The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Nursing home report
Springs Road Healthcare
Vallejo, CA · Medicare-certified · 65 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Springs Road Healthcare in Vallejo has a 5-star overall rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It has no fines in the last 24 months, but reported nurse staffing is slightly below the federal benchmark (3.97 vs. 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.9714 hrs/resident/day
Quality measures
Last inspection: March 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9714.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.50
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 20%
Registered nurse turnover: 13%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%10.3%No change
Residents with a fall causing major injury
2%0%Improving
Residents with pressure ulcers (bedsores)
4.8%7.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%12.5%Worsening
Residents whose ability to walk got worse
—9.3%—
Long-stay residents on antianxiety or sleep medication
11.9%19.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%6.2%Worsening
Residents with depressive symptoms
2.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2023
Now operated by 1527 Springs Road, LLC, previously Evergreen at Springs Road, L.l.c..
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.3 stars avg
- Occupancy
- 60.1 residents on an average day (92% of 65 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.