7 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Sonoma, CA
3-star overall rating with 2-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
678 2nd Street West, Sonoma, CA
(707) 938-1096
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
83
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.63
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.15
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,466
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9843
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.85
Baseline 16.35% · Performance 19.18% · Measure score 4.85 · Achievement 4.85 · Improvement 0
Healthcare-associated infections
0.96
Baseline 6.64% · Performance 7.55% · Measure score 0.96 · Achievement 0.96 · Improvement 0
Total nurse turnover
4.85
Baseline 57.81% · Performance 43.84% · Measure score 4.85 · Achievement 4.85 · Improvement 3.74
Adjusted total nurse staffing
0
Baseline 3.34 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.5% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 8.97% · Lower 95% interval 7.19% |
| Discharge to community | 49.53% |
50.57%
1 pts worse
|
No Different than the National Rate · Eligible stays 159 · Observed rate 39.62% · Lower 95% interval 39.94% |
| Medicare spending per beneficiary | 1.49 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 187 · Denominator 187 |
| Falls with major injury | 0.53% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 187 |
| Discharge self-care score | 90.2% |
53.69%
36.5 pts better
|
Numerator 92 · Denominator 102 |
| Discharge mobility score | 80.39% |
50.94%
29.5 pts better
|
Numerator 82 · Denominator 102 |
| Pressure ulcers or injuries, new or worsened | 1.07% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 187 · Adjusted rate 0.78% |
| Healthcare-associated infections requiring hospitalization | 7.55% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 128 · Observed rate 7.81% · Lower 95% interval 4.75% |
| Staff COVID-19 vaccination coverage | 11.9% |
8.2%
3.7 pts better
|
Numerator 15 · Denominator 126 |
| Staff flu vaccination coverage | 55.19% |
42%
13.2 pts better
|
Numerator 85 · Denominator 154 |
| Discharge function score | 87.25% |
56.45%
30.8 pts better
|
Numerator 89 · Denominator 102 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 64 · Denominator 64 |
| Transfer of health information to patient | 79.07% |
96.28%
17.2 pts worse
|
Numerator 68 · Denominator 86 |
| Resident COVID-19 vaccinations up to date | 42.2% |
25.2%
17 pts better
|
Numerator 46 · Denominator 109 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.4 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
1.6%
2.9 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.9% · Q3 3.3% · Q4 1.5% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.6% |
6.8%
0.2 pts better
|
11.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.8% · Q3 8.8% · Q4 6.5% · 4Q avg 6.6% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
4.1%
0.3 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.9% · Q3 0.0% · Q4 8.8% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
13.7%
1.6 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 14.8% · Q3 14.0% · Q4 9.8% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.8% |
14.2%
0.6 pts worse
|
16.7%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 20.0% · Q3 11.4% · Q4 6.7% · 4Q avg 14.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.3% |
11.0%
0.3 pts worse
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 11.8% · Q3 4.3% · Q4 17.4% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
10.7%
1.4 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 7.7% · Q3 1.8% · Q4 12.1% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.1% |
10.9%
0.8 pts better
|
19.8%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 12.6% · Q3 1.7% · Q4 7.7% · 4Q avg 10.1% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
4.7%
0.8 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.7% · Q3 4.4% · Q4 4.7% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
11.2%
2.9 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 12.6% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.5%
0.3 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.5% · Q3 1.7% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
23.2%
2.3 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 20.4% · Expected 23.3% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (7 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (11 deficiencies)
Top issue: Nursing and Physician Services (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-03-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-16
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-04-29
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-04-29
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-04-29
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-04-29
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-04-29
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-04-29
Fire Safety
Establish methods for sharing information.
Corrected 2022-04-29
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-04-29
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-04-29
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-04-29
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-04-29
Fire Safety
Use approved construction type or materials.
Corrected 2022-04-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-29
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-04-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-04-29
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-04-29
Fire Safety
Use approved construction type or materials.
Corrected 2019-10-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-10-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-10-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-10-15
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-05
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-08-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-16
Health
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.
Corrected 2025-04-07
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-02-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-20
Health
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.
Corrected 2023-04-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-24
Health
Provide activities to meet all resident's needs.
Corrected 2022-04-24
Health
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.
Corrected 2022-04-24
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-04-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-04-24
Health
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.
Corrected 2022-04-24
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-04-24
Health
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.
Corrected 2022-04-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-04-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-04-24
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-04-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-04-24
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-04-24
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-04-24
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-04-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-04-24
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-04-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-10-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-10-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Sonoma, CA
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Sonoma, CA
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Napa, CA
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out