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Facility Information

Facility ID: 010000657

Register Complaint

Estes House

4740 Badger Rd
Santa Rosa, Ca   95409

County:Sonoma

Phone:(707) 538-9675

Fax:(707) 536-9147

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Santa Rosa/Redwood Coast District Office
2170 Northpoint Parkway
Santa Rosa, CA. 95407
Phone Number: (707) 576-6775

License Information

Licensee: Cornerstone Living Skills, Inc.
920 Baird Road
Santa Rosa, Ca 95409

Licensee Type: Profit Corp

License Number: 010000260

License Status: Active

License Category: Intermediate Care Facility/Developmentally Disabled - Nursing

License Effective Date: 6/30/2013

Expiration Date: 6/29/2014

Total License Capacity: 6

Bed Classification/Services:

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:ICF/IID

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:10/28/2013

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2014

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2013

0ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2012

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Year: 2011

1ComplaintsComplaints

3Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

9Survey DeficienciesSurvey Deficiencies

Year: 2010

0ComplaintsComplaints

4Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

14Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

19Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

5Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2005

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

2Survey DeficienciesSurvey Deficiencies

Year: 2004

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Administration Information

6/30/1993
to Present

Cornerstone Living Skills, Inc.
Relationship to Facility: Licensee

7/10/2001
to Present

Schreiber, Russell
Relationship to Facility: Administrator

7/27/2013
to Present

Lyman, Steven F
Relationship to Facility: Director Of Nursing

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

6/30/1993
to Present

Schreiber, Russell
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found