Federal inspection record · CMS data as of October 1, 2026
Emmanuel Post Acute Care - Hayward
26660 Patrick Avenue, Hayward, CA · (510) 782-1845
- Cited for abuse (CMS abuse icon)
- Certified beds
- 99
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1980
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among California homes
Emmanuel Post Acute Care - Hayward carries 131 inspection points. That is fewer than 25% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Pharmacy Service12E
- E
Ensure medication error rates are not 5 percent or greater.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Quality of Life and Care8E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give the resident's representative the ability to exercise the resident's rights.
Nutrition and Dietary3F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2025-08-28
21 health deficiencies · 14 fire-safety deficiencies
Top issue: Pharmacy Service (6 deficiencies)
2024-02-29
13 health deficiencies · 22 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2022-03-04
8 health deficiencies · 14 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 59 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 41% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 2.0 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 98.9% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 1.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 6.2% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.7 pts better | 4.0% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.9 pts better | 1.4% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts worse | 10.5% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 5.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.8% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.6% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts better | 6.1% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 4.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 99.7% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit30.6 pts worse | 41.7% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2 pts better | 95.1% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse | 26.9% | 22.6% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Demesa, Praxedes | 5% Or Greater Direct Ownership Interest · Individual | 88% | 3 facilities |
| Damaso, Glory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Demesa, Praxedes | Corporate Director · Individual | 0% | 3 facilities |
| Demesa, Praxedes | Corporate Officer · Individual | 0% | 3 facilities |
| Demesa, Praxedes | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Pascual, Ludivina | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
50 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness16E
- E
Establish staff and initial training requirements.
- E
Conduct testing and exercise requirements.
- E
Implement emergency and standby power systems.
- D
Establish policies and procedures for medical documentation.
- D
Provide primary/alternate means for communication.
- D
Establish policies and procedures for medical documentation.
- D
Establish roles under a Waiver declared by secretary.
- D
List the names and contact information of those in the facility.
- D
Provide emergency officials' contact information.
- D
Conduct testing and exercise requirements.
- D
Implement emergency and standby power systems.
- D
Address patient/client population and determine types of services needed.
- D
Establish policies and procedures for volunteers.
- D
List the names and contact information of those in the facility.
- D
Provide emergency officials' contact information.
- D
Conduct testing and exercise requirements.
Smoke14E
- E
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems8F
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Services4F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have elevators that firefighters can control in the event of a fire.
- E
Install properly constructed and protected linen or trash chutes.
- D
Have properly installed electrical wiring and gas equipment.
Construction3D
- D
Use approved construction type or materials.
- D
Use approved construction type or materials.
- D
Use approved construction type or materials.
Egress3E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Have properly located and lighted "Exit" signs.
Miscellaneous2D
- D
Provide a written emergency evacuation plan.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
Eden Healthcare Center
Hayward, CA · Spyglass Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $30,870
-
Hayward Post Acute
Hayward, CA · Windsor
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
Serenethos Care Center, LLC
Hayward, CA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0