Apple Valley Post-Acute Rehab

Name: Apple Valley Post-Acute Rehab
Address: 1035 GRAVENSTEIN HWY SOUTH, Sebastopol, CA, 95472, US
Telephone: 7078237675

1035 Gravenstein Hwy South, Sebastopol, CA 95472 · Sonoma County · 95 certified beds · avg 83 residents/day · certified since Oct 1, 1968

Part of chain: NAHS (12 facilities, chain avg rating 4.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.59

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Nov 18, 2022 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 31, 2022 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Nov 18, 2022 · F-0726

The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.

Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 31, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 18, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Sep 9, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 23, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Nov 8, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 8, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 8, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 2, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint
Apr 25, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 12, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Oct 31, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 18, 2022	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 18, 2022	▲ G · Actual harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Nov 18, 2022	F · Potential for harm, facility-wide	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Nov 18, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 18, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 18, 2022	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Nov 18, 2022	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Nov 18, 2022	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Nov 18, 2022	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records.
Nov 18, 2022	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Nov 18, 2022	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Nov 18, 2022	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 18, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 18, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2019	1	0	D
2022	13	2	G ▲
2023	2	0	E
2024	5	0	D
2025	2	0	D
2026	1	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.59	4.31	3.95	top 25% in California; top 21% in the U.S.
Registered Nurse hours	0.55	0.61	0.69	top 39% in California; bottom 46% in the U.S.
Weekend total nurse staffing	4.13	3.90	3.50	top 27% in California; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.51	0.48	top 36% in California; top 38% in the U.S.
Total nursing staff turnover (%)	29.9	36.7	45.8	top 28% in California; top 14% in the U.S.
RN turnover (%)	41.7	38.1	42.9	bottom 41% in California; top 50% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.54, RN 0.55, weekend 4.09. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Nahs Holding INC	Organization	5% or Greater Indirect Ownership Interest	100%	06/30/2018
Nahs North INC	Organization	5% or Greater Direct Ownership Interest	100%	06/30/2018
Baja, Ralph	Individual	Corporate Director	NOT APPLICABLE	07/01/2023
Barlow, James	Individual	Corporate Director	NOT APPLICABLE	06/29/2018
Johnson, Marc	Individual	Corporate Officer	NOT APPLICABLE	11/20/2022
Johnson, Marc	Individual	ADP of the SNF	NOT APPLICABLE	11/20/2022
Lane, Joanne	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2023
Lane, Joanne	Individual	Corporate Director	NOT APPLICABLE	02/01/2023
Lundquist, Victor	Individual	Corporate Officer	NOT APPLICABLE	03/21/2018
Marshall, Brent	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/18/2024
Marshall, Brent	Individual	Corporate Director	NOT APPLICABLE	10/18/2024
Marshall, Brent	Individual	Corporate Officer	NOT APPLICABLE	10/18/2024
Marshall, Brent	Individual	Operational/Managerial Control	NOT APPLICABLE	10/18/2024
Marshall, Brent	Individual	ADP of the SNF	NOT APPLICABLE	10/18/2024
Moore, Michael	Individual	Corporate Director	NOT APPLICABLE	02/01/2022
Moore, Michael	Individual	Corporate Officer	NOT APPLICABLE	02/01/2022
Paulsen, Timothy	Individual	Corporate Director	NOT APPLICABLE	06/29/2018
Serrano, Noel	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2016
Serrano, Noel	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2016
Walton, Mark	Individual	Corporate Director	NOT APPLICABLE	06/29/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Northvine Postacute Care	5.8 mi	Santa Rosa, CA	★☆☆☆☆	1/5
Blue Oak Post-Acute	6.8 mi	Santa Rosa, CA	★★☆☆☆	1/5	abuse
Arbol Healthcare Center of Santa Rosa	7.6 mi	Santa Rosa, CA	★★★★★	4/5
Santa Rosa Post Acute	8.9 mi	Santa Rosa, CA	★★★☆☆	2/5
Park View Post Acute	9.2 mi	Santa Rosa, CA	★★☆☆☆	2/5	abuse
Summerfield Health Care Center	9.5 mi	Santa Rosa, CA	★★★★★	5/5
Spring Lake Village	10.8 mi	Santa Rosa, CA	★★★★★	4/5
Vineyard Post Acute	13.9 mi	Petaluma, CA	★★★☆☆	2/5
Hillcrest Post Acute	14.8 mi	Petaluma, CA	★★★★☆	4/5
Petaluma Post-Acute Rehabilitation	14.8 mi	Petaluma, CA	★★★★★	5/5
Ridgeway Post Acute	14.8 mi	Petaluma, CA	★☆☆☆☆	1/5
North Bay Post Acute	14.9 mi	Petaluma, CA	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Sebastopol →

Facility data as of CMS processing date 2026-08-01. CCN 055919.

The Care File

Visit checklist — Apple Valley Post-Acute Rehab

1035 Gravenstein Hwy South, Sebastopol, CA 95472 · 7078237675

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Nov 18, 2022 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Nov 18, 2022 (F-0726, Actual harm, one-off): The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055919 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)