Skilled nursing facility · CMS certification number 056364
SUMMERFIELD HEALTH CARE CENTER
SANTA ROSA, California · Medicare and Medicaid · 70 certified beds in Care Compare
SUMMERFIELD HEALTH CARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue rose from $14.4M in fiscal year 2023 to $16.8M in fiscal year 2024.
- Its result from service to patients: $2.1M (2022), $3.4M (2023), $4.4M (2024).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
- Its net patient revenue of $16.8M ranks 361st of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
SUMMERFIELD HEALTH CARE CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1433075 | 2023 · report 1392954 | 2022 · report 1364465 | 2021 · report 1333269 | 2020 · report 1300299 | 2019 · report 1277796 | 2018 · report 1239229 | 2017 · report 1210197 | 2016 · report 1171701 | 2015 · report 1139026 | 2014 · report 1133288 | 2013 · report 1071093 | 2012 · report 1040542 | 2011 · report 1022086 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | August 28, 2025 | August 23, 2024 | September 12, 2023 | September 21, 2022 | September 16, 2021 | December 30, 2020 | August 2, 2019 | August 23, 2018 | August 3, 2017 | July 30, 2016 | June 29, 2016 | July 23, 2014 | June 28, 2013 | December 17, 2012 |
| Total patient revenue | $10,847,894 | $9,908,310 | $8,258,797 | $7,672,815 | $7,891,073 | $8,806,344 | $8,179,155 | $7,542,593 | $7,936,937 | $8,246,834 | $7,728,633 | $6,607,641 | $7,033,526 | $6,665,664 |
| Contractual allowances and discounts | −$5,979,805 | −$4,464,159 | −$2,634,043 | −$3,053,125 | −$3,046,756 | −$497,040 | −$591,611 | −$399,060 | −$60,237 | $256,134 | $351,325 | $473,222 | $459,398 | −$107,228 |
| Net patient revenue | $16,827,699 | $14,372,469 | $10,892,840 | $10,725,940 | $10,937,829 | $9,303,384 | $8,770,766 | $7,941,653 | $7,997,174 | $7,990,700 | $7,377,308 | $6,134,419 | $6,574,128 | $6,772,892 |
| Total operating expenses | $12,413,633 | $11,021,276 | $8,800,094 | $8,494,985 | $8,973,002 | $8,172,250 | $7,757,788 | $7,345,121 | $7,107,946 | $6,933,510 | $6,230,815 | $5,676,849 | $5,780,671 | $5,707,244 |
| Net income from service to patients | $4,414,066 | $3,351,193 | $2,092,746 | $2,230,955 | $1,964,827 | $1,131,134 | $1,012,978 | $596,532 | $889,228 | $1,057,190 | $1,146,493 | $457,570 | $793,457 | $1,065,648 |
| Total other income | $581 | $313 | $888 | $465 | $991 | $4,580 | $4,546 | $2,175 | $5,866 | $5,676 | $4,060 | $5,093 | $7,274 | $8,203 |
| Net income after other income | $4,414,647 | $3,351,506 | $2,093,634 | $2,231,420 | $1,965,818 | $1,135,714 | $1,017,524 | $598,707 | $895,094 | $1,062,866 | $1,150,553 | $462,663 | $800,731 | $1,073,851 |
| Net income | $4,414,647 | $3,351,506 | $2,093,634 | $2,231,420 | $1,965,818 | $1,135,677 | $1,017,524 | $598,707 | $895,094 | $1,062,866 | $1,150,553 | $462,663 | $800,731 | $1,073,851 |
| Total facility beds, all components | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 70 | 70 | 70 | 70 | 70 | 70 | 70 |
| Bed days available, all components | 20,496 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 11,032 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 4,918 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 2,060 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 18,010 | 17,708 | 16,197 | 15,758 | 16,523 | 18,568 | 18,302 | 18,020 | 17,825 | 18,359 | 18,627 | 17,833 | 17,930 | 18,504 |
| Medicare discharges | 487 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 5 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 114 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 606 | 521 | 353 | 286 | 372 | 406 | 373 | 326 | 229 | 260 | 209 | 159 | 153 | 173 |
| Average length of stay, Medicare, in days | 22.65 | 22.35 | 22.81 | 30.03 | 26.76 | 22.91 | 24.94 | 24.15 | 31.6 | 29.49 | 34.87 | 35.46 | 36.6 | 30.37 |
| Average length of stay, Medicaid, in days | 983.6 | 2,108.33 | 873.4 | 1,642.6 | 197.1 | 1,137.22 | 708.93 | 514.41 | 891.75 | 396.32 | 364.79 | 386.68 | 3,833.33 | 828.29 |
