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

Golden Empire

Grass Valley, CA · 148 certified beds · Last Life Safety survey May 7, 2026

CMS Certification Number 056391 · first certified June 1973

Ownership

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

  • Ownership changed July 31, 2018 (change of ownership)from GOLDEN EMPIRE NURSING & REHAB CENTER LP
One or more citations below are marked by CMS as under Informal Dispute Resolution.
27
Citations on file
Rolling three-year window
4
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

27 citations — more than 77% 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 3 citations; the earlier surveys in the window averaged 8. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was May 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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Which alerts

2 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

3 of the 27 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)

7 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 27 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility27CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
112022-0892023-1242025-0832026-05
Citations at each Life Safety survey
Survey dateCitations
August 19, 202211
December 1, 20239
August 22, 20254
May 7, 20263

Most-cited tags

Most-cited tags at this facility
K-03633K-09183K-07112K-09202K-02231K-03211E-00371K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-08-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-05-07
K-0711Provide a written emergency evacuation plan.22026-05-07
K-0920Ensure proper usage of power strips and extension cords.22025-08-22
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12022-08-19
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-08-22
E-0037Establish staff and initial training requirements.12022-08-19
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-08-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Egress Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Egress Deficiencies4
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies3
Construction Deficiencies1

Every citation on file

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

May 7, 2026 — 3 citations

Citations issued on May 7, 2026
TagWhat the surveyor checksStatus
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (May 21, 2026)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (July 3, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 3, 2026) · under dispute

August 22, 2025 — 4 citations

Citations issued on August 22, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 8, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 8, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 5, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 5, 2025)

December 1, 2023 — 9 citations

Citations issued on December 1, 2023
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (January 9, 2024)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (January 9, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (January 9, 2024)
K-0222Add 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 (January 9, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 9, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 9, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 9, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 9, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 9, 2024)

August 19, 2022 — 11 citations

Citations issued on August 19, 2022
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (September 26, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 26, 2022)
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 (September 26, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (September 26, 2022)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (September 26, 2022)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (September 26, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 26, 2022)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (September 26, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 26, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 26, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 26, 2022)

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