Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ST JOHN KRONSTADT CONVALESCENT CENTER

CASTRO VALLEY, CA · 49 certified beds · Last Life Safety survey November 21, 2025

CMS Certification Number 555016 · first certified May 1976

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within CA

24 citations — more than 67% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was November 2025. 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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Which alerts

3 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

4 of the 24 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)

4 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 24 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility24CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
152023-0272024-0622025-11
Citations at each Life Safety survey
Survey dateCitations
February 17, 202315
June 7, 20247
November 21, 20252

Most-cited tags

Most-cited tags at this facility
K-03633K-03452K-07112K-09182K-09141K-03721K-03241K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-11-21
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-06-07
K-0711Provide a written emergency evacuation plan.22024-06-07
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-06-07
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-02-17
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-06-07
K-0324Provide properly protected cooking facilities.12024-06-07
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-06-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Emergency Preparedness Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies2
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 21, 2025 — 2 citations

Citations issued on November 21, 2025
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 25, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 25, 2025)

June 7, 2024 — 7 citations

Citations issued on June 7, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 28, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 28, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 28, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 28, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 28, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 28, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 28, 2024)

February 17, 2023 — 15 citations

Citations issued on February 17, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 10, 2023)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (March 10, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 10, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 10, 2023)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 10, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 10, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (March 10, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 10, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 10, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 10, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (March 10, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 10, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 10, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 10, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (March 10, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.