Park View Post Acute
PARK VIEW POST ACUTE in SANTA ROSA, CA — inspection on January 30, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
contracted and Unlicensed Staff A had his penis out and touching her [Resident 1's] butt area.
She
the edge of the left side of the bed, where Unlicensed Staff A was standing.
She stated she observed
in his left hand, and his right hand was on Resident 1's left buttock, and his penis was pressed against her left buttock at the gluteal fold (the horizontal skin crease separating the lower buttock from the upper thigh).
During an interview on 1/27/26 at 1:50 p.m., Charge Nurse C stated on 12/29/25 after 5 p.m., Licensed Nurse B told her she had seen Unlicensed Staff A touch Resident 1 with his exposed penis.
Charge Nurse C went with Licensed Nurse B to Resident 1's room and asked her if she was okay.
Charge Nurse C stated Resident 1 stated Boundaries were crossed with the unlicensed staff who had been with her.
She stated she spoke with Resident 1 later during the shift, and she stated Unlicensed Staff A had crossed boundaries when he changed her brief.
She stated Resident 1 stated sometimes he would push his fingers on her anus and he was rough.
She stated Resident 1 felt he lingered too long in her room during personal care.
During an interview with the Police Detective on 1/29/26 at 2:32 p.m., he stated Resident 1 indicated during his interviews with her on 12/29/25 and 12/30/25, that Unlicensed Staff A had touched her with his penis, had inserted his penis into her vagina, and had inserted two or three fingers into her vagina on multiple occasions. He stated when he interviewed Unlicensed Staff A he admitted he touched Resident 1 inappropriately with his penis and his fingers on multiple occasions.During a review of a facility Policy and Procedure titled Resident Abuse Prevention Policy, revised 9/19/25, it stipulated The purpose of this policy is to affirm the facility's commitment to preventing.any form of resident abuse.The facility maintains a zero-tolerance stance toward any form of resident abuse.These findings represent past noncompliance with this regulatory requirement.
Record review confirmed the alleged perpetrator was removed from the premises, suspended, and consequently terminated.
The police were notified and investigated.
Staff were in-serviced right away, and the resident's care plan was updated.
There was sufficient evidence that the facility corrected the violation as of 12/31/25, and no other occurrences of noncompliance were identified. At the time of the survey the facility was in substantial compliance with the regulatory requirement, and therefore, this violation does not require a plan of correction.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.