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

FOUNTAIN VALLEY POST ACUTE

FOUNTAIN VALLEY, CA · 151 certified beds · Last Life Safety survey January 13, 2026

CMS Certification Number 555328 · first certified January 1989

Ownership

Operated by PACS GROUP · For profit - Corporation

Ownership changed February 1, 2024 (change of ownership)from MANOR CARE OF FOUNTAIN VALLEY CA LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CA

28 citations — more than 79% 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 5 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was January 2026. 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

8 of the 28 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 28 Life Safety citations above. The Physical Environment Index

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

Citations on file over three years, compared
Measure	Citations
This facility	28
Median facility in CA	19
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 13, 2022	15
November 7, 2024	8
January 13, 2026	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-01-13
K-0324	Provide properly protected cooking facilities.	2	2024-11-07
K-0712	Have simulated fire drills held at unexpected times.	2	2026-01-13
E-0006	Conduct risk assessment and an All-Hazards approach.	2	2026-01-13
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2026-01-13
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-11-07
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-01-13
E-0029	Develop a communication plan.	1	2022-06-13

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Emergency Preparedness Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 3
Egress Deficiencies 3
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Emergency Preparedness Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	3
Egress Deficiencies	3
Miscellaneous Deficiencies	2
Construction Deficiencies	1
Services Deficiencies	1

Every citation on file

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

January 13, 2026 — 5 citations

Citations issued on January 13, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 2, 2026)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 2, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 2, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 2, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 2, 2026)

November 7, 2024 — 8 citations

Citations issued on November 7, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (November 15, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 2, 2024)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (November 25, 2024)
K-0324	Provide properly protected cooking facilities.	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 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 20, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 17, 2024)

June 13, 2022 — 15 citations

Citations issued on June 13, 2022
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (July 18, 2022)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (July 18, 2022)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (July 18, 2022)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (July 18, 2022)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (July 18, 2022)
K-0223	Provide 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 (July 18, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (July 18, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (July 18, 2022)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (July 18, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 18, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 18, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 18, 2022)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (July 18, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 18, 2022)
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Deficient, Provider has date of correction (July 18, 2022)

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