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

BROOKSIDE SKILLED NURSING HOSPITAL

SAN MATEO, CA · 96 certified beds · Last Life Safety survey April 16, 2026

CMS Certification Number 055188 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

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

26 citations — more than 74% 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 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was April 2026. 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

4 of the 26 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)

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 26 Life Safety citations above. The Physical Environment Index

F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.

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	26
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
January 14, 2022	17
October 25, 2024	6
April 16, 2026	3

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-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2024-10-25
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-10-25
K-0341	Install a fire alarm system that can be heard throughout the facility.	2	2026-04-16
K-0363	Install corridor and hallway doors that block smoke.	2	2024-10-25
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-04-16
E-0023	Establish policies and procedures for medical documentation.	1	2022-01-14
K-0923	Have proper medical gas storage and administration areas.	1	2022-01-14
E-0037	Establish staff and initial training requirements.	1	2022-01-14

What the citations cover

Citations by CMS category

Smoke Deficiencies 13
Gas, Vacuum, and Electrical Systems Deficiencies 5
Emergency Preparedness Deficiencies 4
Miscellaneous Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	13
Gas, Vacuum, and Electrical Systems Deficiencies	5
Emergency Preparedness Deficiencies	4
Miscellaneous Deficiencies	2
Egress Deficiencies	1
Services Deficiencies	1

Every citation on file

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

April 16, 2026 — 3 citations

Citations issued on April 16, 2026
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 28, 2026)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (May 1, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 1, 2026)

October 25, 2024 — 6 citations

Citations issued on October 25, 2024
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 14, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 14, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 14, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 14, 2024)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (November 14, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 14, 2024)

January 14, 2022 — 17 citations

Citations issued on January 14, 2022
Tag	What the surveyor checks	Status
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (February 8, 2022)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (February 8, 2022)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (February 8, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 8, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (February 8, 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 (February 8, 2022)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (February 8, 2022)
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Deficient, Provider has date of correction (February 8, 2022)
K-0344	Have an alternate power supply for its alarm system.	Deficient, Provider has date of correction (February 8, 2022)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (February 8, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 8, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 8, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 8, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 8, 2022)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 8, 2022)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (February 8, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 8, 2022)

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