ElderGrade
A

92/100

Excellent

Apple Valley Post-Acute Rehab

1035 Gravenstein Hwy South, Sebastopol, CA 95472

CMS 5/5 stars #3 of 18 in Sonoma County (707) 823-7675
Certified beds
95
Occupancy
87%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.59 total nurse hours per resident per day (national median 3.77)
  • 0.55 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 30% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.54 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.55 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.09 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 29.90%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 23 citations

Last standard health inspection: November 8, 2024 (1 year ago).

D Sep 9, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Apr 23, 2025 F0561 From a complaint

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

D Nov 8, 2024 F0625

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Nov 8, 2024 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Nov 8, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jul 2, 2024 F0661 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

No actual harm, potential for more than minimal harm

D Apr 25, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

E Dec 12, 2023 F0697 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of NAHS, which operates 12 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
LANE, JOANNE Individual MANAGING CONTROL - GOVERNING BODY
MARSHALL, BRENT Individual MANAGING CONTROL - GOVERNING BODY
BAJA, RALPH Individual CORPORATE DIRECTOR
BARLOW, JAMES Individual CORPORATE DIRECTOR
LANE, JOANNE Individual CORPORATE DIRECTOR
MARSHALL, BRENT Individual CORPORATE DIRECTOR
MOORE, MICHAEL Individual CORPORATE DIRECTOR
PAULSEN, TIMOTHY Individual CORPORATE DIRECTOR
WALTON, MARK Individual CORPORATE DIRECTOR
JOHNSON, MARC Individual CORPORATE OFFICER
LUNDQUIST, VICTOR Individual CORPORATE OFFICER
MARSHALL, BRENT Individual CORPORATE OFFICER

What families say

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Common questions about Apple Valley Post-Acute Rehab

What is the ElderGrade for Apple Valley Post-Acute Rehab? +

Apple Valley Post-Acute Rehab holds an ElderGrade of A (92 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Apple Valley Post-Acute Rehab? +

Residents receive an average of 4.54 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Apple Valley Post-Acute Rehab been cited for harming residents? +

Yes. 2 of the 23 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Apple Valley Post-Acute Rehab accept Medicaid? +

Yes, Apple Valley Post-Acute Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.