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Complaint Investigation

Santa Rosa Post Acute

Inspection Date: December 26, 2025
Total Violations 1
Facility ID 055854
Location SANTA ROSA, CA
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Actual Harm

F 0760 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

any required time frame.The individual administering the medication checks.to verify.the right resident, right medication, right dosage, right time.before giving the medication.A review of the facility's policy titled Charting and Documentation revised July 2017 indicated, The following information is to be documented in

the resident medical record.Objective observations; Medications administered; Treatments or services performed; Changes in the resident's condition; Events, incidents, or accidents involving the resident.Documentation in the medical record will be objective.complete, and accurate.Documentation of procedures and treatments will include care-specific details, including.whether the resident tolerated the procedure/treatment; whether the resident refused the procedure/treatment; notification or family, physician or other staff.A review of facility policy titled Management of Hypoglycemia, revised 3/25, indicated If a resident has .hypoglycemia and is unresponsive .administer 1 mg [milligram-a unit of measure] of glucagon subcutaneously [a method of administering medications underneath the skin]. A review of the American Diabetes Association's guideline titled Hypoglycemia for healthcare professionals, dated 2025, indicated, Hypoglycemia is categorized into three levels based on glucose levels and symptom severity.Level 2 Blood glucose less than 54 mg/dL.Level 3 [most severe] Altered mental and/or physical status requiring assistance, irrespective of glucose level.Assess hypoglycemia risks.such as recent episodes, insulin.kidney disease.Reevaluate treatment plan if experiencing level 2 or 3 hypoglycemia.Prescribe glucagon for all on insulin. Glucagon preparations not requiring reconstitution [to be mixed prior to being used] are preferred.

Glucagon is indicated for hypoglycemia treatment when people are unable to.consume carbohydrates [sugar] by mouth.Non-health care professionals can safely administer glucagon.

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📋 Inspection Summary

SANTA ROSA POST ACUTE in SANTA ROSA, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 SANTA ROSA POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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