Spring Lake Village
Inspection Findings
F-Tag F880
F-F880). This failure had the potential to negatively affect
the facility's ability to maintain a safe environment to prevent the spread of infectious diseases among the 47 residents in the facility.
Findings:
During an interview on 2/12/25 at 2:13 p.m., with Infection Preventionist Registered Nurse (IP/RN) and the Director of Staff Development (DSD), the IP/RN and DSD stated they did not know what EBP was, therefore,
they had not developed a policy and procedure or trained staff regarding EBP.
During a review of the All Facilities Letter (AFL memo issued by the California Department of Public Health), dated 6/13/2024, indicated, skilled nursing facilities should implement EBP per Centers for Disease Control (CDC) guidance as part of infection control for certified skilled nursing facilities.
During a review of the CDC Recommendations, dated 4/2/24, indicated, Enhanced Barrier Precautions are
an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs)
in nursing homes. Enhanced Barrier Precautions involve gown and glove use during high-contact resident care activities (personal hygiene, linen change, providing medications and treatments such as wound dressing change) for residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 25 of 25 555268
SPRING LAKE VILLAGE in SANTA ROSA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SANTA ROSA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SPRING LAKE VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.