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

NORTHVINE POSTACUTE CARE

SANTA ROSA, CA · 62 certified beds · Last Life Safety survey October 25, 2024

CMS Certification Number 056259 · first certified January 1971

Ownership

Operated by RMG CAPITAL PARTNERS · For profit - Corporation

  • Ownership changed June 30, 2017 (change of ownership)from ASHLEY LTC INC
25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
9
Tags cited more than once
Across separate surveys
15
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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (October 2025 to April 2026). Most CA facilities have been surveyed by March 2027. This facility’s last Life Safety survey was October 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

6 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

3 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)

14 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-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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-0926 Have policies on smoking.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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 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
52022-02102023-06102024-10
Citations at each Life Safety survey
Survey dateCitations
February 14, 20225
June 9, 202310
October 25, 202410

Most-cited tags

Most-cited tags at this facility
K-03633K-03242E-00392K-03532K-09202K-03452K-03472K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32024-10-25
K-0324Provide properly protected cooking facilities.22024-10-25
E-0039Conduct testing and exercise requirements.22024-10-25
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-25
K-0920Ensure proper usage of power strips and extension cords.22024-10-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-10-25
K-0347Properly provide smoke detection systems in areas open to corridors.22024-10-25
K-0712Have simulated fire drills held at unexpected times.22024-10-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies7
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1
Construction Deficiencies1

Every citation on file

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

October 25, 2024 — 10 citations

Citations issued on October 25, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 22, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 7, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 26, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (November 27, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 27, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 7, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 22, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 22, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (November 22, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 22, 2024)

June 9, 2023 — 10 citations

Citations issued on June 9, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 12, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 12, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (July 12, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 12, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 12, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 12, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 12, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (July 12, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 12, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 12, 2023)

February 14, 2022 — 5 citations

Citations issued on February 14, 2022
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (April 15, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 15, 2022)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 15, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 15, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 15, 2022)

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