Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
CANYON CREEK POST-ACUTE
CASTRO VALLEY, CA · 70 certified beds · Last Life Safety survey November 1, 2024
CMS Certification Number 555341 · first certified March 1989
Ownership
Operated by LINKS HEALTHCARE GROUP · For profit - Limited Liability company
- Ownership changed May 1, 2023 (change of ownership)from REDWOOD CONVALESCENT HOSPITAL, INC
Position within CA
48 citations — more than 99% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 24 citations; the earlier surveys in the window averaged 12. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (November 2025 to April 2026). Most CA facilities have been surveyed by April 2027. This facility’s last Life Safety survey was November 2024. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
17 of the 48 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 48 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 48 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 27, 2020 | 16 |
| July 23, 2021 | 8 |
| November 1, 2024 | 24 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0161 | Use approved construction type or materials. | 3 | 2024-11-01 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 3 | 2024-11-01 |
| E-0023 | Establish policies and procedures for medical documentation. | 3 | 2024-11-01 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 3 | 2024-11-01 |
| K-0363 | Install corridor and hallway doors that block smoke. | 3 | 2024-11-01 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 2 | 2024-11-01 |
| E-0035 | Provide family notifications of emergency plan. | 2 | 2021-07-23 |
| E-0032 | Provide primary/alternate means for communication. | 2 | 2021-07-23 |
What the citations cover
- Emergency Preparedness Deficiencies 17
- Smoke Deficiencies 13
- Gas, Vacuum, and Electrical Systems Deficiencies 7
- Egress Deficiencies 5
- Other 6
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 17 |
| Smoke Deficiencies | 13 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 7 |
| Egress Deficiencies | 5 |
| Construction Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 1, 2024 — 24 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (November 19, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (November 19, 2024) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (November 19, 2024) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (November 19, 2024) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (November 19, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (November 19, 2024) |
| K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Deficient, Provider has date of correction (November 19, 2024) |
July 23, 2021 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (August 25, 2021) |
| E-0032 | Provide primary/alternate means for communication. | Past Non-Compliance (July 23, 2021) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (August 25, 2021) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (August 25, 2021) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 25, 2021) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 25, 2021) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (August 25, 2021) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (August 25, 2021) |
February 27, 2020 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (August 21, 2020) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (August 21, 2020) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 21, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.