Oakland, CA
3-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1451 28th Avenue, Oakland, CA
(510) 261-9191
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-07-13
CMS approved date
Coverage
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
0.83
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.46
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.95
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.38
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.11
CMS adjusted RN staffing hours
Adjusted total hours
6.60
CMS adjusted total nurse staffing hours
Case-mix index
1.02
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
14%
Annual nurse turnover · state 38% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 0.8 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · 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 | 2.6% |
1.6%
1 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 1.7% · Q4 1.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 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 who lose too much weight | 2.2% |
4.1%
1.9 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 5.4% · Q4 1.8% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.1% |
13.7%
27.4 pts worse
|
19.6%
21.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.1% · Q2 41.1% · Q3 41.1% · Q4 40.0% · 4Q avg 41.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 81.7% |
14.2%
67.5 pts worse
|
16.7%
65 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.5% · Q3 82.1% · Q4 79.2% · 4Q avg 81.7% · 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 | 12.3% |
11.0%
1.3 pts worse
|
16.3%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 0.0% · Q3 19.7% · Q4 6.1% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% |
10.7%
0.3 pts worse
|
14.9%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 13.2% · Q3 13.5% · Q4 9.8% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.0%
0.9 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 1.6% · Q4 1.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.2%
1 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 3.4% · Q4 3.6% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.8% |
10.9%
1.1 pts better
|
19.8%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 10.7% · Q3 11.8% · Q4 12.5% · 4Q avg 9.8% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
4.7%
2.5 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.0% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
No concentrated health issue counts in this cycle.
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-18
Fire Safety
Use approved construction type or materials.
Corrected 2025-08-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-06
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-08-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-06
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-05
Fire Safety
Use approved construction type or materials.
Corrected 2024-04-05
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-04-05
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-05
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 2024-04-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-05
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-04-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-05
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-02-02
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-02-02
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-02-02
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-02-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-02-02
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 2022-02-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-02-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-02-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-02-02
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-02-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-02-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-02-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-02-02
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-14
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-14
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 2025-08-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-08-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-28
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 2024-04-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-06
Health
Dispose of garbage and refuse properly.
Corrected 2024-04-06
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 2024-04-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-06
Penalties and ownership
Nearby options
Oakland, CA
2-star overall rating with 2-star inspections with abuse icon flag with $156,085 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Oakland, CA
3-star overall rating with 3-star inspections with $47,447 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Oakland, CA
5-star overall rating with 4-star inspections with $7,409 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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