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

PLEASANT HILL POST ACUTE

PLEASANT HILL, CA · 51 certified beds · Last Life Safety survey August 15, 2025

CMS Certification Number 055049 · first certified July 1971

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

Ownership changed June 1, 2016 (change of ownership)from OAK PARK HEALTHCARE 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

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

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

The latest survey found 4 citations; the earlier surveys in the window averaged 12. 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: August 2026 to February 2027. This facility’s last Life Safety survey was August 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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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.

Emergency preparedness

6 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)

2 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-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	28
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
June 16, 2022	8
May 16, 2024	16
August 15, 2025	4

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	2025-08-15
K-0161	Use approved construction type or materials.	2	2025-08-15
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2024-05-16
K-0351	Install an approved automatic sprinkler system.	2	2024-05-16
K-0363	Install corridor and hallway doors that block smoke.	2	2024-05-16
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-05-16
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2025-08-15
K-0712	Have simulated fire drills held at unexpected times.	1	2025-08-15

What the citations cover

Citations by CMS category

Smoke Deficiencies 11
Emergency Preparedness Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 4
Miscellaneous Deficiencies 2
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	11
Emergency Preparedness Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	4
Miscellaneous Deficiencies	2
Construction Deficiencies	2
Egress Deficiencies	2
Services Deficiencies	1

Every citation on file

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

August 15, 2025 — 4 citations

Citations issued on August 15, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (September 4, 2025)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (September 4, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 19, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 19, 2025)

May 16, 2024 — 16 citations

Citations issued on May 16, 2024
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 24, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (June 24, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (June 24, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (June 24, 2024)
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 (June 24, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 24, 2024)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (June 24, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (June 24, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 24, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (June 24, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 24, 2024)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (June 24, 2024)
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 (June 24, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 24, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (June 24, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (June 24, 2024)

June 16, 2022 — 8 citations

Citations issued on June 16, 2022
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (July 28, 2022)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (July 28, 2022)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (July 28, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (July 28, 2022)
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 (July 28, 2022)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (July 28, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 28, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 28, 2022)

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