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

CRESTWOOD MANOR

MODESTO, CA · 194 certified beds · Last Life Safety survey August 15, 2024

CMS Certification Number 05A024 · first certified June 1979

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

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

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within CA

13 citations — more than 21% 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 5 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (August 2025 to February 2026). Most CA facilities have been surveyed by January 2027. This facility’s last Life Safety survey was August 2024. 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

3 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.

Physical environment (health survey)

4 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 13 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-0908 Keep all essential equipment working 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 facility13CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
32018-1252019-1252024-08
Citations at each Life Safety survey
Survey dateCitations
December 14, 20183
December 19, 20195
August 15, 20245

Most-cited tags

Most-cited tags at this facility
K-03452K-03632K-03472K-03532K-03551K-03211K-09201K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-08-15
K-0363Install corridor and hallway doors that block smoke.22024-08-15
K-0347Properly provide smoke detection systems in areas open to corridors.22019-12-19
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-08-15
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-08-15
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12019-12-19
K-0920Ensure proper usage of power strips and extension cords.12024-08-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.12019-12-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

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

August 15, 2024 — 5 citations

Citations issued on August 15, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 6, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 6, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 6, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 6, 2024)

December 19, 2019 — 5 citations

Citations issued on December 19, 2019
TagWhat the surveyor checksStatus
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 (February 27, 2020)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (February 27, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 27, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 27, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 27, 2020)

December 14, 2018 — 3 citations

Citations issued on December 14, 2018
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 30, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 30, 2019)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (January 30, 2019)

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