4 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Alameda, CA
3-star overall rating with 3-star inspections with $46,726 in total fines with 4 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
516 Willow Street, Alameda, CA
(510) 521-5600
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
163
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
David & Frank Johnson
Operator or chain grouping
Approved since
1972-08-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
45 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
0.35
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.39
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
4.06
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
20%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,415
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9843
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.46
Baseline 18.58% · Performance 19.83% · Measure score 3.46 · Achievement 3.46 · Improvement 0
Healthcare-associated infections
1.57
Baseline 8.36% · Performance 7.66% · Measure score 1.57 · Achievement 0.58 · Improvement 1.57
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.02
Baseline 4.43 hours · Performance 3.94 hours · Measure score 3.02 · Achievement 3.02 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.54% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 8.56% · Lower 95% interval 6.79% |
| Discharge to community | 43.27% |
50.57%
7.3 pts worse
|
No Different than the National Rate · Eligible stays 162 · Observed rate 34.57% · Lower 95% interval 36.04% |
| Medicare spending per beneficiary | 1.59 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 171 · Denominator 171 |
| Falls with major injury | 0.58% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 171 |
| Discharge self-care score | 29.2% |
53.69%
24.5 pts worse
|
Numerator 33 · Denominator 113 |
| Discharge mobility score | 47.79% |
50.94%
3.1 pts worse
|
Numerator 54 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 0.58% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 171 · Adjusted rate 0.52% |
| Healthcare-associated infections requiring hospitalization | 7.66% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 164 · Observed rate 9.15% · Lower 95% interval 5.01% |
| Staff COVID-19 vaccination coverage | 16.59% |
8.2%
8.4 pts better
|
Numerator 35 · Denominator 211 |
| Staff flu vaccination coverage | 46.98% |
42%
5 pts better
|
Numerator 101 · Denominator 215 |
| Discharge function score | 46.02% |
56.45%
10.4 pts worse
|
Numerator 52 · Denominator 113 |
| Transfer of health information to provider | 98.31% |
95.95%
2.4 pts better
|
Numerator 58 · Denominator 59 |
| Transfer of health information to patient | 61.54% |
96.28%
34.7 pts worse
|
Numerator 16 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 3.61% |
25.2%
21.6 pts worse
|
Numerator 3 · Denominator 83 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · 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 1.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 15.5% |
98.5%
83 pts worse
|
93.4%
77.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 17.8% · Q3 14.5% · Q4 19.6% · 4Q avg 15.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 58.9% |
98.2%
39.3 pts worse
|
95.5%
36.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 58.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
1.6%
1.1 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
6.8%
6.6 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
4.1%
3.9 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 7.4% · Q3 7.5% · Q4 9.8% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4% |
13.7%
7.3 pts better
|
19.6%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.4% · Q3 8.6% · Q4 5.8% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 42.6% |
14.2%
28.4 pts worse
|
16.7%
25.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 34.8% · Q3 47.0% · Q4 46.2% · 4Q avg 42.6% · 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 | 11.2% |
11.0%
0.2 pts worse
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 8.3% · Q3 4.6% · Q4 8.2% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.6% |
10.7%
2.1 pts better
|
14.9%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 6.5% · Q3 6.5% · Q4 8.1% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.0%
0.6 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 1.2% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.2%
0.8 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.7% |
10.9%
2.2 pts better
|
19.8%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 7.5% · Q3 10.9% · Q4 8.3% · 4Q avg 8.7% |
| Percentage of long-stay residents with pressure ulcers | 8.9% |
4.7%
4.2 pts worse
|
5.1%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 11.4% · Q3 7.5% · Q4 5.7% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 4.1% |
94.0%
89.9 pts worse
|
81.7%
77.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 6.7% · Q3 5.9% · Q4 2.7% · 4Q avg 4.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.0% |
11.2%
5.8 pts worse
|
12.0%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 18.7% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.5% |
1.5%
2 pts worse
|
1.6%
1.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 6.1% · Q4 3.4% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 9.7% |
93.2%
83.5 pts worse
|
79.7%
70 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 9.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.3% |
23.2%
1.9 pts better
|
23.9%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 24.3% · Expected 27.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Nutrition and Dietary (6 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2026-01-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-02-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-30
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-11-30
Fire Safety
Use approved construction type or materials.
Corrected 2024-11-30
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 2024-11-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-30
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-11-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-11-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-26
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-07-26
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-07-26
Fire Safety
Use approved construction type or materials.
Corrected 2021-07-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-26
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2021-07-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-07-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-01
Fire Safety
Use approved construction type or materials.
Corrected 2019-07-01
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 2019-07-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-07-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-07-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-07-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-07-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-07-01
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-07-01
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2019-07-01
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2019-07-01
Inspection history
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-02-28
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 2024-12-30
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-29
Health
Assess the resident when there is a significant change in condition
Corrected 2024-11-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-09
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-12
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 2021-07-27
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2021-07-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-07-27
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2021-07-27
Health
Dispose of garbage and refuse properly.
Corrected 2021-07-27
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 2021-07-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-07-27
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-27
Health
Keep all essential equipment working safely.
Corrected 2021-07-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-07-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-07-27
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 2021-07-27
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-07-27
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2019-04-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-04-29
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-04-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-04-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-04-29
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-29
Penalties and ownership
Fine · fine $46,726
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Nearby options
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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
Alameda, CA
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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