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Data / Nursing homes / California / Blue Oak Post-Acute

Blue Oak Post-Acute, Santa Rosa, CA: 1 star rating, fined $36,892 across 2 fines

Blue Oak Post-Acute in Santa Rosa, CA is owned by Spyglass Healthcare LLC, is rated 1 of 5 stars by Medicare, and was fined $36,892 across 2 fines in the three years to October 1, 2026. CMS lists 57 health citations from inspections in that time, the latest survey on July 29, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in California
Address
850 Sonoma Ave, Santa Rosa, CA 95404
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
181
Residents per day
172 on average
Ownership type
For profit, corporation
Legal business name
Macao Holdings LLC
Chain
Spyglass Healthcare, 14 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$36,892 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
57, of which 2 with actual harm or immediate jeopardy
Latest survey
July 29, 2026
CMS Certification Number
056090
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 11, 2025Fine$28,614Not listeddata.cms.gov
January 7, 2025Fine$8,278Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 29, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2026data.cms.gov
July 29, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2026data.cms.gov
June 10, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2026data.cms.gov
June 10, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2026data.cms.gov
May 1, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 4, 2026data.cms.gov
April 16, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 2, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
April 2, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
January 7, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 8, 2026data.cms.gov
January 7, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 8, 2026data.cms.gov
December 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 6, 2026data.cms.gov
December 11, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJanuary 5, 2026data.cms.gov
December 11, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2026data.cms.gov
November 25, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F814Dispose of garbage and refuse properly.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
November 25, 2025F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
September 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 22, 2025data.cms.gov
July 22, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2025data.cms.gov
July 22, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2025data.cms.gov
July 22, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2025data.cms.gov
May 8, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 16, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
January 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJanuary 23, 2025data.cms.gov
March 29, 2024F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2024data.cms.gov
November 17, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F850Hire a qualified full-time social worker in a facility with more than 120 beds.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F803Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F697Provide safe, appropriate pain management for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F574The resident has the right to receive notices in a format and a language he or she understands.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 17, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (3 owners, 2 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Spyglass Healthcare LLCDirect owner50%January 1, 2026data.cms.gov
Spyglass Healthcare LLCOperational or managerial controlNot listedJanuary 1, 2026data.cms.gov
Spyglass Healthcare LLCAdditional disclosable partyNot listedDecember 31, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.