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

GRIDLEY POST ACUTE

GRIDLEY, CA · 82 certified beds · Last Life Safety survey March 27, 2025

CMS Certification Number 555776 · first certified December 2001

Ownership

Operated by WEST HARBOR HEALTHCARE · For profit - Limited Liability company

  • Ownership changed August 1, 2021 (change of ownership)from ORCHARD HOSPITAL
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within CA

12 citations — more than 17% 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 4.5. 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 August 2027. This facility’s last Life Safety survey was March 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

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

2 of the 12 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)

1 physical-environment citation 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 12 Life Safety citations above. The Physical Environment Index

  • 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 facility12CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-1022024-0332025-03
Citations at each Life Safety survey
Survey dateCitations
October 6, 20237
March 8, 20242
March 27, 20253

Most-cited tags

Most-cited tags at this facility
K-03532K-09202E-00311K-03451K-03631K-02931E-00301K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-03-27
K-0920Ensure proper usage of power strips and extension cords.22024-03-08
E-0031Provide emergency officials' contact information.12025-03-27
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-10-06
K-0363Install corridor and hallway doors that block smoke.12024-03-08
K-0293Have properly located and lighted "Exit" signs.12023-10-06
E-0030List the names and contact information of those in the facility.12025-03-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-10-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Emergency Preparedness Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Emergency Preparedness Deficiencies2
Egress Deficiencies1

Every citation on file

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

March 27, 2025 — 3 citations

Citations issued on March 27, 2025
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (April 15, 2025)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (April 15, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 15, 2025)

March 8, 2024 — 2 citations

Citations issued on March 8, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 26, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 26, 2024)

October 6, 2023 — 7 citations

Citations issued on October 6, 2023
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 23, 2023)
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 (October 23, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 23, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 23, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 23, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (October 23, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 23, 2023)

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