The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Northvine Postacute Care are:
F-0921 · April 4, 2025 · Grade L — Immediate jeopardy
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date May 2, 2025
F-0835 · June 9, 2023 · Grade K — Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Status: Deficient, Provider has date of correction · correction date July 21, 2023
F-0658 · July 28, 2025 · Grade G — Actual harm
Ensure services provided by the nursing facility meet professional standards of quality.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 27, 2025
F-0687 · July 28, 2025 · Grade G — Actual harm
Provide appropriate foot care.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 27, 2025
F-0925 · July 28, 2025 · Grade F — Potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 27, 2025
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Northvine Postacute Care, 16 subject areas appear across health and fire-safety inspections.
Physical environment and safety
8 citations between June 9, 2023 and July 28, 2025. The most serious was graded L — immediate jeopardy, affecting widespread across the facility. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 5 of these citations came out of complaint investigations. Correction record: 8 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0921 · April 4, 2025 · Grade L — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0925 · July 28, 2025 · Grade F — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0925 · April 4, 2025 · Grade F — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Administration and leadership
7 citations between February 14, 2022 and April 4, 2025. The most serious was graded K (immediate jeopardy). 2 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0835 · June 9, 2023 · Grade K — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0835 · April 4, 2025 · Grade F — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0865 · April 4, 2025 · Grade F — Have a plan that describes the process for conducting QAPI and QAA activities.
Quality of life and daily care
14 citations between February 14, 2022 and January 28, 2026. The most serious was graded G (actual harm). 4 of these citations came out of complaint investigations. Correction record: 14 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0687 · July 28, 2025 · Grade G — Provide appropriate foot care.
F-0677 · May 21, 2025 · Grade E — Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0688 · October 25, 2024 · Grade E — 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.
Assessments and care planning
13 citations between February 14, 2022 and July 28, 2025. The most serious was graded G (actual harm). 3 of these citations came out of complaint investigations. Correction record: 13 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0658 · July 28, 2025 · Grade G — Ensure services provided by the nursing facility meet professional standards of quality.
F-0655 · October 25, 2024 · Grade E — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F-0638 · June 9, 2023 · Grade E — Assure that each resident’s assessment is updated at least once every 3 months.
Fire, smoke, and emergency safety
11 citations between February 14, 2022 and October 25, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 11 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0345 · October 25, 2024 · Grade F — Have approved installation, maintenance and testing program for fire alarm systems.
K-0347 · October 25, 2024 · Grade F — Properly provide smoke detection systems in areas open to corridors.
K-0324 · October 25, 2024 · Grade E — Provide properly protected cooking facilities.
Resident rights
9 citations between February 14, 2022 and July 14, 2025. The most serious was graded F (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 9 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0584 · June 9, 2023 · Grade F — 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.
F-0562 · October 1, 2024 · Grade E — Provide immediate access to any resident.
F-0550 · June 9, 2023 · Grade E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Food, nutrition, and hydration
6 citations between June 9, 2023 and April 4, 2025. The most serious was graded F (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 6 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · April 4, 2025 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0801 · June 9, 2023 · Grade 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.
F-0804 · June 9, 2023 · Grade E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services
5 citations between February 14, 2022 and October 1, 2024. The most serious was graded F (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0725 · June 9, 2023 · Grade F — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0727 · February 14, 2022 · Grade 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.
F-0726 · June 9, 2023 · Grade 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.
Fire, smoke, and emergency safety
3 citations between February 14, 2022 and October 25, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0039 · October 25, 2024 · Grade F — Conduct testing and exercise requirements.
E-0030 · February 14, 2022 · Grade D — List the names and contact information of those in the facility.
E-0039 · February 14, 2022 · Grade D — Conduct testing and exercise requirements.
Infection prevention and control
2 citations between February 14, 2022 and October 25, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · February 14, 2022 · Grade F — Provide and implement an infection prevention and control program.
F-0880 · October 25, 2024 · Grade E — Provide and implement an infection prevention and control program.
Miscellaneous
2 citations between June 9, 2023 and October 25, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0712 · October 25, 2024 · Grade F — Have simulated fire drills held at unexpected times.
