Arbol Healthcare Center of Santa Rosa 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 Arbol Healthcare Center of Santa Rosa in Santa Rosa, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 3 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: 12 on record, including 3 class A and 9 class B, with $64,000 in assessed penalties.
- Staffing: 5.62 nursing hours per resident per day; registered nurse turnover 41.7%.
- Most recent standard inspection: 9 deficiencies cited on November 18, 2025. The most recent inspection since then was on December 9, 2025: 1 deficiency cited in the complaint inspection.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: not reported, for-profit.
Arbol Healthcare Center of Santa Rosa ratings and staffing
Arbol Healthcare Center of Santa Rosa is located at 300 Fountaingrove Parkway in Santa Rosa, Sonoma County. It is a for-profit facility, with 45 certified beds and an average of 34.2 residents a day. It accepts Medicare.
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 Arbol Healthcare Center of Santa Rosa, those scores are: health inspections 4 of 5, staffing 4 of 5, quality measures 5 of 5.
Staffing. Arbol Healthcare Center of Santa Rosa reports 5.62 total nursing hours per resident per day, of which 1.25 are registered nurse hours. Over the reporting year, 50% 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.
December 9, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)
November 18, 2025, standard inspection
9 deficiencies 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, ensure that residents are fully informed and understand their health status, care and treatments, and honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
- F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
- F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
- F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (scope and severity D)
- 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 D)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
- F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (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)
February 10, 2025, complaint inspection
4 deficiencies cited. Surveyors cited the facility for have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis, conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies, and ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (scope and severity E)
- F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. (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 D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
July 25, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
June 13, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
May 30, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
January 19, 2024, 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 F)
October 27, 2023, standard and complaint inspections
7 deficiencies cited. Surveyors cited the facility for provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and provide and implement an infection prevention and control program.
- F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity F)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0880Provide and implement an infection prevention and control program. (scope and severity F)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
- F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (scope and severity E)
- 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)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
December 6, 2021, standard inspection
11 deficiencies cited. Surveyors cited the facility for honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances, 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 procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (scope and severity F)
- 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 F)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
- F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity E)
- F0880Provide and implement an infection prevention and control program. (scope and severity E)
- F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
- F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
- 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)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- 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 Arbol Healthcare Center of Santa Rosa 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 12 citations against Arbol Healthcare Center of Santa Rosa between August 21, 2002 and June 18, 2018: 3 class A and 9 class B, with $64,000 in assessed penalties. 1 of these actions were connected to a resident's death.
- June 18, 2018, class B, Patient Care. $2,000 penalty.
- June 18, 2018, class B, Patient Care. $2,000 penalty.
- June 1, 2017, class A, Patient Care. $20,000 penalty.
- February 16, 2017, class A, Patient Care. $13,000 penalty. Appealed.
- June 1, 2012, class B, Patient Care. $2,000 penalty. Appealed.
- June 1, 2012, class B, Patient Care. $2,000 penalty. Appealed.
- February 29, 2012, class B, Abuse/Facility Not Self Reported. $1,000 penalty. Appealed.
- February 29, 2012, class B, Abuse/Facility Not Self Reported. $1,000 penalty. Appealed.
- October 27, 2011, class A, Physical Environment. $18,000 penalty. Appealed. Death-related.
- September 1, 2009, class B, Patient Care. $1,000 penalty.
- October 23, 2002, class B, Patient Care. $1,000 penalty.
- August 21, 2002, class B, Other. $1,000 penalty.
Across Sonoma County's 18 certified facilities, the average is about 16.8 state citations per facility. Arbol Healthcare Center of Santa Rosa's 12 is below 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 Santa Rosa
Families comparing options in Santa Rosa often look at these facilities as well. Each link opens that facility's full public record:
- Blue Oak Post-Acute, 2 stars, 34 state citations
- Park View Post Acute, 2 stars, 29 state citations
- Santa Rosa Post Acute, 3 stars, 13 state citations
- Spring Lake Village, 5 stars, 6 state citations
- Summerfield Health Care Center, 5 stars, 5 state citations
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 Arbol Healthcare Center of Santa Rosa. 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.
- Blue Oak Post-Acute, Santa Rosa
- Park View Post Acute, Santa Rosa
- Santa Rosa Post Acute, Santa Rosa
- Summerfield Health Care Center, Santa Rosa
- Northvine Postacute Care, Santa Rosa
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 Arbol Healthcare Center of Santa Rosa, 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 Arbol Healthcare Center of Santa Rosa 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 Arbol Healthcare Center of Santa Rosa, 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 Arbol Healthcare Center of Santa Rosa?
This page reports federal and state inspection, complaint and enforcement records for Arbol Healthcare Center of Santa Rosa. 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 Arbol Healthcare Center of Santa Rosa, 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 Arbol Healthcare Center of Santa Rosa a good nursing home?
- CMS gives Arbol Healthcare Center of Santa Rosa 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 12 state citations against the facility, including 3 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 Arbol Healthcare Center of Santa Rosa?
- 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 Arbol Healthcare Center of Santa Rosa been fined or cited for serious violations?
- Public records show 12 California state citations with $64,000 in state penalties, including 3 class A citations.
- How many state citations does Arbol Healthcare Center of Santa Rosa have?
- The California Department of Public Health has issued 12 citations against Arbol Healthcare Center of Santa Rosa in Santa Rosa between August 21, 2002 and June 18, 2018: 3 class A and 9 class B, with $64,000 in assessed penalties.
- How do I report a problem at Arbol Healthcare Center of Santa Rosa?
- 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 Arbol Healthcare Center of Santa Rosa, talk to our Sonoma County nursing home abuse lawyers. We handle cases in Santa Rosa 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: Arbol Healthcare Center of Santa Rosa provider record, CCN 555836. 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: Arbol Healthcare Center of Santa Rosa state license record, FACID 010001140, license 10000430.
- 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 Arbol Healthcare Center of Santa Rosa 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 Arbol Healthcare Center of Santa Rosa, and neither the facility nor any government agency endorses this page.