Nursing home · SNF / NF

Blue Oak Post-Acute

Federal · CMS State licenseActive CMS certificationCCN 056090CA lic. 010000011CMS abuse iconFor profit CMS overall

850 Sonoma Ave, Santa Rosa, CA 95404 · Operated by Macao Holdings LLC · Chain Spyglass Healthcare

Source: CMS Provider Data Catalog, release Oct 16, 2026 + state license · provenance

$25 Full Intelligence Report

Certified beds

181

Avg residents / day

172

Inspections

Citations

102

Harm-level

Fines

$37k

State actions

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 181 CMS-certified beds (not state-licensed beds)
Licensed beds: 181 state-licensed beds · California Department of Public Health
State license: 010000011 active · licensee MACAO HOLDINGS LLC
Average residents per day: 172.1 CMS, MDS-derived
CMS Certification Number: 056090
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 1, 1974
Ownership type: For profit - Corporation
Operator (legal business name): Macao Holdings LLC
CMS chain: Spyglass Healthcare 14 facilities
Phone: (707) 544-7750
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2000–2024

Class AA / A

no class AA

Since 2019

$142k final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

latest Jul 29, 2026

Citations

102

67 health · 35 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D54	E37	F8
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$36,892

Payment denials

Latest

Dec 11, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Jul 29, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jun 10, 2026	Health	Health Complaint	2	Potential harm	—	Open →
May 1, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 16, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 2, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jan 7, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Dec 22, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 11, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Nov 25, 2025	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Nov 25, 2025	Health	Health Standard	15	Potential harm	—	Open →
Sep 8, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jul 22, 2025	Health	Health Complaint	3	Potential harm	—	Open →
May 8, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 7, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Mar 29, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 17, 2023	Fire safety	Fire Safety Standard	13	Potential harm	—	Open →
Nov 17, 2023	Health	Health Complaint, Health Standard	21	Potential harm	—	Open →
Feb 7, 2022	Fire safety	Fire Safety Standard	15	Potential harm	—	Open →
Feb 7, 2022	Health	Health Standard	10	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 11, 2025	Civil money penalty (fine)	$28,614	—	056090\|Fine\|136801
Jan 7, 2025	Civil money penalty (fine)	$8,278	—	056090\|Fine\|131034

