Nursing homeActive
Apple Valley Post-Acute Rehab
1035 Gravenstein Hwy South, Sebastopol, CA 95472707823767595 certified beds · 83 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2019
Deficiencies
24
● 0● 22● 2
Penalties · 3 yrs
—
none on file
Last survey
2026-06-18
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-08 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-07-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-11-18 | Standard | 0112 | CMS-2567 (Care Compare) | — |
| 2019-07-18 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 055919-20260618-F550
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 055919-20250909-F609
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 055919-20250423-F561
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-08Record 055919-20241108-F625
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-08Record 055919-20241108-F644
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-08Record 055919-20241108-F880
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 055919-20240702-F661
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 055919-20240425-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-21Record 055919-20231212-F697
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 055919-20231031-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-12-31Record 055919-20221118-F684
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity GHarm
Staffing
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-12-31Record 055919-20221118-F726
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F557
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F573
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F609
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F689
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F711
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F725
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-31Record 055919-20221118-F919
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-14Record 055919-20190718-F657
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.55
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.54
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.09
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover30%
Facility
California
National
California 37% · National 46%
Registered nurse turnover42%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.9% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.9% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 3.9% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.1% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 5.5% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nahs North Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Nahs Holding Inc Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Marshall, Brent Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Serrano, Noel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baja, Ralph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Barlow, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Marc Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Marc Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lane, Joanne Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lane, Joanne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundquist, Victor Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Marshall, Brent Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Marshall, Brent Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Marshall, Brent Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Marshall, Brent Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Moore, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Moore, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Paulsen, Timothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Serrano, Noel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walton, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Walton, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Nahs — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Sonoma.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Northvine Postacute Care Santa Rosa | 5.8 mi | 2026-01-28 | 0303 |
| Blue Oak Post-Acute Santa Rosa | 6.8 mi | 2026-06-10 | 0532 |
| Arbol Healthcare Center Of Santa Rosa Santa Rosa | 7.6 mi | 2025-12-09 | 0250 |
| Santa Rosa Post Acute Santa Rosa | 8.9 mi | 2026-03-11 | 0411 |
| Park View Post Acute Santa Rosa | 9.2 mi | 2026-03-05 | 0281 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |