Laurel Creek Health Center
2800 Estates Dr., Fairfield, CA 94533 · Solano County · 60 certified beds · avg 33 residents/day · certified since Jul 13, 1998
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 3, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 3, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 17, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 17, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 17, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 17, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 17, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 17, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 3, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 3, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 10, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 10, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Mar 10, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 10, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not have a compliance and ethics program — an internal system designed to prevent and catch violations of the law and ethical standards. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | E |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 9 | 0 | E |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $35,493.
| Date | Type | Amount / length |
|---|---|---|
| Apr 3, 2024 | Fine | $35,493 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.39 | 4.31 | 3.95 | top 9% in California; top 8% in the U.S. |
| Registered Nurse hours | 1.34 | 0.61 | 0.69 | top 5% in California; top 7% in the U.S. |
| Weekend total nurse staffing | 4.69 | 3.90 | 3.50 | top 10% in California; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.85 | 0.51 | 0.48 | top 10% in California; top 10% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 36.7 | 45.8 | top 25% in California; top 12% in the U.S. |
| RN turnover (%) | 37.5 | 38.1 | 42.9 | top 50% in California; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.12, RN 1.27, weekend 4.46. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anderson, Andrea | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Aspling, Deborah | Individual | Corporate Director | NOT APPLICABLE | 01/18/2018 |
| Bowers, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/18/2018 |
| Burke, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 06/19/2017 |
| De Leon, Jennifer | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/23/2022 |
| Dimichele, John | Individual | Corporate Director | NOT APPLICABLE | 03/16/2017 |
| Dodds, Shannon | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/23/2022 |
| Epperson, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/28/2023 |
| Erickson, Gary | Individual | Corporate Director | NOT APPLICABLE | 01/08/2014 |
| Gripman, Sara | Individual | Corporate Director | NOT APPLICABLE | 09/28/2023 |
| Hogan, Kevin | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/12/2024 |
| Kurkjian, Thomas | Individual | Corporate Director | NOT APPLICABLE | 07/13/1998 |
| Levin, Edward | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Multani, Jasbir | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Northern California Retired Officers Community | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/13/1998 |
| Quinn, Sean | Individual | Corporate Director | NOT APPLICABLE | 11/12/2015 |
| Schmidt-Berringer, Sandra | Individual | Corporate Director | NOT APPLICABLE | 03/19/2015 |
| Schmidt-Berringer, Sandra | Individual | Corporate Officer | NOT APPLICABLE | 03/19/2015 |
| Whitley, Teresa | Individual | Contracted Managing Employee | NOT APPLICABLE | 02/01/2017 |
| Wiedeman, Geoffrey | Individual | Corporate Director | NOT APPLICABLE | 06/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fairfield Post Acute Rehabilitation | 3.6 mi | Fairfield, CA | ★★★★☆ | 3/5 | |
| Greenfield Care Center of Fairfield | 3.6 mi | Fairfield, CA | —/5 | SFF | |
| Emmanuel Care Center - Travis | 3.6 mi | Fairfield, CA | —/5 | ||
| Vacaville Ranch Post Acute | 3.8 mi | Vacaville, CA | ★★★★☆ | 4/5 | |
| Vacaville Convalescent and Rehabilitation Center | 5.8 mi | Vacaville, CA | ★★★★☆ | 4/5 | |
| Dept of State Hospitals - Napa D/P SNF | 13.3 mi | Napa, CA | ★★★☆☆ | 2/5 | |
| Napa Valley Care Center | 14.1 mi | Napa, CA | ★★★☆☆ | 2/5 | |
| Napa Post Acute | 14.2 mi | Napa, CA | ★☆☆☆☆ | 1/5 | |
| Napa Community Health Center | 14.7 mi | Napa, CA | ★☆☆☆☆ | 1/5 | |
| The Meadows of Napa Valley | 14.8 mi | Napa, CA | ★★★★★ | 5/5 | |
| Solano Post Acute | 16.7 mi | Vallejo, CA | ★★☆☆☆ | 1/5 | |
| Heartwood Avenue Healthcare | 17.0 mi | Vallejo, CA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555727.