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

LOS ALTOS POST-ACUTE

LOS ALTOS, CA · 152 certified beds · Last Life Safety survey February 27, 2025

CMS Certification Number 056116 · first certified December 1971

Ownership

Operated by COVENANT CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

26
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
10
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within CA

26 citations — more than 74% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (March 2026 to August 2026). Most CA facilities have been surveyed by July 2027. This facility’s last Life Safety survey was February 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

5 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

5 of the 26 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)

10 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 26 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0926 Have policies on smoking.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • 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.

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 facility26CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
92019-1172022-03102025-02
Citations at each Life Safety survey
Survey dateCitations
November 22, 20199
March 15, 20227
February 27, 202510

Most-cited tags

Most-cited tags at this facility
K-03633K-03532K-03552K-03212K-09182K-07122K-09192K-01612
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-02-27
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-27
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22022-03-15
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22022-03-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-02-27
K-0712Have simulated fire drills held at unexpected times.22022-03-15
K-0919Meet requirements for the use of electrical equipment.22025-02-27
K-0161Use approved construction type or materials.22025-02-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Emergency Preparedness Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies5
Miscellaneous Deficiencies3
Construction Deficiencies2

Every citation on file

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

February 27, 2025 — 10 citations

Citations issued on February 27, 2025
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (March 13, 2025)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (March 13, 2025)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (March 10, 2025)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 13, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 5, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 10, 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 (March 6, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 28, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 5, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 6, 2025)

March 15, 2022 — 7 citations

Citations issued on March 15, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 18, 2022)
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 (March 18, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 18, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 18, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 18, 2022)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 18, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 18, 2022)

November 22, 2019 — 9 citations

Citations issued on November 22, 2019
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (January 30, 2020)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 30, 2020)
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 (January 30, 2020)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 30, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 30, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 30, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 30, 2020)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 30, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 30, 2020)

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