Sherwood Oaks Post Acute Care, LLC
130 Dana Street · Fort Bragg, CA · 95437 · 7079646333
79 certified beds For profit - Partnership
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $130,250 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
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
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.
$130,250 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $130,250 |
Inspection citations (49 in the current record)
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Actual harm · G March 6, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 23, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 23, 2026 · Pharmacy Service
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Potential for harm · E March 6, 2026
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 April 23, 2026 · Pharmacy Service
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Potential for harm · F March 6, 2026
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 May 6, 2026 · Nutrition and Dietary
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Potential for harm · E March 6, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 6, 2026 · Nutrition and Dietary
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Potential for harm · E March 6, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 23, 2026 · Administration
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Potential for harm · E March 6, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 23, 2026 · Administration
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Potential for harm · F March 6, 2026
Provide and implement an infection prevention and control program.
Corrected April 23, 2026 · Infection Control
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Potential for harm · F March 6, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 23, 2026 · Infection Control
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Potential for harm · F March 6, 2026
Keep all essential equipment working safely.
Corrected April 23, 2026 · Environmental
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Potential for harm · E February 5, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2026 · Nutrition and Dietary
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Actual harm · G February 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 24, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 27, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 27, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected July 27, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected July 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 6, 2026 | Fine | $121,280 |
| March 6, 2026 | Payment Denial | 32 days |
| February 12, 2025 | Fine | $8,970 |
| February 12, 2025 | Payment Denial | 25 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056483 · certified since January 2, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.