County: Mendocino

City: Fort Bragg

Sherwood Oaks Health Center
(707) 964-6333 — 130 Dana Street — Fort Bragg, CA 95437


Services
How to interpret services information.

Cap.= 79 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/26/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B E I L O P Q R S U
Types of Residents Not Accepted: D F J M N T V
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/20/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 35 12.7 5 5.8
2003 0 0 1 25 15 17 8.5
2004 0 0 0 39 17.8 7 9.2
2005 0 0 0 37 19.6 12 10.4
2006 0 3 0 34 20.8 11 12.5
2007 0 1 0 23 21.2 11 14.7

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City: Ukiah

Ukiah Convalescent Hospital
(707) 462-8864 — 1349 S. Dora St. — Ukiah, CA 95482


Services
How to interpret services information.

Cap.= 57 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/6/1998:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M S
Types of Residents Not Accepted: J N O
Languages spoken by direct-care staff: I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/15/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 28 12.7 3 5.8
2003 0 0 3 8 15 6 8.5
2004 0 0 0 13 17.8 4 9.2
2005 0 0 0 29 19.6 7 10.4
2006 0 1 1 31 20.8 22 12.5
2007 0 0 1 31 21.2 11 14.7

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City: Ukiah

Valley View Skilled Nursing Center
(707) 462-1436 — 1162 S. Dora Street — Ukiah, CA 95482


Services
How to interpret services information.

Cap.= 68 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: L
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/18/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 32 12.7 4 5.8
2003 0 0 1 48 15 15 8.5
2004 0 0 0 45 17.8 12 9.2
2005 0 0 3 42 19.6 23 10.4
2006 0 1 5 18 20.8 23 12.5
2007 0 1 6 59 21.2 42 14.7

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City: Willits

Northbrook Nursing And Rehab
(707) 459-5592 — 64 Northbrook Way — Willits, CA 95490


Services
How to interpret services information.

Cap.= 70 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: L
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 2 10 12.7 3 5.8
2003 0 0 2 45 15 11 8.5
2004 0 0 2 28 17.8 10 9.2
2005 0 0 0 29 19.6 15 10.4
2006 0 0 2 7 20.8 16 12.5
2007 0 0 0 30 21.2 12 14.7

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© 2007

California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171