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
room she observed Resident 1 lying on her back, in her bed, with her limbs contracted towards her leaning to her right side.
During an interview on 1/27/26 at 1:35 p.m., Licensed Staff B stated on 12/29/25 between 4 p.m. and 5 p.m. she walked into Resident 1's room and saw Resident 1 lying on her bed with her legs contracted and Unlicensed Staff A had his penis out and touching her [Resident 1's] butt area.
She stated Resident 1 was positioned on the right side of the bed, facing the door, with her buttocks on the edge of the left side of the bed, where Unlicensed Staff A was standing.
She stated she observed Unlicensed Staff A with his pants were pulled down in the front.
She stated, He was holding his penis 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.
Facility ID:
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SANTA ROSA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PARK VIEW POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.