27 health deficiencies
Top issue: Resident Rights (6 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Alameda, CA
2-star overall rating with 2-star inspections with $8,990 in total fines with 27 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
430 Willow Street, Alameda, CA
(510) 523-8857
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
166
Certified beds
Average residents
154
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sol Healthcare
Operator or chain grouping
Approved since
1991-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.11
Registered nurse staffing
LPN hours / resident day
0.94
Licensed practical nurse staffing
Aide hours / resident day
2.67
Nurse aide staffing
Weekend hours
4.52
Weekend nurse staffing
RN turnover
49%
Annual RN turnover
Total nurse turnover
53%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.3
0.4 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.3% |
98.2%
1.1 pts better
|
95.5%
3.8 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
1.6%
0.8 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 6.6% |
6.8%
0.2 pts better
|
11.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.8% |
4.1%
0.7 pts worse
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
13.7%
4.2 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.9% |
14.2%
7.3 pts better
|
16.7%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.3% |
11.0%
7.7 pts better
|
16.3%
13 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.9% |
10.7%
5.8 pts better
|
14.9%
10 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
1.0%
0.9 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.2%
0.4 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.1% |
10.9%
7.8 pts better
|
19.8%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
4.7%
5.4 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.5% |
11.2%
8.3 pts worse
|
12.0%
7.5 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
93.2%
2.8 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
23.2%
2.7 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (6 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
26 fire-safety deficiencies
Top issue: Smoke (11 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-26
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-08-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-26
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-08-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-26
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-08-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-04-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-18
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-18
Fire Safety
Use approved construction type or materials.
Corrected 2024-04-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-18
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-18
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-18
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-18
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-04-18
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-04-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-10-08
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-10-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-10-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-10-08
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-10-08
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-10-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-10-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-10-08
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-10-08
Fire Safety
Use approved construction type or materials.
Corrected 2019-10-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-10-08
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-10-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-12-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-12-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-12-26
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-11
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-07-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-01
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-07-01
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-07-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-21
Health
Provide appropriate foot care.
Corrected 2025-02-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-10
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-09-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-10
Health
Dispose of garbage and refuse properly.
Corrected 2024-09-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-10
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-09-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-10
Health
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.
Corrected 2024-09-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-10
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-09-10
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-09-10
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-10
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-09-10
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-09-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-10
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-09-10
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-09-10
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2024-09-10
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-05-25
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-05-18
Health
Provide appropriate foot care.
Corrected 2024-05-18
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-05-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-20
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-07-20
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-07-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-08-16
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-08-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-16
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2019-08-16
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-08-16
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-08-16
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2019-08-16
Health
Assess the resident when there is a significant change in condition
Corrected 2019-08-16
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-08-16
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-08-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-08-16
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-08-16
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-08-16
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2019-08-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-08-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-08-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-08-16
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-16
Health
Keep all essential equipment working safely.
Corrected 2018-10-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-10-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2018-10-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2018-10-01
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2018-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-10-01
Health
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Corrected 2018-10-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-10-01
Penalties and ownership
Fine · fine $8,990
Fine
Payment Denial · denial start 2024-05-18 · 7 days
7 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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