North Vine PostAcute Care in Santa Rosa is on a federal watch list of California’s most troubled nursing homes, and it was on the list in March, too. The 62-bed home on Arrowood Drive is the only one in Sonoma, Napa, Mendocino or Lake counties on it.
The Centers for Medicare & Medicaid Services posted its latest version Sept. 30. An earlier version, dated March 25, showed North Vine had been on it for five months. The September list shows one month. The list doesn’t say whether the home dropped off and came back or the count was reset.
What inspectors found
Federal inspectors have cited North Vine 76 times since February 2022, according to CMS inspection data.
In July 2025, inspectors investigating a complaint found that staff had missed eight weekly skin checks on a resident with a wound on his right big toe and hadn’t carried out his wound treatments. The failure “resulted in the development of infection and maggots in Resident 1’s right great toe, which required hospitalization and subsequent amputation,” their report says.
The director of nursing told inspectors the wound nurse had dropped the ball and called it “heartbreaking.” A physician who treated the resident told them there are always flies in the home, “but I can’t send every resident out who has a wound because of the flies.” Inspectors saw flies in common hallways and in three residents’ rooms. CMS fined the home $17,940.
Twice, inspectors have rated a problem at North Vine “immediate jeopardy to resident health or safety,” the top of CMS’s scale.
The more recent came in March 2025. A grease trap under the dish sink backed wastewater onto the kitchen floor while a county health inspector was there. The county suspended the home’s food permit and shut the kitchen, which fed 57 of its 59 residents. North Vine moved its cooking to a rented kitchen off-site, where inspectors found “multiple droppings resembling rat feces” behind the stove.
The first came in June 2023, when inspectors found the home had gone without a steady administrator, director of nursing and staff-development director, “which led to the lack of training for the nursing staff.” One resident had three open sores on his buttocks that his nurse didn’t know about until an inspector asked. That left him “uncomfortable for three days,” the report says. Inspectors also found the home short of nursing staff on most days from March through May 2023.
How the list works
CMS runs its Special Focus Facility program for nursing homes with what it calls “a history of serious quality issues.” It scores every home’s inspections over about three years. In each state, the homes with the most points become candidates, five for every slot in the program, up to 30 per state.
California has 30 candidates, the maximum, and five homes in the program itself. When a slot opens, state inspectors pick a new home from the candidate list.
A home that gets picked is inspected at least once every six months and faces escalating penalties until it either improves enough to graduate or is cut off from Medicare and Medicaid.
Little time with registered nurses
North Vine reports its registered nurses spend 0.19 hours a day with each resident, about 11 minutes. The median for California nursing homes is 0.50 hours. Only 13 of the state’s 1,134 reporting homes log less. North Vine’s figure is the lowest among Sonoma County’s 18 nursing homes. The next lowest, Cloverdale Healthcare Center, reports 0.36 hours.
CMS’s own model, which accounts for how sick a home’s residents are, expects North Vine to provide 0.59 hours of registered-nurse time per resident a day.
Eighty percent of North Vine’s registered nurses left within a year, according to CMS. The state median is 37.5%.
Medicare’s Care Compare site gives North Vine one star of five overall, which CMS says means “quality much below average,” and one star for health inspections. It rates the home two stars for staffing and four stars for quality measures.
Who owns it
RMG Capital Partners LLC has owned North Vine outright since January 2019, according to CMS ownership records. Reliant Management Group LLC runs the home day to day. Federal and state records list the home as NorthVine PostAcute Care. It was called Santa Rosa Convalescent Hospital until 2020, according to state facility listings.
CMS groups North Vine with eight other California homes under RMG Capital Partners. One of them, Riverside PostAcute Care in Riverside, is already in the Special Focus program and has been for 29 months. Another, California Post-Acute Care in Lynwood, has been a candidate for eight months.
CMS tells families considering a home on the list to visit, to call the state inspection agency and the local ombudsman “to find out more about the nursing home,” and to “ask the nursing home staff what they are doing to improve the quality of care for residents in the nursing home.”