Valley of the Moon Post Acute
347 Andrieux St · Sonoma, CA · 95476 · 7079355122
27 certified beds For profit - Individual Hospital-based
Why this verdict
- 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.
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: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 4.39 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $13,065 |
Inspection citations (29 in the current record)
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Actual harm · G April 15, 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 April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · E October 11, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · E October 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · E October 11, 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 November 5, 2024 · Nursing and Physician Services
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Potential for harm · D October 11, 2024
Ensure that residents are free from significant medication errors.
Corrected November 5, 2024 · Pharmacy Service
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Potential for harm · E July 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · F July 28, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 4, 2023 · Nursing and Physician Services
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Potential for harm · E July 28, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 4, 2023 · Pharmacy Service
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Potential for harm · E July 28, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 4, 2023 · Pharmacy Service
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Potential for harm · E July 28, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 4, 2023 · Pharmacy Service
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Actual harm · G October 16, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected December 13, 2019 · Quality of Life and Care
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Actual harm · G October 16, 2019
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 13, 2019 · Quality of Life and Care
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Potential for harm · D October 16, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 13, 2019 · Resident Rights
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Potential for harm · D October 16, 2019
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 13, 2019 · Resident Rights
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Potential for harm · E October 16, 2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · E October 16, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · F October 16, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 14, 2020 · Quality of Life and Care
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Potential for harm · E October 16, 2019
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected January 14, 2020 · Quality of Life and Care
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Potential for harm · E October 16, 2019
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 13, 2019 · Nursing and Physician Services
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Potential for harm · E October 16, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 13, 2019 · Pharmacy Service
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Potential for harm · F October 16, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 13, 2019 · Nutrition and Dietary
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Potential for harm · D October 16, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 13, 2019 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 15, 2026 | Fine | $13,065 |
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 555258 · certified since December 19, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.