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

BAY MARINA POST ACUTE

OAKLAND, CA · 94 certified beds · Last Life Safety survey March 28, 2025

CMS Certification Number 056280 · first certified August 1972

Ownership

Operated by CORPORATE INTERFACE SERVICES · For profit - Limited Liability company

Ownership changed October 11, 2023 (change of ownership)from WINDSOR OAKRIDGE CARE CENTER, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CA

58 citations — more than 100% 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 11 citations; the earlier surveys in the window averaged 23.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

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

27 of the 58 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)

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 58 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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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.

Citations on file over three years, compared
Measure	Citations
This facility	58
Median facility in CA	19
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 15, 2019	25
August 24, 2023	22
March 28, 2025	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0039	Conduct testing and exercise requirements.	3	2025-03-28
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-03-28
K-0920	Ensure proper usage of power strips and extension cords.	3	2025-03-28
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-03-28
E-0031	Provide emergency officials' contact information.	2	2023-08-24
E-0015	Address subsistence needs for staff and patients.	2	2023-08-24
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2023-08-24
E-0023	Establish policies and procedures for medical documentation.	2	2023-08-24

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 27
Smoke Deficiencies 13
Gas, Vacuum, and Electrical Systems Deficiencies 8
Miscellaneous Deficiencies 4
Other 6

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	27
Smoke Deficiencies	13
Gas, Vacuum, and Electrical Systems Deficiencies	8
Miscellaneous Deficiencies	4
Services Deficiencies	3
Egress Deficiencies	3

Every citation on file

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

March 28, 2025 — 11 citations

Citations issued on March 28, 2025
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (April 30, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (April 30, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 30, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 11, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 30, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 11, 2025)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (April 14, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 30, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (April 30, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 30, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 30, 2025)

August 24, 2023 — 22 citations

Citations issued on August 24, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (October 20, 2023)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (October 20, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 20, 2023)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (October 20, 2023)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (October 20, 2023)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (October 20, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (October 20, 2023)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (October 20, 2023)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (October 20, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 20, 2023)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (October 20, 2023)
K-0321	Ensure 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 (October 20, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 20, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Past Non-Compliance (August 3, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 20, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 20, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (October 20, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (October 20, 2023)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (October 20, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 20, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 20, 2023)
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Deficient, Provider has date of correction (October 20, 2023)

November 15, 2019 — 25 citations

Citations issued on November 15, 2019
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 4, 2020)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 4, 2020)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 4, 2020)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (February 4, 2020)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (February 4, 2020)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (February 4, 2020)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (February 4, 2020)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (February 4, 2020)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (February 4, 2020)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (February 4, 2020)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (February 4, 2020)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (February 4, 2020)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (February 4, 2020)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 4, 2020)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (February 4, 2020)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 4, 2020)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 4, 2020)
K-0321	Ensure 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 4, 2020)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (February 4, 2020)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (February 4, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 4, 2020)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 4, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 4, 2020)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 4, 2020)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 4, 2020)

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