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ICF/DD-N (Nursing)License activeMedi-Cal certified

REDWOOD HOUSE

ICF/DD-N (Nursing) · 6 licensed beds · Santa Rosa, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

REDWOOD HOUSE5028 OLD REDWOOD HWYSanta Rosa, CA 95403 · Sonoma County

Phone: (707) 568-5881

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
DUMOLIN SERVICE CORPORATION · Profit Corp
Administrator
PRUDHOMME, AMANDA
CDPH facility ID
010000481
License number
010000208
First licensed
September 29, 1989
Current license
Nov 16, 2025 to Nov 15, 2026
CDPH district office
Santa Rosa

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G388
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
October 5, 1989
Last certification survey
October 18, 2024
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.3 · LVN/LPN 1.4 · direct care 5.6 · all employees 7.3

State citations and penalties (CDPH)

2 penalties, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Aug 8, 2001 · Penalty #010001884

    Status: Closed · Not appealed

    $1,250

    initially $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 23, 2000 · Penalty #010001759

    Status: Closed · Not appealed

    $500

Federal inspections (CMS-2567)

16 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Recertification

    Event 8IVR21 · 1 deficiency

    Official 2567 ↗
  2. · Complaint, Recertification

    Event 8IVR11 · 2 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event GOF921 · 1 deficiency

    Official 2567 ↗
  4. · Recertification

    Event GOF911 · 4 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 7Q9Y11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 83YC11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event ESZM11 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event D29711 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event 27VQ11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event ZKRT11 · no deficiencies cited

    Official 2567 ↗
  11. · Focused Infection Control, Other-Fed

    Event QBWC11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event FQ7B11 · no deficiencies cited

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

19 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  2. ReportFederal survey (complaint, recertification): 2 deficiencies(state record)

    See this survey →
  3. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  4. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  5. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  6. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  7. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  9. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.