Facility condition and maintenance
Cited in 7 reports, with 8 deficiencies in total.
Jul 7, 2026Jul 7, 2026May 26, 2026May 12, 2026Jul 24, 2025Jul 23, 2024Dec 8, 2023
857 HEARN AVE., Santa Rosa CA 95407
40 bedsLatest official report Jul 28, 2026Licensed
The available records show 25 Type A and 23 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
Counts cover the five-year public record. Typical figures are the median for the 8 Sonoma County facilities licensed for 16 to 49 beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 56 reports for this facility: 30 inspections, 21 complaint investigations, and 5 licensing or administrative records.
Those records contain 25 Type A and 23 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 9
5 in the last 12 months
Well above the typical 9
18 in the last 12 months
Well above the typical 4
9 in the last 12 months
Well above the typical 5
9 in the last 12 months
Well above the typical 2
5 in the last 12 months
Last 36 months
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Cited in 7 reports, with 8 deficiencies in total.
Jul 7, 2026Jul 7, 2026May 26, 2026May 12, 2026Jul 24, 2025Jul 23, 2024Dec 8, 2023
Cited in 7 reports, with 7 deficiencies in total.
Jul 7, 2026May 12, 2026Sep 18, 2025Apr 10, 2025Feb 13, 2025Aug 29, 2024May 21, 2024
Cited in 4 reports, with 4 deficiencies in total.
Cited in 3 reports, with 4 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Type A – 87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)….Thirty (30) days written notice to the resident is required… This requirement was not met as evidenced by: Based on LPA’s record review and interviews with facility staff, the facility failed to receive R1 back from the hospital after they were discharged, without a lawful 30-day eviction letter, which poses an immediate risk to the health and safety of the resident.
The facility agrees to send a letter to CCL agreeing to comply with eviction procedure in the future and send a copy of the facility eviction procedure. Letter and facility eviction procedure to be sent to CCL by POC due date of 7/29/2026 to clear the deficiency.
Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
Type A - §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA’s record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 being infected with lice hair which poses an immediate health and safety risk to residents in care.
Licensee agrees to contract an outside vendor to treat all facility rooms and will submit receipt as proof of service to ensure the facility is following up on assisting resident’s needs including hygiene and grooming timely to CCL by POC due date.
Deadline recorded: Jul 8, 2026. A deadline is not proof that correction was completed.
87303 Maintenance & Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services & procedures for the safety & well-being of residents, employees & visitors. This requirement has not been met as evidence by: Based on LPA’s records review and interviews conducted with the facility staff and residents (R1 & R2), the facility did not ensure R1's safety & well-being, which resulted in R1’s & R2’s shared bedroom had bedbugs, which poses an immediate health and safety risk to residents in care.
The facility will contract an outside vendor to treat all facility rooms and will submit receipt as proof of service to mitigate any potential re-occurring incident as well as a written plan describing how they will ensure the facility is offering a healthful and safe area to residents in care to CCL by POC due date. ***Civil penalties in the amount of $1000 issued for repeated violation.
Deadline recorded: Jul 8, 2026. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Type A – 87465 Incidental Medical & Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for...medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met. (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement has not been met as evidence by: Based on LPA’s observations, records review and interviews with S1, R1 has not been assisted with their psychiatric medications between 4/20/26 through 5/28/26, which poses an immediate risk to the health and safety of residents in care.
The administrative assistant agrees to review all residents’ medications to ensure that they have medications for all residents, then they will submit a written plan which addresses how facility will ensure compliance with 87465(c)(2) moving forward. The plan will be submitted to CCL by POC date in order to clear the deficiency.
Deadline recorded: Jun 9, 2026. A deadline is not proof that correction was completed.
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Type A 87202 Fire Clearance (a) All facilities shall maintain fire clearance approved by the city, county, or city & county fire department, or district providing fire protection services, or the State Fire Marshal...This requirement was not met as evidenced by: Based on LPA’s records review and interviews with facility staff, the facility failed to ensure that smoke detectors were functioning, padlocks were not installed in exit doors, exposed electrical wiring & nonfunctional emergency lighting which poses an immediate health and safety risk to residents in care.
