Redwood Cove Healthcare Center

1162 S Dora St. · Ukiah, CA · 95482 · 7074621436

68 certified beds For profit - Partnership Chain: Pacs Group

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 69
Context 5% 100

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: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.473.48 min · 4.1 strong
RN hours / resident-day0.170.55–0.75
Weekend hours / resident-day2.98≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)none

Inspection citations (36 in the current record)

  • Potential for harm · D December 2, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 10, 2025 · Resident Rights

  • Potential for harm · D December 2, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 10, 2025 · Resident Rights

  • Potential for harm · D December 2, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 2, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 10, 2025 · Pharmacy Service

  • Potential for harm · D December 2, 2025

    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 December 10, 2025 · Pharmacy Service

  • Potential for harm · F December 2, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 10, 2025 · Infection Control

  • Potential for harm · F December 2, 2025

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected December 10, 2025 · Infection Control

  • Potential for harm · F December 2, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected December 10, 2025 · Environmental

  • Potential for harm · F December 2, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected December 10, 2025 · Environmental

  • Potential for harm · D August 27, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 12, 2025 · Resident Rights

  • Potential for harm · D June 25, 2025 · found via complaint

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected July 29, 2025 · Administration

  • Potential for harm · D April 11, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 11, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 25, 2025 · Pharmacy Service

  • Potential for harm · D May 3, 2024

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · D May 3, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · D May 3, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · E May 3, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 3, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected June 3, 2024 · Quality of Life and Care

  • Potential for harm · E May 3, 2024

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected June 3, 2024 · Quality of Life and Care

  • Potential for harm · E May 3, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected June 3, 2024 · Pharmacy Service

  • Potential for harm · D May 3, 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 June 3, 2024 · Pharmacy Service

  • Potential for harm · F May 3, 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 June 3, 2024 · Nutrition and Dietary

  • Potential for harm · D May 3, 2024

    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.

    Corrected June 3, 2024 · Nutrition and Dietary

  • Potential for harm · E May 3, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 3, 2024 · Nutrition and Dietary

  • Potential for harm · E May 3, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 3, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055853 · certified since September 1, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.