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Nursing HomeMedicaid Top Rated

Summerfield Health Care Center

Strong Medicare quality ratings; families often praise excellent physical and occupational therapy. Still worth an in-person visit.

1280 Summerfield Rd, Santa Rosa, CA 9540570 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 78 Google reviews

5
4
3
2
1
Summerfield Health Care Center Nursing Home in Santa Rosa, CA — Street View
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What this means for your family

This facility is an excellent choice for physical and occupational therapy, with many families reporting significant recovery progress. However, you must be extremely vigilant regarding medical oversight and wound care, as multiple reviewers have reported life-threatening medical errors and neglect.

Google Reviews

Google Reviews

78 reviews on Google
Summerfield Health Care Center is highly regarded by many families for its exceptional rehabilitation services, specifically praising the physical and occupational therapy teams. While many reviewers highlight a compassionate and professional staff, there are serious, critical concerns regarding medical oversight and patient safety that must be addressed.

Quality Themes

Tap a score for details
Food7.0Staff8.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Excellent physical and occupational therapy
  • Compassionate and caring nursing staff
  • Clean and well-maintained environment
  • Positive and supportive atmosphere

Concerns

  • Serious medical neglect and safety issues (mentioned by 2 reviewers)
  • Inconsistent responsiveness to call lights (mentioned by 2 reviewers)
  • Staff professionalism and identification issues (mentioned by 2 reviewers)
  • Carelessness with patient belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'20(21)'22(2)'24(5)'26(17)

Distribution · 97 analyzed

5
69
4
12
3
0
2
2
1
14
13 reviews posted between Nov 8, 2020Nov 13, 2020 · 12 were 5-star

How They Respond to Reviews

23%response rate
Generic

The owner primarily uses short, templated phrases to acknowledge reviews. While they occasionally use the reviewer's name or reference specific details, the vast majority of responses are repetitive, brief acknowledgments of the rating or the act of sharing.

Questions for Your Tour

  • 1I noticed the facility is very well-maintained and clean; what are some of the favorite daily activities or social events that residents look forward to most?
  • 2With such a high CMS health inspection rating, what specific protocols do you have in place to ensure medical needs are addressed promptly and safely?
  • 3How does the nursing team manage call lights during busier shifts to ensure no resident is left waiting for assistance?
  • 4What steps does the facility take to ensure all staff members are clearly identified and that their professionalism meets the high standards of the center?
  • 5How do you and your team work to ensure that residents' personal belongings are kept organized and safe within their rooms?
  • 6I see the facility is very active in responding to feedback; how does the administration use resident and family input to improve daily care?

Personalized based on this facility's data


Key Review Excerpts

The facility may be look run down, but it is very well-run, the staff is excellent across the board, the CNAs are very kind and competent, as are the RNs, PTs, OTs, SLP, doctor and administrators.

Rehab patient's family · 2026★★★★★

I can say it was one of the most positive experiences I have ever had regarding rehabilitation. The staff is AMAZING, respectful, helpful, patient, kind, and CARING.

Rehab patient · 2025★★★★★

My grandfather was transferred from our local hospital to this facility after undergoing surgery. This facility almost cost him his life.

Memory care family member · 2025☆☆☆☆
Source: 78 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.12hrs
OK
Registered nurses for medical care
Total Nursing
4.53hrs
OK
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
42%
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 · 15 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
19.5%
CA
13.7%
Sonoma
15.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.3%
Worse than Avg
Here
14.3%
US
12.1%
CA
7.0%
Sonoma
3.8%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
19.4%
CA
10.7%
Sonoma
14.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Mixed vs Avgs
Here
98.2%
US
93.4%
CA
98.6%
Sonoma
98.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.2%
Mixed vs Avgs
Here
10.2%
US
14.4%
CA
10.4%
Sonoma
8.3%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility5.5%
Worse than Avg
Here
5.5%
US
3.2%
CA
1.6%
Sonoma
1.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.4%
Better than Avg
Here
95.4%
US
79.7%
CA
93.2%
Sonoma
93.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
81.8%
CA
94.2%
Sonoma
95.9%
💊

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

1deficiencies
1penalties
Well below state avg (15.4)
4 complaint-triggered
$3,145 in fines

This facility has recurring issues across medication management, food safety, and care quality that persist over time, with families filing complaints about improper discharge procedures and food preparation. Deficiencies span 2022-2025 including repeated medication errors, infection control problems, and food handling violations, with some issues like respiratory care and food safety appearing multiple times across different surveys. While all violations show correction dates, the pattern of recurring problems in core care areas suggests ongoing challenges with consistent quality standards.

Sep 5, 2025Routine
2
0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 3, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 5, 2024Complaint
1
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Mar 15, 2024Routine
12
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0656Potential for harm · PatternCorrected

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.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

May 11, 2023Complaint
2
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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Jan 14, 2022Routine
8
0761Potential for harm · WidespreadCorrected

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Aug 7, 2023

$3,145

Ownership & Operations

Who Operates This Facility

Owner / Operator

Summerfield Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 26 of 328 (Best)

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Bush, CasonManaging Control - Governing BodySae, AynnaManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorWillits, AdamOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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