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Spring Lake Village
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5555 Montgomery Drive
Santa Rosa, CA 95409
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Spring Lake Village is located in the heart of the Sonoma County wine country. It is ideally situated to take advantage of the natural beauty and the urban amenities of this popular recreation area. Nestled on 26 acres of secluded lawns and gardens, it is a short drive to excellent wineries, redwood forests, the Pacific Ocean and the extensive offerings of the San Francisco Bay Area. Spring Lake Village's campus style design offers a choice of 300 cottages and apartments for independent living, with 50 beds available in the nursing center and 10 personal care units.
Details
| Type of Ownership | For profit - Individual |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | No |
| Certified Beds | 70 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 09/22/2011
| Date of last standard health inspection: | 09/22/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 1 |
| Average number of Health Deficiencies in CA: | 10 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in CA: | 0 - 49 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Train all employees on what to do in an emergency. | 09/22/2011 | 10/19/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 08/19/2010
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 08/19/2010 | 10/11/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 07/29/2009
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| post nurse staffing information. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Keep accurate and appropriate medical records. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Pattern |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Develop/implement required procedures for the administration of immunizations. | 07/29/2009 | 09/23/2009 | Potential for minimal harm | Widespread |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep assessments completed in the preceding 15 months in the resident's active record. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Pattern |
| Listen to the resident or family groups or act on their complaints or suggestions. | 07/29/2009 | 09/23/2009 | Minimal harm or potential for actual harm | Pattern |
Inspection, 05/28/2009
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 05/28/2009 | 00/00/0000 | Actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in CA | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 5 out of 5 stars |
| Total Number of Residents | 86 | 80 | 52 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 34 minutes | 2 hours 5 minutes |
|
RN Hours per Resident per Day |
40 minutes | 43 minutes | 1 hour 5 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | 1 hour |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 37 minutes | 2 hours 37 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 6% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 4% |
| Percent of long-stay residents who had a urinary tract infection | 11% |
| Percent of long-stay residents who have moderate to severe pain | 3% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 4% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 5% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 12% |
| Percent of long-stay residents whose need for help with daily activities has increased | 18% |
| Percent of low-risk long-stay residents who have pressure sores | Not Available |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 71% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 7% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 47% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 11% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 90+% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 09/21/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 09/21/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 1 |
| Average number of Fire Safety Deficiencies in CA: | 5 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in CA: | 0 - 20 |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 09/21/2011 | 10/10/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 08/25/2010
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Isolated |
| portable fire extinguishers. | 08/25/2010 | 09/21/2010 | Potential for minimal harm | Widespread |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Pattern |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Isolated |
| properly installed electrical wiring and equipment. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Isolated |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Widespread |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Pattern |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Pattern |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 08/25/2010 | 09/21/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 08/13/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Isolated |
| back-up procedures in place for a faulty automatic sprinkler system. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
| signs that state that exit doors are to be kept closed. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Widespread |
| an approved installation, maintenance and testing program for fire alarm systems. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Widespread |
| an approved back-up procedure for a faulty fire alarm system. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed hallway dispensers for alcohol-based hand rub. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
| properly constructed piped-in oxygen systems. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Widespread |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Pattern |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 08/13/2009 | 09/03/2009 | Minimal harm or potential for actual harm | Isolated |
