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

SONOMA POST ACUTE

SONOMA, CA · 83 certified beds · Last Life Safety survey April 16, 2026

CMS Certification Number 055268 · first certified January 1967

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

Ownership changed December 16, 2016 (change of ownership)to SONOMA POST ACCUTE from BEVERLY HEALTH AND REHABILITIATION SERVICES, INC

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

34 citations — more than 90% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 11 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

14 of the 34 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)

2 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 34 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-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.

Citations on file over three years, compared
Measure	Citations
This facility	34
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
March 30, 2022	16
January 11, 2025	7
April 16, 2026	11

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-0711	Provide a written emergency evacuation plan.	2	2026-04-16
K-0919	Meet requirements for the use of electrical equipment.	2	2026-04-16
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2026-04-16
K-0363	Install corridor and hallway doors that block smoke.	2	2025-01-11
E-0039	Conduct testing and exercise requirements.	2	2026-04-16
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-04-16
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-04-16
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	1	2026-04-16

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 14
Smoke Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 3
Other 3

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	14
Smoke Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	3
Egress Deficiencies	2
Construction Deficiencies	1

Every citation on file

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

April 16, 2026 — 11 citations

Citations issued on April 16, 2026
Tag	What the surveyor checks	Status
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (May 21, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 21, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (May 21, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 21, 2026)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (May 21, 2026)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (May 21, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 21, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (May 21, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 21, 2026)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (May 21, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 21, 2026)

January 11, 2025 — 7 citations

Citations issued on January 11, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 3, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 16, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 20, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 20, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 16, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 16, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 16, 2025)

March 30, 2022 — 16 citations

Citations issued on March 30, 2022
Tag	What the surveyor checks	Status
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (April 29, 2022)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (April 29, 2022)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (April 29, 2022)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (April 29, 2022)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (April 29, 2022)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (April 29, 2022)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (April 29, 2022)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (April 29, 2022)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (April 29, 2022)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (April 29, 2022)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (April 29, 2022)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (April 29, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 29, 2022)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (April 29, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 29, 2022)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (April 29, 2022)

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