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

WILLOWS POST ACUTE

WILLOWS, CA · 79 certified beds · Last Life Safety survey April 3, 2025

CMS Certification Number 555151 · first certified October 1982

Ownership

Operated by GENESIS HEALTHCARE · For profit - Corporation

  • Ownership changed April 1, 2020 (change of ownership)from SUNBRIDGE HEALTHCARE LLC
16
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

16 citations — more than 34% 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 6 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?

Past the typical window (April 2026 to September 2026). Most CA facilities have been surveyed by September 2027. This facility’s last Life Safety survey was April 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

2 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 16 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)

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 16 Life Safety citations above. The Physical Environment Index

  • 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.
  • F-0880 Provide and implement an infection prevention and control program.

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 facility16CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-0462024-0462025-04
Citations at each Life Safety survey
Survey dateCitations
April 7, 20224
April 4, 20246
April 3, 20256

Most-cited tags

Most-cited tags at this facility
K-03533K-09183K-09192K-02221K-03631K-09231K-07121E-00411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-04-03
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-04-03
K-0919Meet requirements for the use of electrical equipment.22025-04-03
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.12025-04-03
K-0363Install corridor and hallway doors that block smoke.12024-04-04
K-0923Have proper medical gas storage and administration areas.12022-04-07
K-0712Have simulated fire drills held at unexpected times.12025-04-03
E-0041Implement emergency and standby power systems.12024-04-04

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies7
Smoke Deficiencies5
Miscellaneous Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

April 3, 2025 — 6 citations

Citations issued on April 3, 2025
TagWhat the surveyor checksStatus
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 (April 18, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 10, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 10, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 25, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 25, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 25, 2025)

April 4, 2024 — 6 citations

Citations issued on April 4, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 1, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 1, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 1, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (May 1, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 1, 2024)

April 7, 2022 — 4 citations

Citations issued on April 7, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 27, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 27, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 27, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 27, 2022)

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