| Average length of stay, all patients, in days | 29.72 | 33.99 | 45.88 | 55.1 | 44.42 | 45.73 | 49.07 | 55.28 | 77.84 | 70.61 | 89.12 | 112.16 | 117.19 | 106.96 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 415617 | 2009 · report 385627 | 2008 · report 353263 | 2007 · report 322146 | 2006 · report 296596 | 2005 · report 267659 | 2004 · report 245789 | 2003 · report 192124 | 2002 · report 194983 | 2001 · report 138858 | 1999 · report 82426 | 1998 · report 82424 | 1997 · report 82422 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 1999 | January 1, 1998 | January 1, 1997 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | July 30, 2001 | December 31, 1999 | December 31, 1998 | December 31, 1997 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | 210 | — | — | — |
| Processed by CMS | August 17, 2011 | August 13, 2010 | July 30, 2009 | July 30, 2008 | November 19, 2007 | December 5, 2006 | March 23, 2006 | September 1, 2004 | September 21, 2004 | April 7, 2003 | April 24, 2001 | April 21, 2000 | March 18, 1999 |
| Net patient revenue | $6,339,454 | $6,113,290 | $5,755,744 | $5,042,131 | $4,934,277 | $4,341,999 | $3,931,658 | $3,775,063 | $3,582,260 | $2,038,801 | $3,083,394 | $2,940,794 | $2,914,929 |
| Total operating expenses | $5,566,504 | $5,483,804 | $5,228,571 | $4,655,543 | $4,537,297 | $4,092,724 | $3,709,240 | $3,508,332 | $3,487,246 | $2,063,620 | $3,083,997 | $2,818,566 | $2,716,924 |
| Net income from service to patients | $772,950 | $629,486 | $527,173 | $386,588 | $396,980 | $249,275 | $222,418 | $266,731 | $95,014 | −$24,819 | −$603 | $122,228 | $198,005 |
| Total other income | $10,657 | $10,174 | $8,484 | $11,337 | $11,847 | $14,803 | $21,968 | $23,435 | $23,013 | $12,408 | −$51,664 | $39,473 | −$50,189 |
| Total other expenses | −$1 | $357 | — | — | — | $2 | — | — | — | — | $1,548 | $1,708 | $2,361 |
| Net income | $783,608 | $639,303 | $535,657 | $397,925 | $408,827 | $264,076 | $244,386 | $290,166 | $118,027 | −$12,411 | −$53,815 | $159,993 | $145,455 |
| Total facility beds, all components | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 |
| Total patient days, all components | 18,891 | 18,830 | 20,288 | 20,465 | 21,650 | 21,516 | 21,765 | 21,449 | 23,665 | 14,189 | 25,210 | 24,487 | 24,737 |
| Total discharges, all components | 132 | 157 | 147 | 116 | 125 | 144 | 92 | 168 | 156 | 89 | 47 | 83 | 81 |
| Average length of stay, Medicare, in days | 41.14 | 38.19 | 44.91 | 47.38 | 40.68 | 41.22 | 51.27 | 33.21 | 42.79 | 16.19 | 97.33 | 71.43 | 20.55 |
| Average length of stay, Medicaid, in days | 1,206.2 | 423.94 | 501.64 | 1,013.62 | 1,239.09 | 1,166.5 | 1,009.09 | 270.09 | 382.26 | 683.75 | 1,419.8 | 448.12 | 694.83 |
| Average length of stay, all patients, in days | 143.11 | 119.94 | 138.01 | 176.42 | 173.2 | 149.42 | 236.58 | 127.67 | 151.7 | 159.43 | 536.38 | 295.02 | 305.4 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
SUMMERFIELD HEALTH CARE CENTER: nurse staffing hours by quarter →
Who owns SUMMERFIELD HEALTH CARE CENTER, as filed with CMS
Care Compare
- ADP OF THE SNF: BUSH, CASON (individual), since 07/01/2015; ENSIGN SERVICES INC (organization), since 08/01/2002; SAE, AYNNA (individual), since 01/01/2025; SUMMERFIELD DEVELOPMENT COMPANY (organization), since 07/01/2000
- CORPORATE OFFICER: BURNAM, SOON (individual), since 02/01/2006; KEETCH, CHAD (individual), since 03/01/2011; WILLITS, ADAM (individual), since 09/01/2017
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 09/11/2025
- MANAGING CONTROL - GOVERNING BODY: BUSH, CASON (individual), since 07/01/2015; SAE, AYNNA (individual), since 01/01/2025
- OPERATIONAL/MANAGERIAL CONTROL: BUSH, CASON (individual), since 07/01/2015; SAE, AYNNA (individual), since 01/01/2025
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of ENSIGN SANTA ROSA LLC (enrollment ID O20121231000365).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE NORTH LLC (organization), 100.00%, since 02/01/2006
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 02/01/2006
- ADP OF THE SNF: AYNNA YEE SAE (individual), since 01/01/2025; CASON BUSH (individual), since 07/01/2015; ENSIGN SERVICES INC (organization), since 08/01/2002; SUMMERFIELD DEVELOPMENT COMPANY (organization), since 07/01/2000
- CORPORATE OFFICER: ADAM WILLITS (individual), since 09/01/2017; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 02/01/2006
- MANAGING CONTROL - GOVERNING BODY: AYNNA YEE SAE (individual), since 01/01/2025; CASON BUSH (individual), since 07/01/2015
- OPERATIONAL/MANAGERIAL CONTROL: AYNNA YEE SAE (individual), since 01/01/2025; CASON BUSH (individual), since 07/01/2015
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE NORTH LLC; THE ENSIGN GROUP INC; ENSIGN SERVICES INC; SUMMERFIELD DEVELOPMENT COMPANY.
