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Nursing Home Top Rated

Spring Lake Village

Strong Medicare quality ratings; families often praise beautiful landscaping and grounds. Still worth an in-person visit.

5555 Montgomery Drive, Santa Rosa, CA 9540970 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 48 Google reviews

5
4
3
2
1
Spring Lake Village Nursing Home in Santa Rosa, CA — Street View
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What this means for your family

Spring Lake Village offers an exceptionally beautiful environment with excellent dining and amenities that can provide a high quality of life. However, families should exercise extreme caution regarding the rehab services and emergency protocols, as recent reports indicate serious lapses in medical follow-up and communication during crises.

Google Reviews

Google Reviews

48 reviews on Google
Spring Lake Village is highly regarded for its stunning grounds, beautiful amenities, and high-quality dining options. However, recent reviews from families of rehab patients express serious concerns regarding medical neglect, lack of communication during emergencies, and a perceived decline in care quality following a change in ownership.

Quality Themes

Tap a score for details
Food8.0Staff4.0Clean5.0Activities9.0Meds1.0MemoryN/AComms2.0Value3.0

Strengths

  • Beautiful landscaping and grounds
  • High-quality dining and restaurant-style amenities
  • Extensive resident activities and amenities
  • Well-maintained and luxurious facilities

Concerns

  • Medical neglect and lack of follow-up care in rehab (mentioned by 2 reviewers)
  • Poor emergency communication and evacuation procedures
  • Perceived decline in care quality due to corporate ownership

Rating Trends

Tap a year to see what changed

234'12(1)'16(9)'18(13)'21(2)'23(1)'25(1)'26(1)

Distribution · 49 analyzed

5
34
4
8
3
2
2
1
1
4

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1The grounds and landscaping look absolutely beautiful; how often do residents get to enjoy time outdoors in the gardens?
  • 2We've heard great things about the restaurant-style dining here; could you tell us more about how mealtime and menu selections work?
  • 3With the high staffing rating you have, how do you ensure that medication management and daily care remain consistent for every resident?
  • 4In the event of a medical emergency or an after-hours situation, what is the specific protocol for communicating updates to the family?
  • 5How does the clinical team handle follow-up care and coordination with outside doctors, especially during the transition from rehab back to long-term care?
  • 6What kind of variety can we expect in terms of daily social activities and special events for the residents?

Personalized based on this facility's data


Key Review Excerpts

Horrible experience with my mother being sent there for rehab. They are a for profit establishment; privately owned. They neglected her after surgery.... 17 days and no stitches removed for a hip operation.

Rehab patient's family · 2024☆☆☆☆

This retirement community is absolutely gorgeous! Main building hosts two restaurant-style dining areas on either side of a stunning engave/indoor garden.

Visitor · 2017★★★★★

When the Santa Rosa Firestorm hit, my parents were evacuated from Spring Lake Village - which failed miserably at handling the basics of emergency support and communication for their residents.

Resident's family · 2021☆☆☆☆
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.09hrs
OK
Registered nurses for medical care
Total Nursing
5.09hrs
OK
All nurses + aides combined
Staff Turnover
24%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
15.3%
CA
10.5%
Sonoma
9.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.8%
Worse than Avg
Here
27.8%
US
19.4%
CA
10.7%
Sonoma
13.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
19.5%
CA
13.7%
Sonoma
15.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
Sonoma
4.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility15.2%
Worse than Avg
Here
15.2%
US
14.4%
CA
10.4%
Sonoma
7.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.7%
Worse than Avg
Here
91.7%
US
95.5%
CA
98.2%
Sonoma
98.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.2%
Mixed vs Avgs
Here
84.2%
US
79.7%
CA
93.2%
Sonoma
94.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.3%
Mixed vs Avgs
Here
88.3%
US
81.8%
CA
94.2%
Sonoma
96.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
CA
1.5%
Sonoma
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (15.4)
2 complaint-triggered
$44,730 in fines

This facility shows recurring problems across multiple care areas that persist across inspections. The most significant issues are in fire safety and building compliance, medication management, and food safety, with many deficiencies repeating in recent surveys despite previous corrections. A family filed a complaint in 2025 regarding abuse reporting procedures. While all deficiencies show correction dates, the pattern of recurring violations in critical safety areas warrants careful consideration during any visit.

Jan 22, 2026Routine
10
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Apr 15, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Feb 13, 2025Routine
25
0945Potential for harm · WidespreadCorrected

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0926Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761Potential for harm · IsolatedCorrected

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.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Apr 7, 2023Routine
24
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0657Potential for harm · PatternCorrected

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.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Spring Lake Village

Organization Type

nonprofit

Chain Affiliation

Chain Name

Front Porch

Chain Size

9 facilities nationwide

Chain avg rating: 4.6/5 · Rank 6 of 9 (Best)

Ownership & Management

Owners

Front Porch Communities and Services

Owner · Organization

100%

Key personnel

Duranteau, NancyOfficer / DirectorForte, VincentOfficer / DirectorHandy, JoanneOfficer / DirectorHeising, MaryOfficer / DirectorJacobs, LauraOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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