Inspection citations
5’22
11’24
2’25
18 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Sep 5, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 3, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Sep 5, 2024 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| Mar 15, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 15, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 15, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Mar 15, 2024 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Mar 15, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 15, 2024 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Mar 15, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Mar 15, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 15, 2024 | D · potential | Dispose of garbage and refuse properly. | Routine |
| Mar 15, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 14, 2022 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Jan 14, 2022 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jan 14, 2022 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 14, 2022 | F · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Jan 14, 2022 | E · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Summerfield Health Care Center
1280 Summerfield Rd, Santa Rosa, CA 95405 · (707) 539-1515
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056364
- Certified beds
- 70
- Legal owner
- Ensign Santa Rosa LLC
- Part of
- The Ensign Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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