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

ARBOR POST ACUTE

CHICO, CA · 144 certified beds · Last Life Safety survey January 24, 2025

CMS Certification Number 555304 · first certified February 1988

Ownership

Operated by PACS GROUP · For profit - Corporation

  • Ownership changed April 1, 2018 (change of ownership)from EVERGREEN AT CHICO, L.L.C.
46
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
13
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within CA

46 citations — more than 98% 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

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

The latest survey found 17 citations; the earlier surveys in the window averaged 14.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to July 2026). Most CA facilities have been surveyed by June 2027. This facility’s last Life Safety survey was January 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

6 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

10 of the 46 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)

19 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 46 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0926 Have policies on smoking.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility46CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility46
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
122022-09172024-01172025-01
Citations at each Life Safety survey
Survey dateCitations
September 15, 202212
January 30, 202417
January 24, 202517

Most-cited tags

Most-cited tags at this facility
K-02933E-00393K-03633K-09183K-01612K-07122K-03532K-02912
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0293Have properly located and lighted "Exit" signs.32025-01-24
E-0039Conduct testing and exercise requirements.32025-01-24
K-0363Install corridor and hallway doors that block smoke.32025-01-24
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-01-24
K-0161Use approved construction type or materials.22024-01-30
K-0712Have simulated fire drills held at unexpected times.22025-01-24
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-01-24
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-01-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Emergency Preparedness Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Egress Deficiencies 7
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Emergency Preparedness Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies7
Egress Deficiencies7
Miscellaneous Deficiencies4
Construction Deficiencies2
Services Deficiencies1

Every citation on file

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

January 24, 2025 — 17 citations

Citations issued on January 24, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 14, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 14, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 14, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 27, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (February 6, 2025)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (February 14, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 14, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (February 6, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 14, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 14, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 14, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 27, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 14, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (February 14, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 27, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (February 12, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 27, 2025)

January 30, 2024 — 17 citations

Citations issued on January 30, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 20, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (March 20, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (March 20, 2024)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (March 20, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 20, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 20, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 20, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (March 20, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (March 20, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 20, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (March 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 20, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 20, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 20, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 20, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 20, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 20, 2024)

September 15, 2022 — 12 citations

Citations issued on September 15, 2022
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (November 14, 2022)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (November 14, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 14, 2022)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (November 14, 2022)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 14, 2022)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (November 14, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 14, 2022)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (November 14, 2022)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (November 14, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 14, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 14, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 14, 2022)

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