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

MERCED NURSING & REHABILITATION CTR

MERCED, CA · 79 certified beds · Last Life Safety survey April 18, 2025

CMS Certification Number 055249 · first certified January 1970

Ownership

Operated by CAMBRIDGE HEALTHCARE SERVICES · For profit - Corporation

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

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within CA

19 citations — more than 47% 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 5 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: April 2026 to October 2026. This facility’s last Life Safety survey was April 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

4 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

2 of the 19 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)

5 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 19 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-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.

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 facility19CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
52019-0992024-0752025-04
Citations at each Life Safety survey
Survey dateCitations
September 13, 20195
July 12, 20249
April 18, 20255

Most-cited tags

Most-cited tags at this facility
K-03633K-09182K-03532K-07122K-01611K-03551K-05211K-07111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-04-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-07-12
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-07-12
K-0712Have simulated fire drills held at unexpected times.22025-04-18
K-0161Use approved construction type or materials.12019-09-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-07-12
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-07-12
K-0711Provide a written emergency evacuation plan.12024-07-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Construction Deficiencies1
Services Deficiencies1
Egress Deficiencies1

Every citation on file

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

April 18, 2025 — 5 citations

Citations issued on April 18, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 22, 2025)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (May 8, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 8, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 8, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 8, 2025)

July 12, 2024 — 9 citations

Citations issued on July 12, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 7, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 7, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 7, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (August 7, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 7, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 7, 2024)

September 13, 2019 — 5 citations

Citations issued on September 13, 2019
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 20, 2019)
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 (November 20, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 20, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 20, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 20, 2019)

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