Medical and dental care
Cited in 4 reports, with 4 deficiencies in total.
VILLA CAPRI
1397 FOUNTAINGROVE PKWY, Santa Rosa CA 95403
80 bedsLatest official report Jul 2, 2026Licensed
Additional info
- Telephone
- (707) 526-9090
- Licensee
- VARENNA ASSISTED LIVING LLC; GSL MGMT LIVING LLC
- Administrator
- PATTERSON, BROOKE
- Contact
- PATTERSON, BROOKE
- License first date
- May 29, 2007
- License effective date
- May 29, 2007
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 10 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- May 28, 2026
- Most recent deficiency
- Jul 2, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 18 Sonoma County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 23 reports for this facility: 10 inspections, 13 complaint investigations, and 0 licensing or administrative records.
Those records contain 10 Type A and 7 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 10
- Recorded deficiencies
- 17
- Type A deficiencies
- 10
- Type B deficiencies
- 7
- Substantiated complaints
- 8
- Repeated topics
- 2
More than the typical 9
1 in the last 12 months
More than the typical 9
2 in the last 12 months
Well above the typical 4
1 in the last 12 months
More than the typical 5
1 in the last 12 months
Well above the typical 2
2 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Resident rights
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility… (2) The licensee shall provide assistance in meeting necessary medical and dental needs. This requirement is not met as evidenced by: Based on LPA interview and record review, the licensee did not comply with the section cited above in that facility refused to adminsiter R1's physician prescribed medication which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Facility to submit written policy indicating how the facility will meet the requirements of following physicians' medication orders to meet the necessary medical needs of residents.
Deadline recorded: Jul 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 3, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident, The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met as evidenced by: LPA's investigation, R1 was observed to have a change in condition, on 8/18/25, Physician was faxed about R1's changes observed, but there was no follow-up after this date till 8/24/25 at 10:20am, per record reviews. RP was not notified per file reviews, obtained information, and interviews, until 8/27/25 that resident had a change of condition. This is a personal rights risk to resident in care.
Official plan of correction
Licensee to ensure all observed changes in residents are followed-up on when notifying resident's Physician, until the resident changes have been addressed. Ensure responsible parties are notified as required by regulation when changes are observed. Hold an in-service training with your staff regarding this requirement by regulation, " Observation of the Resident " Ensure staff understand the policy of observations of the resident, including documenting what has been done on notifications, what is being done, any changes in monitoring of the resident/care plan updates, and any follow-up needed. Submit proof of training and facility's future compliance by 9/15/25.
Deadline recorded: Sep 15, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 15, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 1, 2025 · Control 21-AS-20250407104217
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(4) Incidental Medical and Dental Care- The licensee shall assist residents with self-administered medications as needed. This requirement was not as evidenced by: LPAs record reviews, interviews, and observations, Facility policy states that medication refills are to be ordered seven days prior to running out. R1's care plan states that R1's Representative is to be notified a, minimum of two weeks in advance for refills. R1 missed 8 doses of Medication Order #1, and has been provided medication order #2 outside of dosage hours, and given for sleep/insomnia which is not per the Dr's Order. This is a risk to residents rights & health & safety. Civil Penalty assessed at $250 for repeat violation within 12 months, LIC421FC.
Official plan of correction
Licensee/Administrator to ensure all residents receive their medications as prescribed by the Physician. Submit a plan on how the facility will ensure that R1's medications are ordered/filled in a timely manner, and that PRN medications are provided to the resident per dosage instructions on Doctor's Orders, including time frame given, and reason for giving the medication. Hold an in-service training with all medication staff regarding refills/orders in a timely manner, record keeping, and Dr's instruction Orders on PRNs. Submit plan regarding medications as stated above and on plan regarding facility's future compliance. POC due 1/28/25. *Submit proof of training by 2/7/25.
Deadline recorded: Jan 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 28, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(4) Incidental Medical and Dental Care-A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self-administered medications as needed. This requirement was not as evidenced by: LPAs record reviews, interviews, and observations, Facility policy states that medication refills are to be ordered seven days prior to running out. R1's care plan states that RP is to be notified when medications need to be filled, minimum of two weeks in advance. R1's last dose of their powdered mix medication was 12/16/24, and today, 12/17, R1 missed the AM dose and will miss the pm dose due to the medication is out, and is just now on order, waiting to be filled, per interviews with staff and other related parties. This is a risk to residents health & safety and personal rights.
Official plan of correction
Licensee/Administrator to ensure all residents receive their medications as prescribed by the Physician. Submit a plan on how the facility will ensure that R1's medications are ordered/filled in a timely manner, ensuring the two week notice is sent out to the RP of R1, and maintaining necessary records to ensure compliance with regulations. Maintain all medication records accurately and keep them up to date. Hold an in-service training with all medication staff regarding refills/orders in a timely manner, and record keeping. Submit plan regarding medications as stated above and discussion of facility's future compliance. POC due 12/18/24. *Submit proof of training by 12/23/24.
