SPRING LAKE VILLAGE
5555 MONTGOMERY DRIVE
SANTA ROSA, CA, 95409
7075388400
CCN: 555268
5
Overall3
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CENTRAL COMMUNITY SERVICE, INC
1128a1
Excluded 2005-10-20
Ownership
| Name | Role | % |
|---|---|---|
| FRONT PORCH COMMUNITIES AND SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FORTE, VINCENT | CORPORATE DIRECTOR | NOT APPLICABLE |
| DURANTEAU, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HANDY, JOANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HEISING, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| JACOBS, LAURA | CORPORATE DIRECTOR | NOT APPLICABLE |
| KROEKER, KEVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCGOVERN, MARION | CORPORATE DIRECTOR | NOT APPLICABLE |
| PROCTOR, DEBORAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| SALVADOR, EDUARDO | CORPORATE DIRECTOR | NOT APPLICABLE |
| TONNU, DIEMLAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| WESSON, OLIVER | CORPORATE DIRECTOR | NOT APPLICABLE |
| WHITTAKER, SUSAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| KELLY, SEAN | CORPORATE OFFICER | NOT APPLICABLE |
| VRANICH, RACHEL | CORPORATE OFFICER | NOT APPLICABLE |
| ICHIEN, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KECK, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KELLY, SEAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AKOPYAN, GEVORK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OLSON, KARI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SALVADOR, EDUARDO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SKILLMAN, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VILLARREAL, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ZELK, MISTY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCMULLIN, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CAIRNS, DAWN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (2)
| Date | Type | Amount |
|---|---|---|
| 2023-04-07 | Fine | $45K |
| 2023-04-07 | Payment Denial | 35 days |
Health Deficiencies (29)
2025-04-15 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-02-13 · Health
F
F945 · Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
F761 · Pharmacy Service Deficiencies
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.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F584 · Resident Rights Deficiencies
Honor 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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-04-07 · Health
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2020-02-28 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F761 · Pharmacy Service Deficiencies
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.
E
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.22
RN Hrs/Resident/Day0.54
1.12
LPN Hrs/Resident/Day0.81
1.30
CNA Hrs/Resident/Day2.33
2.80
PT Hrs/Resident/Day0.12
0.11
Data as of 2026-03-01