Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
THE BRADLEY GARDENS
SAN JACINTO, CA · 44 certified beds · Last Life Safety survey August 21, 2025
CMS Certification Number 055598 · first certified May 1968
Ownership
Operated by GENERATIONS HEALTHCARE · For profit - Limited Liability company
- Ownership changed April 1, 2024 (change of ownership)from HEALTHCARE MANAGEMENT SYSTEMS INC.
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
The latest survey found 5 citations; the earlier surveys in the window averaged 12.5. 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
12 of the 30 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 30 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 30 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 12, 2021 | 24 |
| March 29, 2024 | 1 |
| August 21, 2025 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 3 | 2025-08-21 |
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2025-08-21 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2025-08-21 |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | 1 | 2021-08-12 |
| E-0034 | Provide a means of sharing information on occupancy/needs. | 1 | 2021-08-12 |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | 1 | 2021-08-12 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2025-08-21 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2021-08-12 |
What the citations cover
- Smoke Deficiencies 13
- Emergency Preparedness Deficiencies 12
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Construction Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Smoke Deficiencies | 13 |
| Emergency Preparedness Deficiencies | 12 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Services Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 21, 2025 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 26, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 26, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 26, 2025) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (August 26, 2025) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (August 26, 2025) |
March 29, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 10, 2024) |
August 12, 2021 — 24 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (September 7, 2021) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (September 7, 2021) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (September 7, 2021) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.