8 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Livermore, CA
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
788 Holmes Street, Livermore, CA
(925) 447-2280
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
37
Certified beds
Average residents
34
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Links Healthcare Group
Operator or chain grouping
Approved since
1989-07-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
31 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.49
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.86
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,269
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.34% · Performance 21.71% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.08
Baseline 7.90% · Performance 7.21% · Measure score 2.08 · Achievement 2.08 · Improvement 1.87
Total nurse turnover
6.03
Baseline 40.00% · Performance 39.02% · Measure score 6.03 · Achievement 6.03 · Improvement 0.14
Adjusted total nurse staffing
2.81
Baseline 4.10 hours · Performance 3.88 hours · Measure score 2.81 · Achievement 2.81 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.58% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 138 · Observed rate 7.25% · Lower 95% interval 7.2% |
| Discharge to community | 61.19% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 139 · Observed rate 55.4% · Lower 95% interval 52.94% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 106 · Denominator 106 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 106 |
| Discharge self-care score | 57.38% |
53.69%
3.7 pts better
|
Numerator 35 · Denominator 61 |
| Discharge mobility score | 45.9% |
50.94%
5 pts worse
|
Numerator 28 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 0.94% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 106 · Adjusted rate 0.89% |
| Healthcare-associated infections requiring hospitalization | 7.21% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 96 · Observed rate 7.29% · Lower 95% interval 4.6% |
| Staff COVID-19 vaccination coverage | 57.14% |
8.2%
48.9 pts better
|
Numerator 20 · Denominator 35 |
| Staff flu vaccination coverage | 51.79% |
42%
9.8 pts better
|
Numerator 29 · Denominator 56 |
| Discharge function score | 44.26% |
56.45%
12.2 pts worse
|
Numerator 27 · Denominator 61 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 53 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 28.3% |
25.2%
3.1 pts better
|
Numerator 15 · Denominator 53 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.3
0.1 pts better
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.6 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.6
0.1 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
6.8%
4.7 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 10.7% |
4.1%
6.6 pts worse
|
5.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · Q3 18.2% · Q4 8.3% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.9% |
13.7%
6.8 pts better
|
19.6%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 9.1% · Q4 12.5% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.5% |
14.2%
6.7 pts better
|
16.7%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.5% |
11.0%
3.5 pts better
|
16.3%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.9% |
10.7%
4.8 pts better
|
14.9%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.4% |
10.9%
1.5 pts better
|
19.8%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 4.3% · Q3 12.7% · Q4 11.5% · 4Q avg 9.4% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
4.7%
2.6 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.0% · Q3 0.0% · Q4 2.7% · 4Q avg 2.1% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.8% |
11.2%
2.6 pts worse
|
12.0%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 14.3% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.1% |
93.2%
4.9 pts better
|
79.7%
18.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% |
23.2%
2 pts worse
|
23.9%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 27.4% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (9 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-05-19
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-19
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-05-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-21
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-22
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-04-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-08
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-04-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-04-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-08
Fire Safety
Use approved construction type or materials.
Corrected 2024-04-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-04-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-08
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-04-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-04-15
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-04-15
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-04-15
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-04-15
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-04-15
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-04-15
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-04-15
Fire Safety
Use approved construction type or materials.
Corrected 2022-04-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-04-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-15
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-19
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 2025-05-19
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-05-19
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-05-19
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-04-01
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-04-01
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-04-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-01
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-04-01
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-04-01
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-04-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-01
Health
Keep all essential equipment working safely.
Corrected 2024-04-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-01
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-01
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-04-01
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-04-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-15
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-11
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-04-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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