Summerfield Health Care Center

1280 Summerfield Rd · Santa Rosa, CA · 95405 · 7075391515

70 certified beds For profit - Limited Liability company Chain: The Ensign Group

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 73
Serious harm & abuse 20% 100
Staffing 20% 90
Federal penalties 15% 81
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.533.48 min · 4.1 strong
RN hours / resident-day1.120.55–0.75
Weekend hours / resident-day3.95≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)1 · $3,145

Inspection citations (18 in the current record)

  • Potential for harm · D September 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 19, 2025 · Infection Control

  • Potential for harm · D March 3, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 20, 2025 · Quality of Life and Care

  • Potential for harm · D September 5, 2024 · found via complaint

    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.

    Corrected November 5, 2024 · Resident Rights

  • Potential for harm · E March 15, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 15, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 6, 2024 · Quality of Life and Care

  • Potential for harm · D March 15, 2024

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 6, 2024 · Quality of Life and Care

  • Potential for harm · E March 15, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 6, 2024 · Pharmacy Service

  • Potential for harm · E March 15, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 6, 2024 · Pharmacy Service

  • Potential for harm · E March 15, 2024

    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.

    Corrected April 6, 2024 · Pharmacy Service

  • Potential for harm · D March 15, 2024

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected April 6, 2024 · Nutrition and Dietary

  • Potential for harm · E March 15, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 6, 2024 · Nutrition and Dietary

  • Potential for harm · D March 15, 2024

    Dispose of garbage and refuse properly.

    Corrected April 6, 2024 · Nutrition and Dietary

  • Potential for harm · D March 15, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 14, 2022

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 10, 2022 · Resident Rights

  • Potential for harm · D January 14, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 10, 2022 · Quality of Life and Care

  • Potential for harm · E January 14, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 10, 2022 · Pharmacy Service

  • Potential for harm · F January 14, 2022

    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.

    Corrected March 10, 2022 · Pharmacy Service

  • Potential for harm · E January 14, 2022

    Provide and implement an infection prevention and control program.

    Corrected March 10, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
August 7, 2023Fine$3,145

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056364 · certified since June 21, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.