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ICF/DD-H (Habilitative)License activeMedi-Cal certified

CROSSROADS

ICF/DD-H (Habilitative) · 6 licensed beds · Dixon, CA

Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.

Address

CROSSROADS1250 WOODMAN WAYDixon, CA 95620 · Solano County

Phone: (925) 566-4466

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
CROSSROADS LIVING CENTER, INC. · Profit Corp
Administrator
SIMMONS, SAMIKA
CDPH facility ID
010000792
License number
010000303
First licensed
May 8, 1996
Current license
May 8, 2026 to May 7, 2027
CDPH district office
Sacramento

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G986
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
June 17, 1996
Last certification survey
May 20, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
6
Staffing reported to CMS
RN 1 · LVN/LPN 0 · direct care 7 · all employees 8

State citations and penalties (CDPH)

6 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 BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Feb 15, 2010 · Penalty #110007300 · Survey H30W11

    Status: Closed · Appealed (received Nov 15, 2010)

    $650

    initially $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 29, 2010 · Penalty #110007359 · Survey P55J11

    Status: Closed · Appealed (received Nov 15, 2010)

    $650

    initially $1,000

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Feb 15, 2010 · Penalty #110007512 · Survey H30W11

    Status: Closed · Appealed (received Nov 15, 2010)

    $650

    initially $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 29, 2010 · Penalty #110007576 · Survey P55J11

    Status: Closed · Appealed (received Nov 15, 2010)

    $650

    initially $1,000

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Dec 1, 2008 · Penalty #110005701 · Survey EJ1L11

    Status: Closed · Not appealed

    $800

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 1, 2004 · Penalty #010002092

    Status: Closed · Not appealed

    $600

Federal inspections (CMS-2567)

21 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 25C369-L1 · 5 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 25C369-H1 · 5 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event TU0121 · 4 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event TU0111 · 9 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event Z44C11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event W0G511 · 3 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event RE7B21 · 6 deficiencies

    Official 2567 ↗
  8. · Complaint, Recertification

    Event RE7B11 · 10 deficiencies

    Official 2567 ↗
  9. · Complaint, Recertification

    Event 89IW11 · 2 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event 89IW21 · 7 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event HUKQ11 · 1 deficiency

    Official 2567 ↗
  12. · Complaint

    Event PQ3B11 · 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

28 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): 5 deficiencies(state record)

    See this survey →
  2. ReportFederal survey (recertification): 5 deficiencies(state record)

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

    See this survey →
  4. ReportFederal survey (recertification): 9 deficiencies(state record)

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

    See this survey →
  6. ReportFederal survey (complaint): 3 deficiencies(state record)

    See this survey →
  7. ReportFederal survey (recertification): 6 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint, recertification): 10 deficiencies(state record)

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

    See this survey →
  10. ReportFederal survey (recertification): 7 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.