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
Staffing
RN hours / resident day
0.83
Registered nurse staffing
LPN hours / resident day
0.65
Licensed practical nurse staffing
Aide hours / resident day
3.46
Nurse aide staffing
Weekend hours
4.38
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
14%
Annual nurse turnover
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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
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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