Deadline recorded: Dec 18, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 18, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 5, 2024 · Control 21-AS-20240129083327
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625
- Regulation authority
- CCR
What the official deficiency says
87625 (b)(1)(2)(3 Managed Incontinence-)In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:Ensuring that residents who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered. Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. Health & Wellness (H & W) Director Jennifer Haney stated that facility caregivers are to check on the resident every two hours, and change the resident as needed; The resident has a companion with them for part-time hours, and some of the facility caregivers checked a couple times on the resident, to find the companion had already changed R1. Some of the facility caregivers had stopped checking on R1 due to thinking the resident was being provided incontinent care by the resident's private companion. This is a risk to resident's personal rights.
Official plan of correction
Licensee to ensure an inservice is conducted with all staff regarding incontinent care services to residents. Submit plan of future compliance with this regulation, ensuring staff are checking on resident and changing resident timely. Submit proof of training. All POC documentation is due 2/15/24.
Deadline recorded: Feb 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 15, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(4) Incidental Medical and Dental Care- The licensee shall assist residents with self- administered medications as needed. This requirement was not met as evidenced by: The LPA's review of records, interviews, investigation revealed that the facility didn't refill resident's medication in a timely manner, Medication was ordered 4/3, and resident's responsible party had to go buy the medication on 4/5/23 for the resident. This is a health and safety risk and/or a personal rights risk to residents in care.
Official plan of correction
DEFICIENCY CLEARED TODAY-9/5/23. LICENSEE HELD AN IN-SERVICE TRAINING ON FACILITY'S MEDICATION POLICY & PROCEDURES, ON 7/13/23, REGARDING THE INCIDENT OF R1'S MEDICATION NOT BEING FILLED TIMELY FOR THE RESIDENT AS REQUESTED/REQUIRED. POC CLEARED.
Deadline recorded: Sep 6, 2023. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Sep 5, 2023
Correction deadline recordedDeadline Sep 6, 2023
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents- In addition to the rights in Section 87468.1, Personal Rights of Residents: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Per LPA's review of records, interviews with staff, and other related parties, resident rang call bell/pendant for assistance on 5/20, with no response till 24 minutes later; & 6/27 resident rang call bell/pendant for assistance and no response till 25 minutes later. This is a risk to resident health & safety and/or personal rights. Civil Penalty assessed in the amount of $250.see LIC421FC.
Official plan of correction
Licensee to ensure all staff are responding to resident call bell/pendants in a timely manner when ringing for assistance. Hold an in-service training with all staff on facility's signal system, Call Bell/Pendant Policy and Procedures. Submit plan of correction , and proof of training by 9/15/23.
Deadline recorded: Sep 15, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 15, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 2 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2(a)(4) Additional Personal Rights of Residents- In addition to the rights in Section 87468.1, Personal Rights of Residents:To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Per investigation, Resident waited an hour for assistance after requesting a med-tech, R1 had requested S3/staff to call for a med-tech for them. S3 never called for a med-tech. R1 called on their own for a med-tech to assist them after waiting an hour. This is a risk to residents personal rights and/or a risk to resident's health & safety.
Official plan of correction
Licensee/Administrator to have an in-service with all staff regarding " residents personal rights " and that staff are to not violate these rights at any time. Proof of training to include, Trainer, Topics, Date/Time Spent and Attendees. Submit plan of correction, and proof of training by 8/18/23. POC due 8/18/23.
Deadline recorded: Aug 18, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 18, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
87303(e)(2)Maintenance and Operation: Water supplies and plumbing fixtures shall be maintained as follows:Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidenced by review of records, interviews with staff and other related parties. The hot water has had some incidents of running cold for 15 mins or so before getting warm and running hot intermittently. Currently a unit is affected by this, and Professional Plumber identified a part needing to be replaced. Currently, it is on order and will be installed as soon as received. Hot water may continue to run hot intermittently till repaired. Licensee has reported all hot water incidents. his is a risk to health and safety and/or a personal rights violation to residents in care.
Official plan of correction
POC CLEARED 10/14/2022-BY ADMINISTRATOR ADDRESSING THE HOT WATER ISSUE AS NEEDED AND REQUIRED. Currently, the hot water is running within regulation, and a part has been ordered to replace the " temperature Valve " per last Plumbing inspection service. This will be installed as soon as received. Licensee to continue to ensure there is a plan in place for hot water issues, as needed, for residents affected and/or provide information of other units that may be available to the resident with no hot water concerns. Ensure communication is made/notification to residents and responsible parties, of hot water issues, including any updates. Licensee to continue to ensure hot water to residents in the facility.
Deadline recorded: Oct 17, 2022. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn Oct 14, 2022
Plan of correction recorded
Correction deadline recordedDeadline Oct 17, 2022
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology