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Facility Information

Facility ID: 110000074

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Springs Road Healthcare

Other previous Names(s) known as:

  • Evergreen Healthcare Ctrs Of Vallejo-Springs Road
  • Springs Road Living Center

1527 Springs Rd
Vallejo, Ca   94591

County:Solano

Phone:(707) 643-2793

Fax:(707) 554-2876

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: Evergreen At Springs Road, L.L.C.
4601 Ne 77Th Avenue #300
Vancouver, Wa 98662

Licensee Type: Limited Liability Company

License Number: 110000003

License Status: Active

License Category: Skilled Nursing Facility

License Effective Date: 11/28/2013

Expiration Date: 11/27/2014

Total License Capacity: 65

Bed Classification/Services:

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

Provider Category:SNF/NF

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:9/7/2012

Nursing Home Compare Five Star Quality Ratings are provided by the Medicare.gov - Nursing Home Compare website.

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2013

8ComplaintsComplaints

6Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

18Survey DeficienciesSurvey Deficiencies

Year: 2012

22ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

14Survey DeficienciesSurvey Deficiencies

Year: 2011

15ComplaintsComplaints

10Facility Self-Reported IncidentsFacility Self-Reported Incidents

2State Enforcement ActionsEnforcement Actions

16Survey DeficienciesSurvey Deficiencies

Year: 2010

40ComplaintsComplaints

10Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

35Survey DeficienciesSurvey Deficiencies

Year: 2009

29ComplaintsComplaints

4Facility Self-Reported IncidentsFacility Self-Reported Incidents

3State Enforcement ActionsEnforcement Actions

33Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

16Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

11Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

9Survey DeficienciesSurvey Deficiencies

Year: 2005

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

4State Enforcement ActionsEnforcement Actions

18Survey DeficienciesSurvey Deficiencies

Year: 2004

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

4State Enforcement ActionsEnforcement Actions

51Survey DeficienciesSurvey Deficiencies

Administration Information

4/28/2003
to Present

Evergreen At Springs Road, L.L.C.
Relationship to Facility: Licensee

1/23/2012
to Present

Fields-Johnson, Vicki
Relationship to Facility: Administrator

11/4/2010
to Present

Monsada, Teresa
Relationship to Facility: Director Of Nursing

Ownership Information

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

4/28/2003
to Present

Aen 2 Associates
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found