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: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
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 21.7 11 15.13
2008 0 0 1 4 18.1 11 14.13
2009 0 1 2 0 11 12.87
2010 0 0 1 0 NA 3 4.48

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City: Ukiah

Ukiah Healthcare Center
(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: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
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 21.7 11 15.13
2008 0 0 1 22 18.1 12 14.13
2009 0 0 1 0 24 12.87
2010 0 0 1 0 NA 4 4.48

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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: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 3 42 19.6 23 10.4
2006 0 1 5 18 20.8 23 12.5
2007 0 1 6 60 21.7 42 15.13
2008 0 1 4 22 18.1 30 14.13
2009 0 0 4 0 35 12.87
2010 0 1 2 0 NA 3 4.48

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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: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 29 19.6 15 10.4
2006 0 0 1 7 20.8 16 12.5
2007 0 0 0 30 21.7 14 15.13
2008 0 1 0 0 18.1 13 14.13
2009 0 0 1 0 20 12.87
2010 0 0 0 0 NA 4 4.48

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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