Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ST. CATHERINE HEALTHCARE
FULLERTON, CA · 99 certified beds · Last Life Safety survey March 17, 2026
CMS Certification Number 055689 · first certified September 1969
Ownership
Operated by THE ENSIGN GROUP · For profit - Corporation
- Ownership changed January 1, 2021 (change of ownership)from WINDSOR GARDENS HEALTHCARE CENTER OF FULLERTON LLC
Position within CA
10 citations — more than 11% 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
The latest survey found 3 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was March 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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1 inspection-and-testing tag has 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
3 of the 10 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)
5 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 10 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 10 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 7, 2021 | 6 |
| September 26, 2024 | 1 |
| March 17, 2026 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2026-03-17 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2026-03-17 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-09-26 |
| E-0035 | Provide family notifications of emergency plan. | 1 | 2021-12-07 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2021-12-07 |
| E-0023 | Establish policies and procedures for medical documentation. | 1 | 2021-12-07 |
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | 1 | 2021-12-07 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2021-12-07 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Emergency Preparedness Deficiencies 3
- Smoke Deficiencies 3
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 3 |
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 17, 2026 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (March 17, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 26, 2026) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (March 26, 2026) |
September 26, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (October 13, 2024) |
December 7, 2021 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (January 3, 2022) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (January 3, 2022) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (January 3, 2022) |
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Deficient, Provider has date of correction (January 3, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (January 3, 2022) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 3, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.