7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
San Mateo, CA
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2620 Flores Street, San Mateo, CA
(650) 349-2161
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.92
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.42
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.89
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.97
CMS adjusted RN staffing hours
Adjusted total hours
4.68
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,384
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.07
Composite VBP score used to determine payment impact.
Payment multiplier
1.0122
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.70
Baseline 20.78% · Performance 19.72% · Measure score 3.70 · Achievement 3.70 · Improvement 2.34
Healthcare-associated infections
6.44
Baseline 8.99% · Performance 6.22% · Measure score 6.44 · Achievement 5.41 · Improvement 6.44
Total nurse turnover
8.48
Baseline 35.94% · Performance 29.03% · Measure score 8.48 · Achievement 8.48 · Improvement 5.73
Adjusted total nurse staffing
4.21
Baseline 4.68 hours · Performance 4.28 hours · Measure score 4.21 · Achievement 4.21 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.17% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 157 · Observed rate 5.1% · Lower 95% interval 6.47% |
| Discharge to community | 69.29% |
50.57%
18.7 pts better
|
Better than the National Rate · Eligible stays 141 · Observed rate 71.63% · Lower 95% interval 63.26% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.1% |
95.27%
2.8 pts better
|
Numerator 103 · Denominator 105 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 105 |
| Discharge self-care score | 15.56% |
53.69%
38.1 pts worse
|
Numerator 14 · Denominator 90 |
| Discharge mobility score | 12.22% |
50.94%
38.7 pts worse
|
Numerator 11 · Denominator 90 |
| Pressure ulcers or injuries, new or worsened | 1.9% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 105 · Adjusted rate 1.77% |
| Healthcare-associated infections requiring hospitalization | 6.22% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 4.04% · Lower 95% interval 3.5% |
| Staff COVID-19 vaccination coverage | 29.25% |
8.2%
21.1 pts better
|
Numerator 31 · Denominator 106 |
| Staff flu vaccination coverage | 97.85% |
42%
55.8 pts better
|
Numerator 182 · Denominator 186 |
| Discharge function score | 13.33% |
56.45%
43.1 pts worse
|
Numerator 12 · Denominator 90 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 81 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 41.67% |
25.2%
16.5 pts better
|
Numerator 20 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.0% |
98.5%
13.5 pts worse
|
93.4%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 85.2% · Q3 88.5% · Q4 90.7% · 4Q avg 85.0% |
| 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 | 0.9% |
1.6%
0.7 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.9% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
6.8%
5.8 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 10.4% |
4.1%
6.3 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 10.4% · Q3 4.4% · Q4 12.2% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.2% |
13.7%
4.5 pts better
|
19.6%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.3% · Q3 8.5% · Q4 10.0% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.2% |
14.2%
3 pts better
|
16.7%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 11.1% · Q3 10.5% · Q4 11.4% · 4Q avg 11.2% · 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 | 18.2% |
11.0%
7.2 pts worse
|
16.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
10.7%
2.6 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 15.8% · Q3 12.8% · Q4 0.0% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
1.0%
3 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.1% · Q3 3.4% · Q4 1.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.1% |
10.9%
3.8 pts better
|
19.8%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 4.5% · Q3 6.9% · Q4 4.2% · 4Q avg 7.1% |
| 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 8.0% · Q2 10.8% · Q3 6.5% · Q4 10.3% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 23.6% |
94.0%
70.4 pts worse
|
81.7%
58.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 24.3% · Q3 26.8% · Q4 23.1% · 4Q avg 23.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.8% |
11.2%
4.6 pts worse
|
12.0%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 14.3% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.5% · Q3 0.6% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.6% |
93.2%
7.6 pts worse
|
79.7%
5.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.3% |
23.2%
8.1 pts worse
|
23.9%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.3% · Observed 27.3% · Expected 20.8% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Environmental (2 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-14
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-14
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-11-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-14
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-02-08
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-02-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-02-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-02-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-02-08
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 2022-02-08
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-02-08
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2022-02-08
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2022-02-08
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-02-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-02-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-02-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-02-08
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-02-08
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-02-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-02-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-03
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-03-03
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-03-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-03
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-28
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 2024-11-25
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-25
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 2024-11-25
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-11-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-16
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-02-16
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-02-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-02-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-02-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-02-16
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2022-02-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-03-02
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2020-03-02
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2020-03-02
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2020-03-02
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2020-03-02
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 2020-03-02
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 2020-03-02
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2020-03-02
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
San Mateo, CA
1-star overall rating with 1-star inspections with $104,000 in total fines with 14 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Belmont, CA
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Burlingame, CA
3-star overall rating with 2-star inspections with 16 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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