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

ST FRANCIS HEALTHCARE CENTER

HAYWARD, CA · 62 certified beds · Last Life Safety survey April 10, 2026

CMS Certification Number 555418 · first certified March 1990

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

  • Ownership changed April 1, 2019 (change of ownership)from ST FRANCIS EXTENDED CARE INC
49
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
14
Tags cited more than once
Across separate surveys
18
Inspection & testing records
Of the citations on file

Position within CA

49 citations — more than 99% 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 14 citations; the earlier surveys in the window averaged 17.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

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

6 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

12 of the 49 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 49 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-0880 Provide and implement an infection prevention and control program.
  • 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 facility49CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility49
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
142024-03212025-07142026-04
Citations at each Life Safety survey
Survey dateCitations
March 22, 202414
July 24, 202521
April 10, 202614

Most-cited tags

Most-cited tags at this facility
K-09193K-03533K-09183E-00393K-07123E-00042K-03552K-09202
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0919Meet requirements for the use of electrical equipment.32026-04-10
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-04-10
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-04-10
E-0039Conduct testing and exercise requirements.32026-04-10
K-0712Have simulated fire drills held at unexpected times.32026-04-10
E-0004Develop and maintain an Emergency Preparedness Program (EP).22025-07-24
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22025-07-24
K-0920Ensure proper usage of power strips and extension cords.22026-04-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Gas, Vacuum, and Electrical Systems Deficiencies 12
  • Emergency Preparedness Deficiencies 12
  • Miscellaneous Deficiencies 5
  • Other 8
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Gas, Vacuum, and Electrical Systems Deficiencies12
Emergency Preparedness Deficiencies12
Miscellaneous Deficiencies5
Egress Deficiencies4
Services Deficiencies2
Construction Deficiencies2

Every citation on file

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

April 10, 2026 — 14 citations

Citations issued on April 10, 2026
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (April 26, 2026)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 30, 2026)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 24, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 30, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 26, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 30, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 30, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 30, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 30, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 30, 2026)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (May 13, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 30, 2026)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 26, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 26, 2026)

July 24, 2025 — 21 citations

Citations issued on July 24, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 1, 2025)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (August 5, 2025)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (August 1, 2025)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (August 1, 2025)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 1, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 15, 2025)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 25, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 23, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 23, 2025)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (August 23, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 29, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 28, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 25, 2025)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (July 25, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 15, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (July 27, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 23, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (July 25, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 15, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 15, 2025)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (August 23, 2025)

March 22, 2024 — 14 citations

Citations issued on March 22, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 29, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 29, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (April 29, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 29, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 29, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 29, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 29, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 29, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (April 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 29, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 29, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 29, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 29, 2024)

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