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

WOODSIDE HEALTHCARE CENTER

SACRAMENTO, CA · 58 certified beds · Last Life Safety survey November 22, 2024

CMS Certification Number 555798 · first certified November 2002

Ownership

Operated by CYPRESS HEALTHCARE GROUP · For profit - Corporation

Ownership changed March 20, 2019 (change of ownership)from W.H.C., INC

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

30 citations — more than 85% 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 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (November 2025 to May 2026). Most CA facilities have been surveyed by April 2027. This facility’s last Life Safety survey was November 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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5 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 30 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	30
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
December 3, 2021	10
November 2, 2023	9
November 22, 2024	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
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-11-22
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	3	2024-11-22
K-0920	Ensure proper usage of power strips and extension cords.	3	2024-11-22
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-11-22
K-0712	Have simulated fire drills held at unexpected times.	2	2024-11-22
K-0347	Properly provide smoke detection systems in areas open to corridors.	2	2023-11-02
K-0919	Meet requirements for the use of electrical equipment.	2	2024-11-22
K-0293	Have properly located and lighted "Exit" signs.	2	2024-11-22

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Gas, Vacuum, and Electrical Systems Deficiencies 9
Egress Deficiencies 3
Miscellaneous Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Gas, Vacuum, and Electrical Systems Deficiencies	9
Egress Deficiencies	3
Miscellaneous Deficiencies	2
Construction Deficiencies	2

Every citation on file

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

November 22, 2024 — 11 citations

Citations issued on November 22, 2024
Tag	What the surveyor checks	Status
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (December 22, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 5, 2024)
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Deficient, Provider has date of correction (November 26, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (November 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 25, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 18, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 25, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 28, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 3, 2025)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (November 22, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 16, 2024)

November 2, 2023 — 9 citations

Citations issued on November 2, 2023
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (December 5, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (December 5, 2023)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (December 5, 2023)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (December 5, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 5, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 5, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 5, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 5, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (December 5, 2023)

December 3, 2021 — 10 citations

Citations issued on December 3, 2021
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (January 4, 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 (January 4, 2022)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (January 4, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 4, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (January 4, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 4, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 4, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 4, 2022)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (January 4, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 4, 2022)

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