APPLE VALLEY POST-ACUTE REHAB
1035 GRAVENSTEIN HWY SOUTH
SEBASTOPOL, CA, 95472
7078237675
CCN: 055919
4
Overall4
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CRB, INC
1128a2
Excluded 2013-02-20
Ownership
| Name | Role | % |
|---|---|---|
| NAHS NORTH INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| NAHS EMPLOYEE STOCK OWNERSHIP TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| NAHS HOLDING INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MARSHALL, BRENT | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAJA, RALPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| BARLOW, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| LANE, JOANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| MOORE, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| PAULSEN, TIMOTHY | CORPORATE DIRECTOR | NOT APPLICABLE |
| WALTON, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, MARC | CORPORATE OFFICER | NOT APPLICABLE |
| LUNDQUIST, VICTOR | CORPORATE OFFICER | NOT APPLICABLE |
| MARSHALL, BRENT | CORPORATE OFFICER | NOT APPLICABLE |
| WALTON, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| MOORE, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| SERRANO, NOEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MARSHALL, BRENT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (23)
2025-09-09 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-04-23 · Health
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2024-11-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F625 · 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.
2024-07-02 · Health
D
F661 · 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.
2024-04-25 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-12-12 · Health
E
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
2023-10-31 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-11-18 · Health
F
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
G
F726 · Nursing and Physician Services Deficiencies
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.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
F711 · Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
F584 · Resident Rights Deficiencies
Honor 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.
D
F573 · Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
F557 · Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
2019-07-18 · Health
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.54
RN Hrs/Resident/Day0.54
0.49
LPN Hrs/Resident/Day0.81
1.47
CNA Hrs/Resident/Day2.33
2.58
PT Hrs/Resident/Day0.12
0.15
Data as of 2026-03-01