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

JONES CONVALESCENT HOSPITAL

SAN LEANDRO, CA · 25 certified beds · Last Life Safety survey January 25, 2024

CMS Certification Number 555842 · first certified March 2007

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Jones Rest Home (524 Callan Avenue). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by PRATAP PODDATOORI · For profit - Corporation

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

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within CA

25 citations — more than 71% 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 3 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2025 to July 2025), and past the point by which nine in ten CA facilities have been surveyed. This facility’s last Life Safety survey was January 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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Which alerts

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

11 of the 25 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)

5 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 25 Life Safety citations above. The Physical Environment Index

  • 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-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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility25CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
132019-0892022-0432024-01
Citations at each Life Safety survey
Survey dateCitations
August 15, 201913
April 8, 20229
January 25, 20243

Most-cited tags

Most-cited tags at this facility
E-00413K-03632K-09182E-00392K-07122E-00351K-03241K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0041Implement emergency and standby power systems.32024-01-25
K-0363Install corridor and hallway doors that block smoke.22024-01-25
K-0918Have generator or other power source capable of supplying service within 10 seconds.22022-04-08
E-0039Conduct testing and exercise requirements.22022-04-08
K-0712Have simulated fire drills held at unexpected times.22022-04-08
E-0035Provide family notifications of emergency plan.12019-08-15
K-0324Provide properly protected cooking facilities.12019-08-15
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-04-08

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 11
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies11
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

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

January 25, 2024 — 3 citations

Citations issued on January 25, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 20, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 20, 2024)

April 8, 2022 — 9 citations

Citations issued on April 8, 2022
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 9, 2022)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 9, 2022)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (May 9, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 9, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (May 9, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 9, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 9, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 9, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 9, 2022)

August 15, 2019 — 13 citations

Citations issued on August 15, 2019
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (October 11, 2019)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (October 11, 2019)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (October 11, 2019)
E-0033Establish methods for sharing information.Deficient, Provider has date of correction (October 11, 2019)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (October 11, 2019)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (October 11, 2019)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 11, 2019)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 11, 2019)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 11, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 11, 2019)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 11, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 11, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 11, 2019)

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