Administrator agrees to repair/replace areas of concern identified by third agency report and will submit pictures as proof of corrections to clear the citation. ***An immediate civil penalty of $500 is assessed at time of visit.
Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.
Type A §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have...the following rights: (6) To care, supervision, & services that meet their individual needs & are delivered by staff that are competency to meet their needs. This requirement has not been met as evidence by: Based on LPAs record review and interview with facility staff, the facility failed to meet R1's individual care needs, R1 had two incidents of falls where on the 1st incident, R1 remained on the floor since 2am until S2 found them at 6am, then a 2nd fall resulted in R1 sustained a fracture which poses an immediate health and safety risk to residents in care.
Administrator will have training conducted focusing on resident care plans and submit to CCL planned training date by POC due date to clear the citation.
Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.
Type B 87303 Maintenance & Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services & procedures for the safety and well-being of residents, employees and visitors. This requirement has not been met as evidence by: Based on LPA’s records review and interviews with facility staff, the facility failed to ensure that the facility is clean and sanitary by having mold in the bathroom’s ceiling used by residents in care and hanging excessive clothing at staff room preventing the door from opening completely which poses a potential health and safety risk to residents in care.
Administrator agrees to repair/replace areas of concern identified by third agency report and will submit pictures as proof of corrections to clear the citation.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Type A - §1569.269 Enumerated rights; severability (a) Residents of RCFE facilities for the elderly shall have all of the following rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement has not been met as evidence by: Based on interviews with residents and staff, the facility staff (S1) yells at residents resulting in residents keeping their heads down and withdrawing from conversations to prevent S1 from raising their voice at them, which poses an immediate risk to the health and safety of clients in care.
Licensee will conduct staff training ensuring all residents are always treated with dignity and respect. Licensee agrees to sign LIC9098 attesting understanding of Health and Safety Code 1569.269, Enumerated Rights by POC due date of 9/19/25.
Deadline recorded: Sep 19, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Type A – 87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met. (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement has not been met as evidence by: Based on LPA’s observations, records review and interviews with Administrative Assistant, R1 has not been assisted with their psychiatric medications since 12/17/24, which poses an immediate risk to the health and safety of residents in care.
Administration to submit written plan which addresses how facility will ensure compliance with 87465(c)(2) going forward. To be submitted to CCL by POC date in order to clear the deficiency.
Deadline recorded: Apr 11, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Type A §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 have a bug infestation which poses an immediate health and safety risk to residents in care.
Licensee agrees to contract a pest control vendor to come to the facility to treat all resident’s rooms to ensure facility is offering a healthful and safe area to residents in care. Licensee will submit receipts as proof of service to CCL by POC due date.
Deadline recorded: Apr 11, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
§1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 have a bug infestation which poses an immediate health and safety risk to residents in care.
Licensee agrees to submit a plan/schedule to ensure facility is following up on resident’s needs, observation of the resident and treating all resident's rooms timely to CCL by POC due date. ** Civil Penalty assessed in the amount of $250.
Deadline recorded: Feb 14, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
§1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 sustained extreme matted, and lice infested hair which poses an immediate health and safety risk to residents in care.
Licensee/Administrator agrees to submit a plan/schedule to ensure facility is following up on assisting resident’s needs including hygiene and grooming timely to CCL by POC due date. **Immediate Civil Penalty assessed in the amount of $250.
Deadline recorded: Aug 30, 2024. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Type A §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful and comfortable accommodations which resulted in R1 and R2 sustaining injuries which poses an immediate health and safety risk to residents in care.
Licensee/Administrator agrees to submit a plan/schedule to ensure facility is following up on resident’s needs, observation of the resident and treating all resident's rooms timely to CCL by POC due date.
Deadline recorded: May 22, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportCalifornia Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
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