Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Creekside Post Acute
Yucaipa, CA · 59 certified beds · Last Life Safety survey July 18, 2025
CMS Certification Number 055557 · first certified August 1976
Ownership
Operated by ROCKWELL HEALTHCARE · For profit - Limited Liability company
- Ownership changed July 1, 2021 (change of ownership)from AVENUE H LLC
Position within CA
30 citations — more than 85% 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
The latest survey found 7 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 is open now: July 2026 to January 2027. This facility’s last Life Safety survey was July 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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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
10 of the 30 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 30 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 30 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 17, 2022 | 15 |
| June 7, 2024 | 8 |
| July 18, 2025 | 7 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0041 | Implement emergency and standby power systems. | 2 | 2024-06-07 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 2 | 2025-07-18 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2024-06-07 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-07-18 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2025-07-18 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2024-06-07 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2025-07-18 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2022-03-17 |
What the citations cover
- Emergency Preparedness Deficiencies 10
- Smoke Deficiencies 8
- Miscellaneous Deficiencies 4
- Egress Deficiencies 3
- Other 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 10 |
| Smoke Deficiencies | 8 |
| Miscellaneous Deficiencies | 4 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Construction Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 18, 2025 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0233 | Install resident room doors of proper design and width. | Deficient, Provider has date of correction (August 7, 2025) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 7, 2025) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (August 7, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 7, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (August 7, 2025) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (August 11, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 7, 2025) |
June 7, 2024 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (June 26, 2024) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (June 26, 2024) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (June 26, 2024) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (June 26, 2024) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (June 26, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (June 26, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (June 26, 2024) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (June 26, 2024) |
March 17, 2022 — 15 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (June 2, 2022) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (June 2, 2022) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (June 2, 2022) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (June 2, 2022) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0373 | Have enough space near smoke barriers to protect residents. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (June 2, 2022) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (June 2, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.