Summerfield Health Care Center

Name: Summerfield Health Care Center
Address: 1280 SUMMERFIELD RD, Santa Rosa, CA, 95405, US
Telephone: 7075391515

1280 Summerfield Rd, Santa Rosa, CA 95405 · Sonoma County · 70 certified beds · avg 53 residents/day · certified since Jun 21, 1972

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.92

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · 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.

All citations in the current public record (18)

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
Sep 5, 2025	D · Potential for harm, one-off	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 3, 2025	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. · from a complaint
Sep 5, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Mar 15, 2024	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 15, 2024	E · Potential for harm, repeated	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 15, 2024	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.
Mar 15, 2024	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 15, 2024	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.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 14, 2022	F · Potential for harm, facility-wide	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.
Jan 14, 2022	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.
Jan 14, 2022	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.
Jan 14, 2022	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jan 14, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 1).

Year	Citations	Worst severity that year
2022	5	F
2024	11	E
2025	2	D

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)

No fines or payment denials in the published 3-year window.

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)	3.92	4.31	3.95	bottom 35% in California; top 43% in the U.S.
Registered Nurse hours	0.91	0.61	0.69	top 13% in California; top 20% in the U.S.
Weekend total nurse staffing	3.30	3.90	3.50	bottom 17% in California; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.77	0.51	0.48	top 12% in California; top 13% in the U.S.
Total nursing staff turnover (%)	34.8	36.7	45.8	top 45% in California; top 24% in the U.S.
RN turnover (%)	50.0	38.1	42.9	bottom 29% in California; bottom 39% 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 4.44, RN 1.03, weekend 3.74. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	02/01/2006
Bush, Cason	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2015
Bush, Cason	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Bush, Cason	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2015
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2002
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/11/2025
Sae, Aynna	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Sae, Aynna	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Sae, Aynna	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Summerfield Development Company	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2000
Willits, Adam	Individual	Corporate Officer	NOT APPLICABLE	09/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"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?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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?"
"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
Santa Rosa Post Acute	0.6 mi	Santa Rosa, CA	★★★☆☆	2/5
Park View Post Acute	0.8 mi	Santa Rosa, CA	★★☆☆☆	2/5	abuse
Spring Lake Village	1.4 mi	Santa Rosa, CA	★★★★★	4/5
Blue Oak Post-Acute	2.7 mi	Santa Rosa, CA	★★☆☆☆	1/5	abuse
Northvine Postacute Care	3.6 mi	Santa Rosa, CA	★☆☆☆☆	1/5
Arbol Healthcare Center of Santa Rosa	4.3 mi	Santa Rosa, CA	★★★★★	4/5
Apple Valley Post-Acute Rehab	9.5 mi	Sebastopol, CA	★★★★★	4/5
Vineyard Post Acute	13.2 mi	Petaluma, CA	★★★☆☆	2/5
Valley of the Moon Post Acute	14.9 mi	Sonoma, CA	★★★☆☆	2/5	abuse
North Bay Post Acute	15.1 mi	Petaluma, CA	★☆☆☆☆	1/5	abuse
Sonoma Post Acute	15.3 mi	Sonoma, CA	★★★★☆	3/5
Hillcrest Post Acute	15.3 mi	Petaluma, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Santa Rosa →

Facility data as of CMS processing date 2026-08-01. CCN 056364.

The Care File

Visit checklist — Summerfield Health Care Center

1280 Summerfield Rd, Santa Rosa, CA 95405 · 7075391515

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056364 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)