BLUE OAK POST-ACUTE
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Penalty
$51,518
Outcome
BLUE OAK POST-ACUTE in SANTA ROSA, CA was fined $51,518 by CMS across 2 separate penalties following 63 deficiency citations identified during federal surveys.
Details
BLUE OAK POST-ACUTE (SANTA ROSA, CA) — $51,518 in CMS Fines
Outcome: BLUE OAK POST-ACUTE in SANTA ROSA, CA was fined $51,518 by CMS across 2 separate penalties following 63 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Respond appropriately to all alleged violations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Ensure 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.
- Keep residents' personal and medical records private and confidential.
- Ensure each resident receives an accurate assessment.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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