilities
Xie, QingAdp Of The SNF · Individual0%3 facilities

·

Fire safety

33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke16F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 6, 2026 · K345 · Corrected April 8, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 6, 2026 · K353 · Corrected April 8, 2026

  3. E

    Install corridor and hallway doors that block smoke.

    March 6, 2026 · K363 · Corrected April 10, 2026

  4. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 6, 2026 · K355 · Corrected April 2, 2026

  5. F

    Properly provide smoke detection systems in areas open to corridors.

    May 24, 2024 · K347 · Corrected July 10, 2024

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 24, 2024 · K353 · Corrected July 10, 2024

  7. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 24, 2024 · K321 · Corrected July 10, 2024

  8. D

    Provide properly protected cooking facilities.

    May 24, 2024 · K324 · Corrected July 10, 2024

  9. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 24, 2024 · K345 · Corrected July 10, 2024

  10. D

    Install an approved automatic sprinkler system.

    May 24, 2024 · K351 · Corrected July 10, 2024

  11. D

    Install corridor and hallway doors that block smoke.

    May 24, 2024 · K363 · Corrected July 10, 2024

  12. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 20, 2022 · K321 · Corrected July 8, 2022

  13. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 20, 2022 · K345 · Corrected July 8, 2022

  14. D

    Inspect, test, and maintain automatic sprinkler systems.

    May 20, 2022 · K353 · Corrected July 8, 2022

  15. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    May 20, 2022 · K355 · Corrected July 8, 2022

  16. D

    Install corridor and hallway doors that block smoke.

    May 20, 2022 · K363 · Corrected July 8, 2022

Gas, Vacuum, and Electrical Systems9F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 6, 2026 · K918 · Corrected April 8, 2026

  2. F

    Ensure proper usage of power strips and extension cords.

    March 6, 2026 · K920 · Corrected April 2, 2026

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    May 24, 2024 · K914 · Corrected July 10, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 24, 2024 · K918 · Corrected July 10, 2024

  5. F

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    May 24, 2024 · K926 · Corrected July 10, 2024

  6. D

    Meet requirements for the use of electrical equipment.

    May 24, 2024 · K919 · Corrected July 10, 2024

  7. D

    Ensure proper usage of power strips and extension cords.

    May 24, 2024 · K920 · Corrected July 10, 2024

  8. D

    Have generator or other power source capable of supplying service within 10 seconds.

    May 20, 2022 · K918 · Corrected July 8, 2022

  9. D

    Ensure proper usage of power strips and extension cords.

    May 20, 2022 · K920 · Corrected July 8, 2022

Miscellaneous5F
  1. F

    Have simulated fire drills held at unexpected times.

    March 6, 2026 · K712 · Corrected April 2, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    May 24, 2024 · K712 · Corrected July 10, 2024

  3. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    May 24, 2024 · K741 · Corrected July 10, 2024

  4. D

    Have restrictions on the use of portable space heaters.

    May 24, 2024 · K781 · Corrected July 10, 2024

  5. D

    Provide a written emergency evacuation plan.

    May 20, 2022 · K711 · Corrected July 8, 2022

Emergency Preparedness1F
  1. F

    List the names and contact information of those in the facility.

    March 6, 2026 · E30 · Corrected April 2, 2026

Construction1D
  1. D

    Use approved construction type or materials.

    May 20, 2022 · K161 · Corrected July 8, 2022

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    May 20, 2022 · K511 · Corrected July 8, 2022

·

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