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

Simi Healthcare Center

Simi Valley, CA · 99 certified beds · Last Life Safety survey August 7, 2025

CMS Certification Number 555701 · first certified May 1997

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed December 1, 2022 (change of ownership)from PREMIER CARE SIMI VALLEY LLC
21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within CA

21 citations — more than 56% 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 5 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to January 2027. This facility’s last Life Safety survey was August 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

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

1 of the 21 citations on file is 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)

9 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 21 Life Safety citations above. The Physical Environment Index

  • 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.
  • 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.
  • 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.

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 facility21CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
82021-1282024-0752025-08
Citations at each Life Safety survey
Survey dateCitations
December 9, 20218
July 26, 20248
August 7, 20255

Most-cited tags

Most-cited tags at this facility
K-09203K-03533K-09232K-09192K-03632K-02232K-03241K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32025-08-07
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-08-07
K-0923Have proper medical gas storage and administration areas.22024-07-26
K-0919Meet requirements for the use of electrical equipment.22024-07-26
K-0363Install corridor and hallway doors that block smoke.22025-08-07
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.22025-08-07
K-0324Provide properly protected cooking facilities.12024-07-26
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12021-12-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Egress Deficiencies 3
  • Construction Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies8
Egress Deficiencies3
Construction Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

August 7, 2025 — 5 citations

Citations issued on August 7, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 12, 2025)
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 (August 12, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 12, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 12, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 12, 2025)

July 26, 2024 — 8 citations

Citations issued on July 26, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 7, 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 (August 7, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 7, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 7, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 7, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 7, 2024)

December 9, 2021 — 8 citations

Citations issued on December 9, 2021
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 12, 2022)
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 (January 12, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 12, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 12, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 12, 2022)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (January 12, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 12, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 12, 2022)

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