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SANTA ROSA POST ACUTE
NPI 1720520273
Skilled Nursing Facility in Santa Rosa, CA

Active since November 15, 2016CLIA 05D0611774 · Waiver
2/5
Overall Rating
4650 HOEN AVE, SANTA ROSA, CA 95405(707) 546-0471 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 12, 2024, Aug 7, 2019 and 1 more (4 updates tracked since 2016).

About Santa Rosa Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA POST ACUTE (NPI 1720520273) is a healthcare organization registered as a skilled nursing facility in Santa Rosa, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1720520273
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSANTA ROSAIDENCE OPCO, LLC
Location Address4650 HOEN AVESanta Rosa, CA 95405-9407
Mailing Address262 N University AveFarmington, UT 84025-2975
Phone(707) 546-0471
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateNovember 15, 2016
Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1720520273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4650 HOEN AVE, Santa Rosa, CA 95405
Open in Google Maps ↗

Other Names 1

Doing Business AsSanta Rosa Post Acute

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0611774

Santa Rosa Post Acute · Santa Rosa, CA
Active · expires Aug 31, 2026
CLIA Number05D0611774
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDominic J. Picetti
Laboratory Phone(707) 546-0471
Laboratory LocationSanta Rosa Post Acute4650 Hoen Ave, Santa Rosa, CA 95405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Santa Rosa Post Acute (CMS certification number 055854), from CMS Care Compare.

Santa Rosa Post Acute

Nursing home · Santa Rosa, CA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number055854
Certified Beds99 beds93 residents per day on average
Medicare & Medicaid Participant SinceNovember 3, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
164.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.44 · LPN 1.14 · RN 0.25
3.84 hrs per resident per day
Weekend Nurse Staffing
3.5 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.7%
Registered Nurse Turnover
62.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
9
Substantiated Complaints
67
Infection-Control Citations
1
Fines
4 totaling $10,504.20
Medicare Payment Denials
2
Total Penalties
6
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER LYN GRAFF FNP-BC
Nurse Practitioner (Family)
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471
MR. NATHAN BURNETT PTA
Physical Therapy Assistant
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (512) 387-9213
CAROLYN COMPTON
Speech-Language Pathologist
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471
MR. JEREMY LUENA COTA/L
Occupational Therapist (Physical Rehabilitation)
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471
DR. KEVIN CHI HONG LUK PT, DPT
Physical Therapist
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471
AMELIA PADILLA
Physical Therapist
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471
JANA LEE PATTERSON OTR/R
Occupational Therapist
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471
SAHANA SHETTY PHYSICAL THERAPIST
Physical Therapist
4650 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 546-0471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Rosaidence Opco, LLC's NPI number?

The NPI number for Santa Rosaidence Opco, LLC is 1720520273. It was assigned to this organization in the NPPES registry on November 15, 2016. The provider is doing business as Santa Rosa Post Acute.

Where is Santa Rosaidence Opco, LLC located?

Santa Rosaidence Opco, LLC is located at 4650 Hoen Ave, Santa Rosa, CA 95405. The listed phone number is (707) 546-0471.

What is Santa Rosaidence Opco, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Santa Rosaidence Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0611774) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Santa Rosaidence Opco, LLC a Medicare-certified nursing home?

Yes. Santa Rosa Post Acute is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Santa Rosaidence Opco, LLC have?

CMS rates Santa Rosa Post Acute 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Santa Rosaidence Opco, LLC was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.