Nursing homeActive

Spring Lake Village

5555 Montgomery Drive, Santa Rosa, CA 95409707538840070 certified beds · 42 residentsNon profit - CorporationMedicare
Surveys on file
4
since 2023
Deficiencies
26
0260
Penalties · 3 yrs
none on file
Last survey
2026-01-22
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-22Standard040CMS-2567 (Care Compare)
2025-04-15Complaint010CMS-2567 (Care Compare)
2025-02-13Standard0150CMS-2567 (Care Compare)
2023-04-07Standard060CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-22Standard survey · 4 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 555268-20260122-F604
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 555268-20260122-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 555268-20260122-F686
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 555268-20260122-F880
2025-04-15Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 555268-20250415-F609
2025-02-13Standard survey · 15 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F558
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F697
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F761
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F802
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F813
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F814
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F880
F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 555268-20250213-F945
2023-04-07Standard survey · 6 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 555268-20230407-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 555268-20230407-F658
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 555268-20230407-F679
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 555268-20230407-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 555268-20230407-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 555268-20230407-F814

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.10
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day5.54
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.85
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover22%
Facility
California
National
California 37% · National 46%
Registered nurse turnover20%
Facility
California
National
California 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.6%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
10.5%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
15.4%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
3.8%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Front Porch Communities And Services
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Akopyan, Gevork
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bout, Ferdinand
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ichien, Christopher
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jumawan, Kristyl
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kelly, Sean
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Macango, Susan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcmullin, Mary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Olson, Kari
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Salvador, Eduardo
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Skillman, Daniel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Zelk, Misty
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Duranteau, Nancy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Forte, Vincent
Individual
CORPORATE DIRECTORNOT APPLICABLE
Front Porch Communities And Services
Organization
ADP OF THE SNFNOT APPLICABLE
Handy, Joanne
Individual
CORPORATE DIRECTORNOT APPLICABLE
Jacobs, Laura
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kelly, Sean
Individual
CORPORATE OFFICERNOT APPLICABLE
Kroeker, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mcgovern, Marion
Individual
CORPORATE DIRECTORNOT APPLICABLE
Salvador, Eduardo
Individual
CORPORATE DIRECTORNOT APPLICABLE
Skillman, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Spencer, Peter
Individual
CORPORATE DIRECTORNOT APPLICABLE
Tonnu, Diemlan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Vranich, Rachel
Individual
CORPORATE OFFICERNOT APPLICABLE
Wesson, Oliver
Individual
CORPORATE DIRECTORNOT APPLICABLE
Whittaker, Susan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Zelk, Misty
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Front Porch9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Sonoma.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Summerfield Health Care Center
Santa Rosa
1.4 mi2025-09-050130
Park View Post Acute
Santa Rosa
1.6 mi2026-03-050281
Santa Rosa Post Acute
Santa Rosa
2.0 mi2026-03-110411
Blue Oak Post-Acute
Santa Rosa
4.0 mi2026-06-100532
Northvine Postacute Care
Santa Rosa
5.0 mi2026-01-280303
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01