Quick answers
- Where is Blue Oak Post-Acute?
- 850 Sonoma Ave, Santa Rosa, CA 95404, in Sonoma County, California.
- What is the phone number of Blue Oak Post-Acute?
- (707) 544-7750, as listed by Medicare (CMS).
- What is the Medicare star rating of Blue Oak Post-Acute?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Blue Oak Post-Acute been fined?
- Medicare lists 2 fines totaling $36,892.
- What did inspectors find at Blue Oak Post-Acute?
- In its last three inspection cycles (February 7, 2022 to July 29, 2026), Medicare lists 67 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 7, 2022 to July 29, 2026), Blue Oak Post-Acute had 67 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $36,892 in total (2 fines, the latest on December 11, 2025). Nurse staffing is 3.34 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: November 25, 2025 — 28 health citations
Inspections in this cycle: November 25, 2025 (standard health inspection); December 11, 2025 (complaint investigation); December 22, 2025 (complaint investigation); January 7, 2026 (complaint investigation); April 2, 2026 (complaint investigation); April 16, 2026 (complaint investigation); May 1, 2026 (complaint investigation); June 10, 2026 (complaint investigation); July 29, 2026 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 27 less serious citations (levels A to F)
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0583 Level E
“Keep residents' personal and medical records private and confidential.”
F0761 Level E
“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.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0806 Level E
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0814 Level D
“Dispose of garbage and refuse properly.”
F0887 Level D
“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.”
Previous cycle: November 17, 2023 — 28 health citations
Inspections in this cycle: November 17, 2023 (standard health inspection); January 7, 2025 (complaint investigation); April 16, 2025 (complaint investigation); May 8, 2025 (complaint investigation); July 22, 2025 (complaint investigation); September 8, 2025 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 27 less serious citations (levels A to F)
F0557 Level E
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0574 Level E
“The resident has the right to receive notices in a format and a language he or she understands.”
F0584 Level E
“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.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0697 Level E
“Provide safe, appropriate pain management for a resident who requires such services.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0850 Level E
“Hire a qualified full-time social worker in a facility with more than 120 beds.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0943 Level E
“Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0761 Level D
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0803 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0887 Level D
“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.”
F0908 Level D
“Keep all essential equipment working safely.”
Earlier cycle: February 7, 2022 — 11 health citations
Inspections in this cycle: February 7, 2022 (standard health inspection); November 17, 2023 (complaint investigation); March 29, 2024 (complaint investigation).
Show 11 citations (levels A to F, no actual harm)
F0561 Level E
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0640 Level E
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0730 Level E
“Observe each nurse aide's job performance and give regular training.”
F0761 Level E
“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.”
F0865 Level E
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0838 Level C
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (35)
E0037 Level F
“Establish staff and initial training requirements.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0161 Level D
“Use approved construction type or materials.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0006 Level E
“Conduct risk assessment and an All-Hazards approach.”
E0041 Level E
“Implement emergency and standby power systems.”
K0342 Level E
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0347 Level E
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
E0026 Level D
“Establish roles under a Waiver declared by secretary.”
E0032 Level D
“Provide primary/alternate means for communication.”
E0037 Level D
“Establish staff and initial training requirements.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $36,892 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| December 11, 2025 | Fine | $28,614 |
| January 7, 2025 | Fine | $8,278 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.46 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.82 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.07 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.34 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.00 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.40 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 32.0% | 36.6% | 45.3% |
| RN turnover (per year) | 42.1% | 37.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 14 nursing homes: Spyglass Healthcare.
Legal business name: Macao Holdings LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| Spyglass Healthcare LLC | Direct owner | 50% | January 1, 2026 |
| Oscherowitz, Avishai | Direct owner | NOT APPLICABLE | January 1, 2026 |
| Mccormack, Ryan | Indirect owner | 20% | January 1, 2026 |
| O'shea, Brady | Indirect owner | 5% | January 1, 2026 |
| Spyglass Healthcare LLC | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2026 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 181 |
| Average residents per day | 172.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Spyglass Healthcare |
| Legal business name | Macao Holdings LLC |
| First approved by Medicare/Medicaid | 1974-02-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 850 Sonoma Ave, Santa Rosa, CA 95404 |
| County | Sonoma County |
| State | California |
| Phone | (707) 544‑7750 |
| CMS Certification Number | 056090 |
| Name in Medicare records | BLUE OAK POST-ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Northvine Postacute Care1.3 mi · Santa Rosa, CA · 1 of 5 stars
- Santa Rosa Post Acute2.2 mi · Santa Rosa, CA · 3 of 5 stars
- Park View Post Acute2.4 mi · Santa Rosa, CA · 3 of 5 stars
- Arbol Healthcare Center of Santa Rosa2.7 mi · Santa Rosa, CA · 5 of 5 stars
- Summerfield Health Care Center2.7 mi · Santa Rosa, CA · 5 of 5 stars
Nearest hospital emergency rooms
- Providence Santa Rosa Memorial Hospital0.5 mi · Santa Rosa, CA · Acute Care Hospital
- Sutter Santa Rosa Regional Hospital4.6 mi · Santa Rosa, CA · Acute Care Hospital
- Kaiser Foundation Hospital-Santa Rosa5.1 mi · Santa Rosa, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13