Blue Oak Post-Acute
Nursing home in Santa Rosa, CA
Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 850 Sonoma Ave, Santa Rosa, CA 95404
- Phone
- (707) 544-7750
- Listed under
- For-profit
- Medicare CCN
- 056090
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 5 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 181
- Average residents per day
- 163
- Ownership
- For-profit, corporation
- Legal business name
- Hilborn Care, INC.
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Feb 1, 1974
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident and family councils
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Nov 25, 2025. CMS lists 65 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 7, 2022 to Jun 10, 2026): 22 from complaint inspections, 2 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 10, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Jun 10, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| May 1, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Apr 16, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| Apr 2, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Apr 2, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| Jan 7, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Jan 7, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| Dec 22, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Dec 11, 2025 | Respond appropriately to all alleged violations. | D |
| Dec 11, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| Nov 25, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
Fines and payment denials
CMS records 2 fines totalling $36,892 in the last three years.
| Dec 11, 2025 | Fine: $28,614 |
| Jan 7, 2025 | Fine: $8,278 |
Staffing
- Total nurse staffing per resident per day
- 3.44 hours
- Registered nurse (RN) time per resident per day
- 0.56 hours
- Nurse aide time per resident per day
- 2.13 hours
- Total nurse staffing on weekends
- 3.05 hours
- Nursing staff turnover (yearly)
- 19%
- RN turnover (yearly)
- 19%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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