Park View Post Acute
3751 Montgomery Dr · Santa Rosa, CA · 95405 · 7075251250
116 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 4.14 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $14,380 |
Inspection citations (43 in the current record)
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Potential for harm · D March 5, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · F March 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · F March 5, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Actual harm · G January 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 3, 2025 · found via complaint
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.
Corrected October 31, 2025 · Pharmacy Service
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Potential for harm · D July 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 2, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 2, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 29, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 3, 2025 · Pharmacy Service
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Potential for harm · D January 14, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 11, 2025 · Infection Control
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Potential for harm · E May 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 1, 2024 · Resident Rights
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Potential for harm · E May 17, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected August 1, 2024 · Resident Rights
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Potential for harm · E May 17, 2024
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.
Corrected August 1, 2024 · Resident Rights
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Potential for harm · E May 17, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected August 1, 2024 · Resident Rights
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Potential for harm · E May 17, 2024
Provide activities to meet all resident's needs.
Corrected August 1, 2024 · Quality of Life and Care
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Potential for harm · D May 17, 2024
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.
Corrected August 1, 2024 · Nursing and Physician Services
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Potential for harm · D May 17, 2024
Provide and implement an infection prevention and control program.
Corrected August 1, 2024 · Infection Control
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Potential for harm · E May 17, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 1, 2024 · Environmental
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Potential for harm · E May 17, 2024
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected August 1, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2026 | Fine | $14,380 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056411 · certified since February 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.