Apple Valley Post-Acute Rehab Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Apple Valley Post-Acute Rehab in Sebastopol, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 8 citations in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 4 of 5.
- California state citations: 32 on record, including 1 class AA, 7 class A, and 24 class B, with $234,200 in assessed penalties.
- Staffing: 4.54 nursing hours per resident per day; registered nurse turnover 41.7%.
- Most recent standard inspection: 3 deficiencies cited on November 8, 2024. The most recent inspection since then was on June 18, 2026: 1 deficiency cited in the complaint inspection.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: A.V.C.H., Inc., for-profit, part of Nahs (12 facilities nationally).
Apple Valley Post-Acute Rehab ratings and staffing
Apple Valley Post-Acute Rehab is located at 1035 Gravenstein Hwy South in Sebastopol, Sonoma County. It is a for-profit facility operated by A.V.C.H., Inc., part of Nahs, with 95 certified beds and an average of 83 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Apple Valley Post-Acute Rehab, those scores are: health inspections 4 of 5, staffing 4 of 5, quality measures 5 of 5.
Staffing. Apple Valley Post-Acute Rehab reports 4.54 total nursing hours per resident per day, of which 0.55 are registered nurse hours. Over the reporting year, 29.9% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
June 18, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
September 9, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
April 23, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (scope and severity D)
November 8, 2024, standard inspection
3 deficiencies cited. Surveyors cited the facility for notify 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, coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed, and provide and implement an infection prevention and control program.
- F0625Notify 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 and severity D)
- F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
July 2, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (scope and severity D)
April 25, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
December 12, 2023, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide safe, appropriate pain management for a resident who requires such services.
- F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity E)
October 31, 2023, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
November 18, 2022, standard inspection
13 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals, ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being, and make sure that a working call system is available in each resident's bathroom and bathing area.
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity G)
- F0726Ensure 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 and severity G)
- F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity F)
- F0584Honor 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 and severity E)
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
- F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (scope and severity E)
- F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
- F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
- F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (scope and severity D)
- F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
- F0679Provide activities to meet all resident's needs. (scope and severity D)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
July 18, 2019, standard inspection
1 deficiency cited. Surveyors cited the facility for develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
Penalties. CMS records show no federal fines for Apple Valley Post-Acute Rehab in the reported period.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 32 citations against Apple Valley Post-Acute Rehab between September 10, 2003 and October 19, 2021: 1 class AA, 7 class A, and 24 class B, with $234,200 in assessed penalties. 2 of these actions were connected to a resident's death.
- October 19, 2021, class B, Patient Care. $2,000 penalty.
- February 21, 2019, class B, Patient Rights. $2,000 penalty.
- December 13, 2016, class B, Abuse/Facility Not Self Reported. $2,000 penalty.
- May 30, 2012, class B, Administration. $15,600 penalty.
- May 30, 2012, class B, Administration. $1,000 penalty. Appealed.
- May 30, 2012, class B, Administration. $18,200 penalty.
- March 29, 2011, class B, Patient Care. $1,000 penalty.
- January 20, 2010, class B, Patient Care. $1,000 penalty. Appealed.
- December 22, 2009, class A, Patient Care. $7,000 penalty. Appealed.
- February 26, 2009, class B, Abuse/Facility Not Self Reported. $1,000 penalty.
- February 18, 2009, class B, Patient Care. $500 penalty. Appealed.
- January 5, 2009, class B, Patient Care. $1,000 penalty. Appealed.
and 20 earlier citations, in the CDPH record linked under Sources.
Across Sonoma County's 18 certified facilities, the average is about 16.8 state citations per facility. Apple Valley Post-Acute Rehab's 32 is above that average.
A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Sebastopol
Families comparing options in Sebastopol often look at these facilities as well. Each link opens that facility's full public record:
- Broadway Villa Post Acute, 5 stars, 25 state citations (in Sonoma County)
- Sonoma Post Acute, 4 stars, 22 state citations (in Sonoma County)
- Valley of the Moon Post Acute, 3 stars, 5 state citations (in Sonoma County)
- Healdsburg Hospital D/P SNF, 4 stars, 2 state citations (in Sonoma County)
See every facility in the Sonoma County nursing home directory.
Other nursing homes in Sonoma County
These are other nursing homes in Sonoma County, listed by how close each home's ZIP code is to the ZIP code for Apple Valley Post-Acute Rehab. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Broadway Villa Post Acute, Sonoma
- Sonoma Post Acute, Sonoma
- Valley of the Moon Post Acute, Sonoma
- Healdsburg Hospital D/P SNF, Healdsburg
- Cloverdale Healthcare Center, Cloverdale
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Apple Valley Post-Acute Rehab, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Sonoma County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Sonoma County's ombudsman program can be reached at (707) 526-4108. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Apple Valley Post-Acute Rehab is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Sonoma County
If a loved one was harmed at Apple Valley Post-Acute Rehab, these pages explain how Sonoma County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Sonoma County bedsore lawyer
- Sonoma County nursing home neglect lawyer
- Sonoma County nursing home fall lawyer
- Sonoma County nursing home wrongful death lawyer
You can also compare every home in the Sonoma County nursing home directory.
Are There Lawsuits Against Apple Valley Post-Acute Rehab?
This page reports federal and state inspection, complaint and enforcement records for Apple Valley Post-Acute Rehab. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Sonoma County are searchable through the Sonoma County Superior Court's online case records. If your family member was injured at Apple Valley Post-Acute Rehab, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Apple Valley Post-Acute Rehab a good nursing home?
- CMS gives Apple Valley Post-Acute Rehab an overall rating of 5 of 5 stars, with a health inspection rating of 4 of 5 based on in-person state surveys. California has issued 32 state citations against the facility, including 8 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Apple Valley Post-Acute Rehab?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Sonoma County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Apple Valley Post-Acute Rehab been fined or cited for serious violations?
- Public records show 32 California state citations with $234,200 in state penalties, including 1 class AA citation.
- How many state citations does Apple Valley Post-Acute Rehab have?
- The California Department of Public Health has issued 32 citations against Apple Valley Post-Acute Rehab in Sebastopol between September 10, 2003 and October 19, 2021: 1 class AA, 7 class A, and 24 class B, with $234,200 in assessed penalties.
- How do I report a problem at Apple Valley Post-Acute Rehab?
- File a complaint with CDPH through its Cal Health Find system, or contact the Sonoma County Long-Term Care Ombudsman at (707) 526-4108. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Apple Valley Post-Acute Rehab, talk to our Sonoma County nursing home abuse lawyers. We handle cases in Sebastopol and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Apple Valley Post-Acute Rehab provider record, CCN 055919. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Apple Valley Post-Acute Rehab state license record, FACID 010000026, license 10000016.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Apple Valley Post-Acute Rehab in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Apple Valley Post-Acute Rehab, and neither the facility nor any government agency endorses this page.