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

MAYWOOD SKILLED NURSING & WELLNESS CENTRE

MAYWOOD, CA · 133 certified beds · Last Life Safety survey March 26, 2026

CMS Certification Number 555130 · first certified October 1980

Ownership

Operated by PACIFIC HEALTHCARE HOLDINGS · For profit - Limited Liability company

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

28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within CA

28 citations — more than 79% 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 11 citations; the earlier surveys in the window averaged 8.5. 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 6 months from now. This facility’s last Life Safety survey was March 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

4 of the 28 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)

8 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 28 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-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.

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 facility28CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
122023-1252024-12112026-03
Citations at each Life Safety survey
Survey dateCitations
December 14, 202312
December 19, 20245
March 26, 202611

Most-cited tags

Most-cited tags at this facility
K-03212K-03552K-02112K-05112K-03511K-03631E-00041E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-03-26
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22026-03-26
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-12-19
K-0511Have properly installed electrical wiring and gas equipment.22026-03-26
K-0351Install an approved automatic sprinkler system.12023-12-14
K-0363Install corridor and hallway doors that block smoke.12023-12-14
E-0004Develop and maintain an Emergency Preparedness Program (EP).12026-03-26
E-0039Conduct testing and exercise requirements.12023-12-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies2
Construction Deficiencies1

Every citation on file

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

March 26, 2026 — 11 citations

Citations issued on March 26, 2026
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 14, 2026)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (April 14, 2026)
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 (April 14, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 14, 2026)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (April 14, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 14, 2026)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (April 14, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 14, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 14, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 14, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 14, 2026)

December 19, 2024 — 5 citations

Citations issued on December 19, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 14, 2025)
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 14, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 14, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 14, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 14, 2025)

December 14, 2023 — 12 citations

Citations issued on December 14, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 4, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (January 4, 2024)
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (January 4, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 4, 2024)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (January 4, 2024)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (January 4, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 4, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 4, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 4, 2024)
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 (January 4, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 4, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 4, 2024)

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