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

AMAYA SPRINGS HEALTH CARE CENTER

SPRING VALLEY, CA · 50 certified beds · Last Life Safety survey January 29, 2026

CMS Certification Number 056062 · first certified February 1974

Ownership

Operated by PACIFIC HEALTHCARE HOLDINGS · For profit - Limited Liability company

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

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
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 4 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was January 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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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

4 of the 21 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)

8 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-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0924 Put firmly secured handrails on each side of hallways.

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
72022-02102024-0942026-01
Citations at each Life Safety survey
Survey dateCitations
February 18, 20227
September 13, 202410
January 29, 20264

Most-cited tags

Most-cited tags at this facility
K-03242K-03452K-03532K-09231K-09201E-00391K-03541E-00061
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22026-01-29
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-01-29
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-09-13
K-0923Have proper medical gas storage and administration areas.12022-02-18
K-0920Ensure proper usage of power strips and extension cords.12022-02-18
E-0039Conduct testing and exercise requirements.12022-02-18
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12024-09-13
E-0006Conduct risk assessment and an All-Hazards approach.12026-01-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies3
Construction Deficiencies1

Every citation on file

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

January 29, 2026 — 4 citations

Citations issued on January 29, 2026
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 13, 2026)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (February 13, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 13, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 13, 2026)

September 13, 2024 — 10 citations

Citations issued on September 13, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 30, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 30, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 30, 2024)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (September 30, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 30, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 30, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (September 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 30, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (September 30, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 30, 2024)

February 18, 2022 — 7 citations

Citations issued on February 18, 2022
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 11, 2022)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (March 11, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 11, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 11, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 11, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 11, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 11, 2022)

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