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Jun 13, 2024 violation Nov 29, 2020	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	$25,000	Open	810020260
Jun 3, 2021 violation Nov 22, 2019	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported	$2,000	Closed	110016539
Apr 28, 2021 violation Aug 26, 2019	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported · Abuse/Facility Not Report	$2,000	Closed	110015668
Apr 26, 2021 violation Aug 26, 2019	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported	$2,000	Closed	110015667
Oct 25, 2016 violation Apr 1, 2015	Class A	Citation Citation AA (HSC 1424)	Patient Care	$32,279 initial $100,000	Death relatedAppealed Closed	110012382
Jun 15, 2016 violation May 7, 2016	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported	$2,000	Closed	110012260
Mar 28, 2016 violation Apr 20, 2015	Class B	Citation Citation B (HSC 1424)	Medication	$2,200 initial $2,000	Closed	110011994
May 16, 2012 violation Apr 20, 2012	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Closed	110009252
Oct 21, 2009 violation Jul 2, 2009	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Closed	110006621
Jul 24, 2009 violation May 23, 2009	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported	$1,000	Closed	110006406
Mar 17, 2009 violation Jan 20, 2009	Class B	Citation Citation A (HSC 1424)	Patient Care	$16,000	Appealed Closed	110005892
Feb 11, 2009 violation Nov 18, 2008	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Closed	110005633
Apr 22, 2008 violation Feb 8, 2008	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,000	Closed	110004933
Feb 20, 2008 violation Oct 6, 2007	Class B	Citation Citation B (HSC 1424)	Other · Patient Rights, Care	$1,000	Closed	110004703
Mar 14, 2007 violation Aug 23, 2006	Class B	Citation Citation B (HSC 1424)	Administration	$1,000	Closed	110003798
Oct 4, 2006 violation Nov 8, 2005	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,000	Closed	110003289
Sep 19, 2006 violation Feb 19, 2006	Class A	Citation Citation A (HSC 1424)	Patient Care	$9,000 initial $18,000	Appealed Closed	110003033
Jan 8, 2004 violation Mar 10, 2003	Class B	Citation Citation A (HSC 1424)	Patient Care	$1,000 initial $16,000	Appealed Closed	010002078
Jul 31, 2003 violation Jul 3, 2003	Class B	Citation Citation B (HSC 1424)	Patient Care	$800	Appealed Closed	010002046
Jun 17, 2003 violation Apr 2, 2003	Class B	Citation Citation B (HSC 1424)	Other · C, PR	$2,700 initial $900	Appealed Closed	010002034
Feb 18, 2003 violation Nov 17, 2002	Class B	Citation Citation A (HSC 1424)	Patient Care	$5,000 initial $15,000	Appealed Closed	010002009
Oct 2, 2002 violation Aug 31, 2002	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,000	Closed	010001992
Sep 26, 2002 violation Jun 15, 2002	Class B	Citation Citation B (HSC 1424)	Other · PATIENT CARE/RIGHTS	$3,000 initial $1,000	Appealed Closed	010001989
Sep 26, 2002 violation Jun 13, 2002	Class B	Citation Citation B (HSC 1424)	Other · PT CARE/STAFFING/P	$1,000	Appealed Closed	010001987
Aug 30, 2002 violation Jul 28, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Appealed Closed	010001977
Aug 14, 2002 violation Jun 7, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Appealed Closed	010001970
Jul 2, 2002 violation Apr 17, 2002	Class B	Citation Citation A (HSC 1424)	Patient Care	$7,500 initial $12,500	Death relatedAppealed Closed	010001961
Jun 11, 2002 violation Apr 15, 2002	Class B	Citation Citation B (HSC 1424)	Patient Rights	$3,000 initial $1,000	Appealed Closed	010001957
Jun 11, 2002 violation May 6, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$3,000 initial $1,000	Appealed Closed	010001956
May 16, 2002 violation Mar 4, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$3,000 initial $1,000	Appealed Closed	010001948
May 16, 2002 violation Mar 4, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Appealed Closed	010001947
Feb 28, 2002 violation Jan 8, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Appealed Closed	010001930
Dec 7, 2001 violation Oct 25, 2001	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Closed	010001914
Nov 27, 2001 violation Nov 5, 2001	Class B	Citation Citation B (HSC 1424)	Physical Environment	$1,100 initial $1,000	Closed	010001910
Feb 8, 2001 violation Jun 23, 2000	Class B	Citation Citation B (HSC 1424)	Other · PATIENT CARE/RIGHTS	$800	Closed	010001829
Jun 15, 2000 violation Mar 13, 2000	Class A	Citation Citation A (HSC 1424)	Patient Care	$3,500	Appealed Closed	010001755

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D54	E37	F8
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 29, 2026	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 4, 2026	Complaint
Jul 29, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 4, 2026	Complaint
Jun 10, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 13, 2026	Complaint
Jun 10, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 13, 2026	Complaint
May 1, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 4, 2026	Complaint
Apr 16, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 17, 2026	Complaint
Apr 2, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 3, 2026	Complaint
Apr 2, 2026	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 3, 2026	Complaint
Jan 7, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 8, 2026	Complaint
Jan 7, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 8, 2026	Complaint
Dec 22, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 6, 2026	Complaint
Dec 11, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jan 5, 2026	Complaint
Dec 11, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 5, 2026	Complaint
Nov 25, 2025	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Dec 5, 2025
Nov 25, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 5, 2025
Nov 25, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 5, 2025
Nov 25, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 5, 2025
Nov 25, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 5, 2025
Nov 25, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 5, 2025
Nov 25, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 5, 2025
Nov 25, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 3, 2025
Nov 25, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 3, 2025
Nov 25, 2025	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 3, 2025
Nov 25, 2025	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 3, 2025
Nov 25, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 3, 2025
Nov 25, 2025	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 3, 2025
Nov 25, 2025	F-0887	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. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 3, 2025
Nov 25, 2025	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 3, 2025
Sep 8, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 22, 2025	Complaint
Jul 22, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 26, 2025	Complaint
Jul 22, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 26, 2025	Complaint
Jul 22, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 26, 2025	Complaint
May 8, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 5, 2025	Complaint
Apr 16, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 28, 2025	Complaint
Jan 7, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jan 23, 2025	Complaint
Mar 29, 2024	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2024	Complaint
Nov 17, 2023	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 17, 2023	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 17, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 17, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 17, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 17, 2023	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 17, 2023	F-0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0574	The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 5, 2024	Complaint
Nov 17, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 5, 2024	Complaint
Nov 17, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0850	Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0887	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. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 17, 2023	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 5, 2024
Nov 17, 2023	F-0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 5, 2024	Complaint
Feb 7, 2022	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2022
Feb 7, 2022	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 22, 2022
Feb 7, 2022	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 5, 2022
Feb 7, 2022	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 5, 2022
Feb 7, 2022	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 5, 2022
Feb 7, 2022	F-0838	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. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected Apr 5, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Macao Holdings LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Spyglass Healthcare

