| Blue Oak Post-acute | |
| 850 Sonoma Ave, Santa Rosa, California 95404 | |
| (707) 544-7750 | |
| Name | Blue Oak Post-acute |
|---|---|
| Location | 850 Sonoma Ave, Santa Rosa, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 181 |
| Occupancy Rate | 90.22% |
| Medicare ID (CCN) | 056090 |
| Legal Business Name | Hilborn Care, Inc. |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1326734625 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Hilborn Care Inc |
| Doing Business As | Creekside Rehabilitation and Behavioral Health |
| Address | 850 Sonoma Ave, Santa Rosa, CA 95404 |
| Phone Number | 707-544-7750 |
| NPI Number | 1760496566 |
| Match | Possible same name, address or phone number |
| Organization Name | Nadhan Inc. |
| Doing Business As | Creekside Rehabilitation and Behavioral Health |
| Address | 850 Sonoma Ave, Santa Rosa, CA 95404 |
| Phone Number | 707-544-7750 |
| NPI Number | 1821888231 |
| Match | Possible same name, address or phone number |
| Organization Name | Macao Holdings LLC |
| Doing Business As | Blue Oak Post Acute |
| Address | 850 Sonoma Ave, Santa Rosa, CA 95404 |
| Phone Number | 707-544-7750 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.44 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.56 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.76 | 0.86 |
| Nurse aide hours per resident per day | 2.13 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.05 | 3.42 |
| RN hours per resident per day on the weekend | 0.48 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 18.5% | 45.8% |
| Registered nurse turnover | 19% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $36,892 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| 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. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 10, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | No plan of correction |
| May 1, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 4, 2026 |
| Apr 16, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Apr 17, 2026 |
| 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. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 3, 2026 |
| Apr 2, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Complaint inspection | Potential for harm, isolated | Corrected by Apr 3, 2026 |
| Jan 7, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Jan 8, 2026 |
| Jan 7, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 8, 2026 |
| Dec 22, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 6, 2026 |
| Dec 11, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Jan 5, 2026 |
| Dec 11, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 5, 2026 |
| Nov 25, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Nov 25, 2025 | 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. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Sep 8, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 22, 2025 |
| Jul 22, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Jul 22, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Jul 22, 2025 | 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.91 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.21 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.39 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.23 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.75 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.56 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.34 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.68 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.34 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.9 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.48 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.16 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 26.32 | 15.38 |
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