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

NORTHBROOK HEALTHCARE CENTER

WILLITS, CA · 70 certified beds · Last Life Safety survey January 30, 2026

CMS Certification Number 056215 · first certified April 1973

Ownership

Operated by THE ENSIGN GROUP · For profit - Limited Liability company

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

22
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

22 citations — more than 60% 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 8 citations; the earlier surveys in the window averaged 7. 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

2 of the 22 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)

4 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 22 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility22CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0372025-0482026-01
Citations at each Life Safety survey
Survey dateCitations
March 27, 20237
April 10, 20257
January 30, 20268

Most-cited tags

Most-cited tags at this facility
K-03633K-03212K-09192K-09202K-07122K-09182E-00301K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32026-01-30
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-04-10
K-0919Meet requirements for the use of electrical equipment.22026-01-30
K-0920Ensure proper usage of power strips and extension cords.22026-01-30
K-0712Have simulated fire drills held at unexpected times.22026-01-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-01-30
E-0030List the names and contact information of those in the facility.12025-04-10
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12026-01-30

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies8
Smoke Deficiencies7
Miscellaneous Deficiencies3
Egress Deficiencies2
Emergency Preparedness Deficiencies2

Every citation on file

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

January 30, 2026 — 8 citations

Citations issued on January 30, 2026
TagWhat the surveyor checksStatus
K-0221Provide rooms that can be unlocked from inside without a key.Deficient, Provider has date of correction (February 11, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 11, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 11, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 11, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 11, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 11, 2026)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (February 11, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 11, 2026)

April 10, 2025 — 7 citations

Citations issued on April 10, 2025
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (April 22, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 2, 2025)
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 (April 21, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 22, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 29, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 21, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 21, 2025)

March 27, 2023 — 7 citations

Citations issued on March 27, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 28, 2023)
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 (April 28, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 28, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 28, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 28, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 28, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 28, 2023)

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