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

WEST COVINA MEDICAL CENTER D/P SNF

WEST COVINA, CA · 33 certified beds · Last Life Safety survey December 18, 2025

CMS Certification Number 555649 · first certified October 1995

Ownership

Operated by ROLLINS-NELSON HEALTHCARE MANAGEMENT · For profit - Corporation

  • Ownership changed January 1, 2023 (change of ownership)to N/A from WEST COVINA MEDICAL CENTER INC
13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within CA

13 citations — more than 21% 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 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was December 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

4 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

2 of the 13 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)

5 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 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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 facility13CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-1142024-1032025-12
Citations at each Life Safety survey
Survey dateCitations
November 22, 20236
October 18, 20244
December 18, 20253

Most-cited tags

Most-cited tags at this facility
K-09182K-03632K-05112K-03532E-00392K-09231K-03511K-02321
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-10-18
K-0363Install corridor and hallway doors that block smoke.22025-12-18
K-0511Have properly installed electrical wiring and gas equipment.22025-12-18
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-18
E-0039Conduct testing and exercise requirements.22024-10-18
K-0923Have proper medical gas storage and administration areas.12023-11-22
K-0351Install an approved automatic sprinkler system.12023-11-22
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12025-12-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Services Deficiencies2
Egress Deficiencies1

Every citation on file

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

December 18, 2025 — 3 citations

Citations issued on December 18, 2025
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (January 8, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 8, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 8, 2026)

October 18, 2024 — 4 citations

Citations issued on October 18, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.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 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 7, 2024)

November 22, 2023 — 6 citations

Citations issued on November 22, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 16, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 16, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 16, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 16, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 16, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 16, 2023)

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