18 health deficiencies
Top issue: Pharmacy Service (5 deficiencies)
22 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Hayward, CA
2-star overall rating with 2-star inspections with $43,554 in total fines with 18 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
442 Sunset Boulevard, Hayward, CA
(510) 582-8311
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-02-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.49
Registered nurse staffing
LPN hours / resident day
0.97
Licensed practical nurse staffing
Aide hours / resident day
2.40
Nurse aide staffing
Weekend hours
3.54
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.6
About the same
|
1.8
0.2 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 | 98.7% |
98.2%
0.5 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
1.6%
1.1 pts worse
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.3% |
6.8%
4.5 pts better
|
11.4%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.2% |
4.1%
2.1 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.5% |
13.7%
9.2 pts better
|
19.6%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
14.2%
7.2 pts worse
|
16.7%
4.7 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 | 10.4% |
11.0%
0.6 pts better
|
16.3%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
10.7%
4.5 pts better
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.0%
About the same
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
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 | 3.4% |
4.7%
1.3 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
94.0%
1.2 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
11.2%
6.9 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.5%
0.3 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.7% |
93.2%
11.5 pts worse
|
79.7%
2 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
23.2%
5.6 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Pharmacy Service (5 deficiencies)
22 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (11 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-09-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-11
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-09-03
Fire Safety
Use approved construction type or materials.
Corrected 2025-09-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-10
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-09-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-08
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-09-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-10
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-09-08
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-09-03
Fire Safety
Develop a communication plan.
Corrected 2025-09-08
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-09-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-08
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-09-03
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-09-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-09-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-15
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-06-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-15
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-06-15
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-06-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-15
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-15
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 2024-06-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-15
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-06-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-15
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-06-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-15
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-05-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-31
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-04-11
Fire Safety
Use approved construction type or materials.
Corrected 2022-04-11
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 2022-04-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-11
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-04-11
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-04-11
Inspection history
Health
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.
Corrected 2025-09-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-19
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 2025-09-19
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-19
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 2025-09-19
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-19
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 2025-09-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-09-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-19
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-19
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-09-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-19
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-09-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-20
Health
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.
Corrected 2024-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-20
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 2024-06-20
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 2024-06-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-17
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-04-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-04-24
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-04-24
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-24
Health
Implement a program that monitors antibiotic use.
Corrected 2022-04-24
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-04-24
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-04-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-04-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-04-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-04-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-04-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-24
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-04-24
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 2022-04-24
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 2022-04-24
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-04-24
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-04-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-04-24
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-04-24
Penalties and ownership
Fine · fine $22,777
Fine
Fine · fine $4,545
Fine
Fine · fine $12,703
Fine
Fine · fine $3,529
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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