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

COLUSA MEDICAL CENTER - SNF

COLUSA, CA · 6 certified beds · Last Life Safety survey April 4, 2025

CMS Certification Number 555909 · first certified June 2018

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

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

26
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within CA

26 citations — more than 74% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

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

8 of the 26 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 26 Life Safety citations above. The Physical Environment Index

  • 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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 facility26CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
62021-11112024-0392025-04
Citations at each Life Safety survey
Survey dateCitations
November 4, 20216
March 21, 202411
April 4, 20259

Most-cited tags

Most-cited tags at this facility
K-07123K-03632E-00312K-03532K-03522K-09181E-00061K-09261
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-04-04
K-0363Install corridor and hallway doors that block smoke.22024-03-21
E-0031Provide emergency officials' contact information.22024-03-21
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-04-04
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.22025-04-04
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-04-04
E-0006Conduct risk assessment and an All-Hazards approach.12021-11-04
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12024-03-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Miscellaneous Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies3
Egress Deficiencies1

Every citation on file

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

April 4, 2025 — 9 citations

Citations issued on April 4, 2025
TagWhat the surveyor checksStatus
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (April 9, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 10, 2025)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (April 9, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 29, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 9, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 29, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 8, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 8, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 29, 2025)

March 21, 2024 — 11 citations

Citations issued on March 21, 2024
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (April 25, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 25, 2024)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (April 25, 2024)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (April 25, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 25, 2024)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (April 25, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 25, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 25, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 25, 2024)
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.Deficient, Provider has date of correction (April 25, 2024)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (April 25, 2024)

November 4, 2021 — 6 citations

Citations issued on November 4, 2021
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 1, 2021)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (December 1, 2021)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (December 1, 2021)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 1, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 1, 2021)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 1, 2021)

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