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

San Luis Post Acute Center

San Luis Obispo, CA · 162 certified beds · Last Life Safety survey March 13, 2025

CMS Certification Number 056189 · first certified February 1972

Ownership

Operated by COMPASS HEALTH, INC. · For profit - Corporation

  • Ownership changed November 1, 2019 (change of ownership)from BAYSHORE HEALTHCARE, INC.
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within CA

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

When is the next survey likely?

Past the typical window (March 2026 to September 2026). Most CA facilities have been surveyed by August 2027. This facility’s last Life Safety survey was March 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

Physical environment (health survey)

3 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 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility7CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
32021-0532024-0112025-03
Citations at each Life Safety survey
Survey dateCitations
May 14, 20213
January 18, 20243
March 13, 20251

Most-cited tags

Most-cited tags at this facility
K-03531K-03211K-03631K-02911K-02231K-09201K-05311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-03-13
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-01-18
K-0363Install corridor and hallway doors that block smoke.12024-01-18
K-0291Install emergency lighting that can last at least 1 1/2 hours.12021-05-14
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12021-05-14
K-0920Ensure proper usage of power strips and extension cords.12021-05-14
K-0531Have elevators that firefighters can control in the event of a fire.12024-01-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1

Every citation on file

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

March 13, 2025 — 1 citation

Citations issued on March 13, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 24, 2025)

January 18, 2024 — 3 citations

Citations issued on January 18, 2024
TagWhat the surveyor checksStatus
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 (February 20, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 20, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 20, 2024)

May 14, 2021 — 3 citations

Citations issued on May 14, 2021
TagWhat the surveyor checksStatus
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 (June 8, 2021)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 8, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 8, 2021)

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