Private equity company, real estate investment trust and holding company: Paused by CMS: AYNNA YEE SAE; CASON BUSH; ADAM WILLITS; CHAD KEETCH; SOON BURNAM; AYNNA YEE SAE; CASON BUSH; AYNNA YEE SAE; CASON BUSH.
Changes in ownership
- March 1, 2026, enrollment ownership file; no longer listed: CORY R MONETTE (CORPORATE OFFICER); CRAIG FITCH (CORPORATE OFFICER); ADAM WILLITS (CORPORATE DIRECTOR); CASON BUSH (W-2 MANAGING EMPLOYEE); first listed: ADAM WILLITS (CORPORATE OFFICER), associated since September 1, 2017; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; SUMMERFIELD DEVELOPMENT COMPANY (ADP OF THE SNF), associated since July 1, 2000; AYNNA YEE SAE (ADP OF THE SNF), associated since January 1, 2025; AYNNA YEE SAE (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2025; AYNNA YEE SAE (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; ENSIGN SERVICES INC (ADP OF THE SNF), associated since August 1, 2002; CASON BUSH (ADP OF THE SNF), associated since July 1, 2015; CASON BUSH (MANAGING CONTROL - GOVERNING BODY), associated since July 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- June 15, 2023, enrollment ownership file; no longer listed: BEVERLY B WITTEKIND (OFFICER); SUZANNE D SNAPPER (OTHER); MALENE J DAVIS (OTHER); MALENE J DAVIS (DIRECTOR); DAREN SHAW (OTHER); DAREN SHAW (DIRECTOR); CHRISTOPHER R CHRISTENSEN (OTHER); CHRISTOPHER R CHRISTENSEN (DIRECTOR); JOHN NACKEL (OTHER); ADAM WILLITS (OFFICER); ROY E CHRISTENSEN (OTHER); ROY E CHRISTENSEN (DIRECTOR); BARRY M SMITH (OTHER); BARRY M SMITH (DIRECTOR); first listed: CORY R MONETTE (OFFICER), associated since January 1, 2019; CRAIG FITCH (OFFICER), associated since January 1, 2019; ADAM WILLITS (DIRECTOR), associated since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Inspections of SUMMERFIELD HEALTH CARE CENTER
- Cycle 1: health September 5, 2025 (1 deficiencies), fire safety September 5, 2025 (1)
- Cycle 2: health March 15, 2024 (11 deficiencies), fire safety March 15, 2024 (2)
- Cycle 3: health January 14, 2022 (6 deficiencies), fire safety January 14, 2022 (3)
Deficiencies cited at SUMMERFIELD HEALTH CARE CENTER
18 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0880, infection control: September 5, 2025 (D, corrected September 19, 2025); January 14, 2022 (E, corrected March 10, 2022).
- F 0684, quality of life and care: March 3, 2025 (D, from a complaint, corrected March 20, 2025).
- F 0622, resident rights: September 5, 2024 (D, from a complaint, corrected November 5, 2024).
- F 0656, resident assessment and care planning: March 15, 2024 (E, corrected April 6, 2024).
- F 0695, quality of life and care: March 15, 2024 (D, corrected April 6, 2024); January 14, 2022 (D, corrected March 10, 2022).
- F 0697, quality of life and care: March 15, 2024 (D, corrected April 6, 2024).
- F 0756, pharmacy service: March 15, 2024 (E, corrected April 6, 2024).
- F 0759, pharmacy service: March 15, 2024 (E, corrected April 6, 2024); January 14, 2022 (E, corrected March 10, 2022).
- F 0761, pharmacy service: March 15, 2024 (E, corrected April 6, 2024); January 14, 2022 (F, corrected March 10, 2022).
- F 0806, nutrition and dietary: March 15, 2024 (D, corrected April 6, 2024).
- F 0812, nutrition and dietary: March 15, 2024 (E, corrected April 6, 2024).
- F 0814, nutrition and dietary: March 15, 2024 (D, corrected April 6, 2024).
- F 0842, resident assessment and care planning: March 15, 2024 (D, corrected April 6, 2024).
- F 0554, resident rights: January 14, 2022 (D, corrected March 10, 2022).
SUMMERFIELD HEALTH CARE CENTER in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: ENSIGN SANTA ROSA LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1972-06-21
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Sonoma
- Telephone Number: 7075391515
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 51.7
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for SUMMERFIELD HEALTH CARE CENTER: no penalty in Care Compare.
Other nursing facilities in SANTA ROSA and California
Report a figure on SUMMERFIELD HEALTH CARE CENTER’s record that differs from its CMS file, quoting 056364.