Spring Lake Village
Spring Lake Village Information
| Facility Name | Spring Lake Village |
| Location | 5555 Montgomery Drive, Santa Rosa, CA 95409 |
| County (SSA Code) | Sonoma (590) |
| Phone Number | 707-538-8400 |
| Certification(s) | Medicare |
| Number of Beds | 70 |
| Average Number of Residents | 54.4 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COVIA COMMUNITIES |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1986-12-04 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.03034 |
| Reported LPN Staffing Hours per Resident per Day | 1.08032 |
| Reported RN Staffing - Hours per Resident per Day | 1.11976 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.20008 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.23042 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.21368 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.11338 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.66438 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28754 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.06531 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.44009 |
| Total Weighted Health Survey Score for three cycles | 38 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-28 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 44 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-02-01 |
| Rating cycle 2 - Health Deficiency Score | 44 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-02-21 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |