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

Trellis Chino

Chino, CA · 59 certified beds · Last Life Safety survey August 14, 2025

CMS Certification Number 555910 · first certified October 2018

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

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

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within CA

16 citations — more than 34% 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 10 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to February 2027. This facility’s last Life Safety survey was August 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 16 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)

3 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 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

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 facility16CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0132024-06102025-08
Citations at each Life Safety survey
Survey dateCitations
January 6, 20233
June 6, 20243
August 14, 202510

Most-cited tags

Most-cited tags at this facility
E-00393K-03552K-09232K-09182K-07411K-02231K-09191E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.32025-08-14
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22025-08-14
K-0923Have proper medical gas storage and administration areas.22024-06-06
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-08-14
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12025-08-14
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12025-08-14
K-0919Meet requirements for the use of electrical equipment.12025-08-14
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-08-14

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Emergency Preparedness Deficiencies 4
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies5
Emergency Preparedness Deficiencies4
Smoke Deficiencies4
Miscellaneous Deficiencies2
Egress Deficiencies1

Every citation on file

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

August 14, 2025 — 10 citations

Citations issued on August 14, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (October 3, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 3, 2025)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 27, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 5, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 23, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 27, 2025)
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 (August 27, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 5, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 23, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 27, 2025)

June 6, 2024 — 3 citations

Citations issued on June 6, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 26, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 26, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 26, 2024)

January 6, 2023 — 3 citations

Citations issued on January 6, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 30, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 30, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 30, 2023)

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