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

CANYON SPRINGS POST-ACUTE

SAN JOSE, CA · 199 certified beds · Last Life Safety survey December 8, 2025

CMS Certification Number 056082 · first certified December 1994

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

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

56
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
22
Inspection & testing records
Of the citations on file

Position within CA

56 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 1 citation; the earlier surveys in the window averaged 18.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was December 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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Which alerts

7 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

15 of the 56 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)

6 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 56 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.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility56CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility56
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
112021-06302024-02142025-0512025-12
Citations at each Life Safety survey
Survey dateCitations
June 14, 202111
February 15, 202430
May 9, 202514
December 8, 20251

Most-cited tags

Most-cited tags at this facility
K-03473K-01613K-09203K-03553K-07123K-03533K-05113K-03633
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0347Properly provide smoke detection systems in areas open to corridors.32025-05-09
K-0161Use approved construction type or materials.32025-05-09
K-0920Ensure proper usage of power strips and extension cords.32025-05-09
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.32025-05-09
K-0712Have simulated fire drills held at unexpected times.32025-05-09
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-05-09
K-0511Have properly installed electrical wiring and gas equipment.32025-12-08
K-0363Install corridor and hallway doors that block smoke.32025-05-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 19
  • Emergency Preparedness Deficiencies 15
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Services Deficiencies 5
  • Other 9
Citations by CMS category
CategoryCitations
Smoke Deficiencies19
Emergency Preparedness Deficiencies15
Gas, Vacuum, and Electrical Systems Deficiencies8
Services Deficiencies5
Miscellaneous Deficiencies4
Construction Deficiencies3
Egress Deficiencies2

Every citation on file

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

December 8, 2025 — 1 citation

Citations issued on December 8, 2025
TagWhat the surveyor checksStatus
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 31, 2025)

May 9, 2025 — 14 citations

Citations issued on May 9, 2025
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (June 3, 2025)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (June 3, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 3, 2025)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (June 3, 2025)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (June 3, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 3, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 3, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 3, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 3, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 3, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 3, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 3, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 3, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 3, 2025)

February 15, 2024 — 30 citations

Citations issued on February 15, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (March 16, 2024)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (March 16, 2024)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (March 16, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (March 16, 2024)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (March 16, 2024)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (March 16, 2024)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (March 16, 2024)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (March 16, 2024)
E-0033Establish methods for sharing information.Deficient, Provider has date of correction (March 16, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (March 16, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (March 16, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 16, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 16, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (March 16, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 16, 2024)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (March 16, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 16, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (March 16, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (March 16, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 16, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 16, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (March 16, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 16, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 16, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 16, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 16, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 16, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (March 16, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 16, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 16, 2024)

June 14, 2021 — 11 citations

Citations issued on June 14, 2021
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (July 15, 2021)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 15, 2021)
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 (July 15, 2021)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (July 15, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2021)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 15, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 15, 2021)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 15, 2021)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 15, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 15, 2021)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (July 15, 2021)

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