K-0712 · June 9, 2023 · Grade E — Have simulated fire drills held at unexpected times.
Services
1 citation between October 25, 2024 and October 25, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0511 · October 25, 2024 · Grade F — Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems
7 citations between February 14, 2022 and October 25, 2024. The most serious was graded E (potential for more than minimal harm). Correction record: 7 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0918 · June 9, 2023 · Grade E — Have generator or other power source capable of supplying service within 10 seconds.
K-0912 · October 25, 2024 · Grade D — Have power receptacles that are properly grounded.
K-0920 · October 25, 2024 · Grade D — Ensure proper usage of power strips and extension cords.
Medication and pharmacy services
2 citations between February 14, 2022 and October 1, 2024. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 2 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0760 · October 1, 2024 · Grade E — Ensure that residents are free from significant medication errors.
F-0759 · February 14, 2022 · Grade E — Ensure medication error rates are not 5 percent or greater.
Freedom from abuse, neglect, and exploitation
10 citations between February 14, 2022 and June 3, 2025. The most serious was graded D (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 10 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · June 3, 2025 · Grade D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0609 · December 5, 2024 · Grade D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0610 · December 5, 2024 · Grade D — Respond appropriately to all alleged violations.
Construction
1 citation between February 14, 2022 and February 14, 2022. The most serious was graded D (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0161 · February 14, 2022 · Grade D — Use approved construction type or materials.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Northvine Postacute Care appears in CMS data on 17 survey dates between February 14, 2022 and January 28, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
January 28, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
July 28, 2025
Complaint health survey — 3 citations, worst grade G (actual harm)
July 14, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 3, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
May 21, 2025
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
April 10, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 4, 2025
Complaint health survey — 5 citations, worst grade L (immediate jeopardy)
December 5, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
October 25, 2024
Health survey including complaint investigations — 9 citations, worst grade F (potential for more than minimal harm)
October 25, 2024
Fire-safety survey — 10 citations, worst grade F (potential for more than minimal harm)
October 9, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 1, 2024
Complaint health survey — 7 citations, worst grade E (potential for more than minimal harm)
December 14, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 9, 2023
Standard health survey — 27 citations, worst grade K (immediate jeopardy)
June 9, 2023
Fire-safety survey — 10 citations, worst grade E (potential for more than minimal harm)
February 14, 2022
Standard health survey — 16 citations, worst grade F (potential for more than minimal harm)
February 14, 2022
Fire-safety survey — 5 citations, worst grade E (potential for more than minimal harm)
Penalties imposed
July 28, 2025 — Fine of $17,940
How Northvine Postacute Care compares with peer homes
Raw citation counts mean more in context. The table below compares Northvine Postacute Care with the median reviewed facility in Sonoma County (5 homes in this research set) and across California (350 homes), using the same CMS data. On health citations alone, Northvine Postacute Care sits above 75% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Sonoma Co. median
California median
Health citations on record
76
67
74
Citations from complaint investigations
25
22
27
Citations at actual-harm level or worse
4
3
2
Immediate-jeopardy citations
2
0
0
Total fines in CMS penalty records
$17,940
$32,280
$43,467
Penalty records (fines + payment denials)
1
2
2
What families should ask Northvine Postacute Care
- Ask why CMS flags Northvine Postacute Care with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the physical environment and safety citations — most recently F-0921 on April 4, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the administration and leadership citations — most recently F-0835 on June 9, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0687 on July 28, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the assessments and care planning citations — most recently F-0658 on July 28, 2025 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 1 totalling $17,940, the most recent dated July 28, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Northvine Postacute Care first document the change?
- Were recent complaint-related citations at Northvine Postacute Care connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
056259
Legal business name
SANTA ROSA POSTACUTE CARE LLC
Ownership type
For profit - Corporation
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
January 10, 1971
Chain name
RMG CAPITAL PARTNERS
Certified beds
62
Average residents per day
59.0
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
2 star
Reported nurse staffing hours per resident day
3.71901
Total nursing staff turnover
42.1%
Public records are a starting point, not a conclusion
This profile of Northvine Postacute Care uses official CMS provider data as a research starting point. It does not state that Northvine Postacute Care abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Sources for Northvine Postacute Care
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.