Ridgeway Post Acute
523 Hayes Lane · Petaluma, CA · 94952 · 7077632457
79 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $32,280 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.73 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 3 · $32,280 |
Inspection citations (56 in the current record)
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Potential for harm · D December 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 16, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · D August 8, 2025 · found via complaint
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 22, 2025 · Resident Rights
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Potential for harm · D June 16, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 23, 2025 · Resident Rights
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Potential for harm · D June 3, 2025 · found via complaint
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 June 19, 2025 · Resident Rights
-
Actual harm · G April 16, 2025 · found via complaint
Provide appropriate foot care.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · E March 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · E March 12, 2025 · found via complaint
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 March 20, 2025 · Resident Rights
-
Potential for harm · D January 22, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 27, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 23, 2024 · Resident Rights
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Potential for harm · E September 27, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 23, 2024 · Resident Rights
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Potential for harm · E September 27, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected October 23, 2024 · Resident Rights
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Potential for harm · E September 27, 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 October 23, 2024 · Resident Rights
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Potential for harm · E September 27, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 23, 2024 · Quality of Life and Care
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Potential for harm · E September 27, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 23, 2024 · Pharmacy Service
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Potential for harm · E September 27, 2024
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 23, 2024 · Pharmacy Service
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Potential for harm · E September 27, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected October 23, 2024 · Nutrition and Dietary
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Potential for harm · E September 27, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 23, 2024 · Nutrition and Dietary
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Potential for harm · D September 27, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 23, 2024 · Nutrition and Dietary
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Potential for harm · F September 27, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 23, 2024 · Nutrition and Dietary
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Potential for harm · E September 27, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected October 23, 2024 · Nutrition and Dietary
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Potential for harm · E September 27, 2024
Dispose of garbage and refuse properly.
Corrected October 23, 2024 · Nutrition and Dietary
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Potential for harm · E September 27, 2024
Keep all essential equipment working safely.
Corrected October 23, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 16, 2025 | Fine | $16,244 |
| August 13, 2024 | Fine | $8,018 |
| August 13, 2024 | Fine | $8,018 |
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 555703 · certified since April 18, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.