14 facilities in 1 states. CMS chain ID 703.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.1

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Spyglass Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Jan 1, 2026
Avishai Oscherowitz	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2026
Ryan Mccormack	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Jan 1, 2026
Brady O'shea	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5%	Jan 1, 2026

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Spyglass Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Jan 1, 2026
Avishai Oscherowitz	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2026
Ryan Mccormack	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Jan 1, 2026
Brady O'shea	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5%	Jan 1, 2026
Spyglass Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2026
Matthew Awerbuck	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2026
Prabjot Dhaddey	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2026
Ryan Mccormack	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2026
Avishai Oscherowitz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2026
Spyglass Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 31, 2025
Matthew Awerbuck	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2026
Prabjot Dhaddey	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2026

Same chain in California

All 13 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Cedarwood Post Acute 1090 Rio Lane, Sacramento, CA 95822 CCN 0552964 state class AA/A	51	Jun 17, 2026	76	—
Camino Ridge Post-Acute 1949 Grant Road, Mountain View, CA 94040 CCN 055315	102	Aug 12, 2026	1082 harm	$8,428
Mountain View Healthcare Center 2530 Solace Place, Mountain View, CA 94040 CCN 0553161 state class AA/A	129	Jul 15, 2026	732 harm	$55k
The Win Post-Acute 410 North Winchester Boulevard, Santa Clara, CA 95050 CCN 0556452 state class AA/A	133	Mar 24, 2026	582 harm1 open	—
Palo Alto Post-Acute 911 Bryant Street, Palo Alto, CA 94301 CCN 055646	66	May 30, 2025	73	—
Bridgewood Post Acute 5901 Lemon Hill Avenue, Sacramento, CA 95824 CCN 0559562 state class AA/AAbuse icon	49	Jul 10, 2026	1021 harm	—
Pacific Hills Post Acute 370 Noble Court, Morgan Hill, CA 95037 CCN 0560372 state class AA/A	99	Jun 16, 2026	59	—
Eden Healthcare Center 27350 Tampa Avenue, Hayward, CA 94544 CCN 0560523 state class AA/A	121	May 29, 2026	971 IJ1 harm	$31k

Coordinates as published by CMS.

Address: 850 Sonoma Ave, Santa Rosa, CA 95404
ZIP: 95404
County: Sonoma County FIPS 06097
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Providence Santa Rosa Memorial Hospital D/P SNF 151 Sotoyome St, Santa Rosa, CA 95405 CCN 050174State license only3 state class AA/A	0.7 km	31 lic.	Not CMS rated	—	No inspections in window	—
Northvine Postacute Care 446 Arrowood Dr, Santa Rosa, CA 95407 CCN 0562591 state class AA/A	2.1 km	62		Jan 28, 2026	1012 IJ2 harm	$18k
Santa Rosa Post Acute 4650 Hoen Avenue, Santa Rosa, CA 95405 CCN 0558541 state class AA/A	3.5 km	99		Mar 11, 2026	721 harm	$10k
Park View Post Acute 3751 Montgomery Dr, Santa Rosa, CA 95405 CCN 0564113 state class AA/AAbuse icon	3.8 km	116		Mar 5, 2026	551 harm	$9,516
Arbol Healthcare Center of Santa Rosa 300 Fountaingrove Parkway, Santa Rosa, CA 95403 CCN 5558363 state class AA/A	4.4 km	45		Dec 9, 2025	61	—
Summerfield Health Care Center 1280 Summerfield Rd, Santa Rosa, CA 95405 CCN 056364	4.4 km	70		Sep 5, 2025	24	—
Spring Lake Village 5555 Montgomery Drive, Santa Rosa, CA 95409 CCN 5552683 state class AA/A	6.4 km	70		Jan 22, 2026	60	—
Apple Valley Post-Acute Rehab 1035 Gravenstein Hwy South, Sebastopol, CA 95472 CCN 0559198 state class AA/A	11 km	95		Aug 21, 2026	442 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	056090	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	056090	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	010000003	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 056090

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Blue Oak Post-Acute

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes

Blue Oak Post-Acute

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes