Park View Post Acute

    3751 Montgomery Dr, Santa Rosa, CA, 95405
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Great therapy, but unsafe care

    I'm torn: the therapy team and many nurses/CNAs were excellent and the building is usually clean, but chronic understaffing, slow call-light response and poor communication led to missed meds, safety incidents (falls/fracture, infections, sepsis/bedsores reported) and even lost belongings. Food and meal timing were often disappointing. Administrative/billing and discharge mix-ups added stress. Some staff went above and beyond and rehab results can be great, but because of the safety and coordination issues I'd be cautious about recommending it.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.07 · 341 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.0
    • Meals

      3.1
    • Amenities

      3.2
    • Value

      3.0

    Pros

    • Strong rehabilitation program (physical, occupational, speech therapy)
    • Therapists described as competent, encouraging, and communicative
    • Compassionate, friendly and often outstanding nursing and CNA staff
    • Personalized rehabilitation plans and measurable functional improvements
    • Clean facility overall and often described as smelling fresh/odor-free
    • Engaging activities and a social, lively environment
    • Staff frequently go above and beyond for special requests and events
    • Helpful social workers and admissions/placement coordinators
    • Outdoor patio, well-kept grounds, and pleasant common areas
    • Willingness to accommodate some dietary requests/preferences
    • Good discharge planning and coordination reported in many cases
    • Accessible location and reasonably convenient for visitors
    • Gym and therapy equipment well-equipped for rehab needs
    • Frequent updates and clear explanations from some therapists and coordinators
    • Housekeeping that does regular and deep cleaning of rooms
    • Many reviewers highly recommend Park View based on rehab outcomes
    • Staff described as professional, respectful, and family-oriented
    • Some exemplary individual caregivers singled out for praise
    • Timely medication administration reported by numerous reviewers
    • Seamless transitions for some patients from post-acute to long-term care

    Cons

    • Chronic understaffing and high patient-to-nurse ratios
    • Slow or inconsistent response to call lights and bathroom assistance
    • Inconsistent quality among CNAs and nursing staff across shifts
    • Frequent communication breakdowns and unreturned calls
    • Food quality, presentation and temperature problems
    • Medication errors, prescription delays, and stock issues
    • Serious clinical lapses reported (missed UTI testing, bed sores, missed meds)
    • Reports of missing or stolen personal belongings
    • Maintenance and aging facility issues (peeling furniture, tattered bedding)
    • Occasional uncleanliness in bathrooms and overflowing garbage
    • Nighttime noise and sundowning disruptions
    • Privacy concerns (male CNAs assisting with intimate tasks without consent)
    • Billing, paperwork and discharge coordination problems
    • Gaps in weekend therapy or medical coverage
    • Staff turnover, overworked and overwhelmed employees
    • Poor front-desk/after-hours responsiveness and voicemail delays
    • Inconsistent adherence to dietary restrictions
    • Crowded rooms, limited privacy, and roommate-related issues
    • Perceived lapses in infection control and mask policy enforcement
    • Variable physician involvement and follow-up with family

    Summary review

    Overall sentiment: Reviews for Park View Post Acute are strongly mixed but trend positive around rehabilitation outcomes and individual staff members, while repeatedly raising operational and clinical safety concerns. The facility is repeatedly praised for its therapy program: physical, occupational and speech therapists are described as competent, encouraging, and central to many patients’ functional gains. Multiple reviewers credit therapy teams with rapid measurable improvements (walking, strength, independence) and highlight well-equipped gyms and individualized rehab plans. Because of this, Park View is frequently recommended specifically as a post-acute rehabilitation site.

    Staff and bedside care: Many reviewers describe nurses, CNAs, therapists and social workers as kind, compassionate and willing to go above and beyond for patients — organizing special events, accommodating requests (e.g., wedding help, special meals), and communicating clearly. Several individual caregivers receive high praise and recognition, and social workers/placement coordinators are called helpful and proactive. That said, staff quality is uneven by shift and unit: numerous reports describe inconsistent CNA performance, abrupt or short nursing interactions, and instances where understaffing clearly affects care (e.g., one nurse covering many patients). This variability means some families experience exemplary care while others report that their loved ones were “lost in the cracks.”

    Cleanliness and facility environment: Many reviewers note Park View is clean, smells fresh, and is well-maintained in common areas; housekeeping and deep-cleaning are praised. The facility’s outdoor areas, patio and grounds receive positive mentions. However, there are repeated, smaller maintenance complaints (peeling furniture, worn bedding, dingy bedside tables) and occasional reports of more serious sanitation issues (bathroom garbage not changed often, commodes needing more frequent cleaning, even rare allegations of bedbugs). These issues appear intermittent and localized rather than universal across the facility.

    Food and dining: Dining experience is a consistent pain point. Opinions range from "meals are homemade and tasty" to frequent criticisms that food is poorly presented, cold at arrival, overcooked or unappetizing. Some reviewers report good flexibility from dietary staff (special requests honored, alternative menus), while others say dietary restrictions were ignored. Meal timing, guest tray delays, and residents eating alone in rooms rather than communal dining are recurring complaints that affect patient satisfaction and nutrition for some residents.

    Communication and management: Communication quality varies widely. Several reviewers highlight clear, regular updates from therapists, the director of admissions, and social workers. Conversely, a large number of reviews describe missed calls, unreturned messages, voicemail delays, managers or nursing supervisors being unresponsive after hours, and inconsistent physician involvement. These communication lapses are tied to frustration around discharge timing, medication changes, and coordination with hospitals. Administrative strengths are often individual-driven (specific social workers or admission staff) rather than systemic.

    Safety and clinical concerns: While many reports are positive about clinical care, there are several serious adverse incidents reported that cannot be ignored: alleged refusal of UTI testing leading to severe sepsis and kidney damage; missed or delayed medications and pain control; bedsores and prolonged hygiene neglect in isolated reports; wrong medication administration despite allergies in at least one account; problems managing central lines (Hickman) and infection risk; and reports of falls. These incidents are fewer than the positive therapy/care comments but are severe in consequence and raise concerns about clinical oversight, escalation protocols, and staffing adequacy during critical hours.

    Operational patterns: A clear pattern emerges linking many negatives to staffing shortfalls — too few nurses/CNAs per unit, overworked employees, and coverage gaps on nights and weekends. When the facility is adequately staffed, reviewers report good care, responsive call-button service, and strong communication. When understaffed, problems cluster: slow call responses, missed meds, poor bathroom assistance, and reduced supervision. Other recurring operational themes include inconsistent adherence to dietary orders, lost belongings/theft allegations, and problems with discharge paperwork or billing.

    Net recommendation guidance: Park View offers a high-quality, often best-in-class rehabilitation experience, with therapists, certain nurses, and social workers delivering strong, compassionate care that produces positive outcomes. However, prospective residents and families should be aware of variability: the caregiver experience depends heavily on unit staffing, shift, and the presence of specific strong staff members. Families should ask targeted questions before placement about staffing ratios on the expected unit and shifts, weekend therapy availability, protocols for call-light response times, medication reconciliation processes, infection-control practices, and how dietary restrictions are tracked and enforced. Visitors should also plan for possible parking and front-desk responsiveness issues.

    Actionable takeaways for the facility (based on review themes): prioritize staffing to reduce patient-to-nurse ratios and improve call-light response; strengthen clinical oversight and escalation protocols to prevent missed infections/medication errors; standardize dietary-order enforcement and improve meal presentation/temperature; tighten property controls to reduce missing-belongings incidents; and shore up after-hours communication and discharge coordination. These targeted improvements would align the facility’s strong rehabilitation strengths with a reliably safe, comfortable and consistently communicative care environment.

    Location

    Map showing location of Park View Post Acute

    About Park View Post Acute

    Park View Post Acute has 116 certified beds and is affiliated with The Ensign Group, which means it belongs to a larger network of care facilities. The building itself is clean, well-lit, and decorated with carefully chosen artwork, so the living spaces feel like a comfortable, classic home. Residents have access to air conditioning, Wi-Fi, and nutritious meals, and there's a nice dining room that lets in plenty of natural light. The facility offers both short-term rehabilitation and long-term care, with skilled nursing care available 24 hours a day under the guidance of in-house physicians. The care team includes nurses who average 4.43 staffing hours per resident daily, though nurse turnover has been measured at 27%. There's an in-house therapy team that uses both advanced and hands-on methods, and treatment happens in modern therapy rooms designed to help people regain their strength and mobility. Staff members work with residents, their families, and health providers to make personalized care plans, aiming for a balance of professional help and independence. Park View Post Acute focuses on professional standards but has had issues in infection control and resident assessment, and has been cited for related violations in the past, though they do offer ongoing infection prevention and control programs. Activities are available throughout the month, with staff organizing both social and educational programs as well as excursions and daily events, so residents can stay active and enjoy a sense of companionship and involvement. Amenities include TV lounges, indoor common areas, transportation services, and parking. Assisted living services cover laundry, social gatherings, and personal care, and the whole facility is set up to be both comfortable and safe. The community has a five-star quality rating, and residents have access to a wide range of healthcare and therapy services, along with perks to make daily life easier and more enjoyable.

    About Ensign Group, Inc

    Park View Post Acute is managed by Ensign Group, Inc.

    Founded in 1999 and headquartered in San Juan Capistrano, California, The Ensign Group operates 300+ healthcare facilities across 14 states, including skilled nursing, assisted living, rehabilitation, and home health services. Their decentralized philosophy empowers local leadership teams to provide resident-centered care tailored to specific community needs.

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