Nursing Home Alerts

Blue Oak Post-Acute

850 Sonoma Ave, Santa Rosa, CA 95404

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Blue Oak Post-Acute is a nursing home in Santa Rosa, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(707) 544-7750
Last standard health inspection
November 25, 2025 (11 months ago)
Certified beds
181
Residents per day, on average
172.1
Ownership type
For profit - Corporation
Legal business name
Macao Holdings LLC
Chain
Spyglass Healthcare
Takes part in
Medicare and Medicaid

More health citations than the California average (67 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 3 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

    • Ownership

      CMS ownership records list new owners for this home.

  2. CMS update of October 8, 2026

    • Fine

      CMS changed the fine from December 11, 2025 from $28,106 to $28,614.

  3. 2 citations

    Health inspection on July 29, 2026

    CMS lists this as a complaint inspection.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on September 4, 2026.

    • Citation F0628. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      CMS lists it as corrected on September 4, 2026.

    See this home on CMS Care Compare

  4. 2 citations

    Health inspection on June 10, 2026

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0656 3 times since 2023.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0658 4 times since 2022.

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  5. 1 citation

    Health inspection on May 1, 2026

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 4, 2026.

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  6. CMS update of April 29, 2026

    • Fine

      CMS changed the fine from December 11, 2025 from $43,240 to $28,106.

  7. 1 citation

    Health inspection on April 16, 2026

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 17, 2026.

      CMS has cited this home for F0600 6 times since 2023.

    See this home on CMS Care Compare

  8. 2 citations

    Health inspection on April 2, 2026

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 3, 2026.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on April 3, 2026.

      CMS has cited this home for F0919 2 times since 2025.

    See this home on CMS Care Compare

  9. CMS update of March 25, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  10. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

    • Name

      CMS lists a new name for this home. It was CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH.

  11. 2 citations

    Health inspection on January 7, 2026

    CMS lists this as a complaint inspection.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on January 8, 2026.

      CMS has cited this home for F0609 3 times since 2023.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on January 8, 2026.

    See this home on CMS Care Compare

  12. 1 citation

    Health inspection on December 22, 2025

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 6, 2026.

    See this home on CMS Care Compare

  13. 2 citations

    Health inspection on December 11, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    227 of 1,165 California homes (19%) got a citation at the actual harm level in 2025.

    • Citation F0600. Severity G: actual harm, isolated.

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

      CMS lists it as corrected on January 5, 2026.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on January 5, 2026.

      CMS has cited this home for F0610 2 times since 2025.

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  14. Fine

    December 11, 2025 (11 months ago)

    CMS fine of $28,614 on December 11, 2025.

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  15. 15 citations

    Health inspection on November 25, 2025

    CMS lists this as a standard inspection.

    • Citation F0583. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 3, 2025.

      CMS has cited this home for F0761 3 times since 2022.

    • Citation F0805. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0806. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on December 3, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on December 3, 2025.

      CMS has cited this home for F0812 2 times since 2023.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 3, 2025.

      CMS has cited this home for F0880 3 times since 2022.

    • Citation F0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 3, 2025.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on December 3, 2025.

      CMS has cited this home for F0692 2 times since 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0814. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on December 3, 2025.

    • Citation F0887. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      CMS lists it as corrected on December 3, 2025.

      CMS has cited this home for F0887 2 times since 2023.

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  16. 7 citations

    Fire safety inspection on November 25, 2025

    CMS lists this as a standard inspection.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for E0037 2 times since 2022.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for K0345 2 times since 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for K0918 3 times since 2022.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for K0363 3 times since 2022.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for K0920 3 times since 2022.

    • Citation K0293. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly located and lighted "Exit" signs.

      CMS lists it as corrected on December 5, 2025.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for K0353 3 times since 2022.

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  17. 1 citation

    Health inspection on September 8, 2025

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on September 22, 2025.

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  18. 3 citations

    Health inspection on July 22, 2025

    CMS lists this as a complaint inspection.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on August 26, 2025.

      CMS has cited this home for F0550 2 times since 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on August 26, 2025.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 26, 2025.

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  19. 1 citation

    Health inspection on May 8, 2025

    CMS lists this as a complaint inspection.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on June 5, 2025.

    See this home on CMS Care Compare

  20. 1 citation

    Health inspection on April 16, 2025

    CMS lists this as a complaint inspection.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on April 28, 2025.

    See this home on CMS Care Compare

  21. 1 citation

    Health inspection on January 7, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    227 of 1,165 California homes (19%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on January 23, 2025.

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  22. Fine

    January 7, 2025 (1 year ago)

    CMS fine of $8,278 on January 7, 2025.

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  23. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  24. CMS update of August 29, 2024

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS ownership records list new owners for this home.

  25. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  26. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from February 2, 2023 from $15,000 to $15,838.

  27. 1 citation

    Health inspection on March 29, 2024

    CMS lists this as a complaint inspection.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on April 24, 2024.

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  28. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  29. 21 citations

    Health inspection on November 17, 2023

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0557. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0574. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: The resident has the right to receive notices in a format and a language he or she understands.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on January 5, 2024.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0697. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on January 5, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0850. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Hire a qualified full-time social worker in a facility with more than 120 beds.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0921. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0943. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 5, 2024.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0803. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 5, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0887. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      CMS lists it as corrected on January 5, 2024.

    • Citation F0908. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on January 5, 2024.

    See this home on CMS Care Compare

  30. 13 citations

    Fire safety inspection on November 17, 2023

    CMS lists this as a standard inspection.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0347. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly provide smoke detection systems in areas open to corridors.

      CMS lists it as corrected on December 12, 2023.

      CMS has cited this home for K0347 2 times since 2022.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on December 12, 2023.

      CMS has cited this home for K0211 2 times since 2022.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 12, 2023.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on December 12, 2023.

      CMS has cited this home for K0355 2 times since 2022.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on December 12, 2023.

      CMS has cited this home for K0919 2 times since 2022.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on December 12, 2023.

    • Citation K0923. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on December 12, 2023.

    See this home on CMS Care Compare

  31. 10 citations

    Health inspection on February 7, 2022

    CMS lists this as a standard inspection.

    • Citation F0561. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0640. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 5, 2022.

    • Citation F0730. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0865. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a plan that describes the process for conducting QAPI and QAA activities.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on April 5, 2022.

    • Citation F0838. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

      CMS lists it as corrected on April 5, 2022.

    See this home on CMS Care Compare

  32. 15 citations

    Fire safety inspection on February 7, 2022

    CMS lists this as a standard inspection.

    • Citation E0006. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on February 22, 2022.

    • Citation E0041. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Implement emergency and standby power systems.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0342. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0347. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly provide smoke detection systems in areas open to corridors.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on February 22, 2022.

    • Citation E0026. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Establish roles under a Waiver declared by secretary.

      CMS lists it as corrected on February 22, 2022.

    • Citation E0032. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide primary/alternate means for communication.

      CMS lists it as corrected on February 22, 2022.

    • Citation E0037. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0918. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on February 22, 2022.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on February 22, 2022.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Blue Oak Post-Acute last inspected?

CMS lists November 25, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Blue Oak Post-Acute have?

CMS lists 67 health citations since February 7, 2022. CMS also calls these deficiencies.

Has Blue Oak Post-Acute been fined?

CMS lists 2 fines in the past three years, $36,892 in total.

What is the CMS star rating of Blue Oak Post-Acute?

Its CMS overall star rating is 1 of 5.

Is Blue Oak Post-Acute a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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