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

PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER

GARDEN GROVE, CA · 99 certified beds · Last Life Safety survey July 15, 2026

CMS Certification Number 055575 · first certified January 1980

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

  • New ownershipOwnership changed May 1, 2025 (change of ownership)from 12072 TRASK, INC.
10
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within CA

10 citations — more than 10% 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 CMS's current file.

The latest survey found 2 citations; the earlier surveys on file averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 8 months from now. This facility’s last Life Safety survey was July 2026. Facilities in CA are typically surveyed 12–16 months after the last one (median 14), measured over 1,814 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 about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

6 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

  • 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations in CMS's current file

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility10CA median19National median11
Citations in CMS's current file, compared
MeasureCitations
This facility10
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
22024-0462025-0522026-07
Citations at each Life Safety survey
Survey dateCitations
April 11, 20242
May 5, 20256
July 15, 20262

Most-cited tags

Most-cited tags at this facility
K-03741K-03531K-07121K-03631K-03551K-03421K-09111K-07111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-05-05
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-05-05
K-0712Have simulated fire drills held at unexpected times.12024-04-11
K-0363Install corridor and hallway doors that block smoke.12025-05-05
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-05-05
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.12025-05-05
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-05-05
K-0711Provide a written emergency evacuation plan.12026-07-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1

Every citation on file

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

July 15, 2026 — 2 citations

Citations issued on July 15, 2026
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 21, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 21, 2026)

May 5, 2025 — 6 citations

Citations issued on May 5, 2025
TagWhat the surveyor checksStatus
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (May 24, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 24, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 24, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 24, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 24, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (May 24, 2025)

April 11, 2024 — 2 citations

Citations issued on April 11, 2024
TagWhat the surveyor checksStatus
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 26, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 26, 2024)

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