3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Hayward, CA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
25919 Gading Road, Hayward, CA
(510) 782-8424
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Windsor
Operator or chain grouping
Approved since
1989-10-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
19 facilities
Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars
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
0.49
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.94
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
4.25
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
4.38
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,386
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9977
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.77
Baseline 23.23% · Performance 20.58% · Measure score 3.77 · Achievement 1.84 · Improvement 3.77
Healthcare-associated infections
7.66
Baseline 9.31% · Performance 5.79% · Measure score 7.66 · Achievement 6.85 · Improvement 7.66
Total nurse turnover
5.09
Performance 42.86% · Measure score 5.09 · Achievement 5.09 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.31
Baseline 3.84 hours · Performance 3.45 hours · Measure score 1.31 · Achievement 1.31 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.33% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 94 · Observed rate 12.77% · Lower 95% interval 7.72% |
| Discharge to community | 47.78% |
50.57%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 41.3% · Lower 95% interval 37.87% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.1% |
95.27%
1.8 pts better
|
Numerator 67 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 57.78% |
53.69%
4.1 pts better
|
Numerator 26 · Denominator 45 |
| Discharge mobility score | 46.67% |
50.94%
4.3 pts worse
|
Numerator 21 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 69 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.79% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 1.79% · Lower 95% interval 2.58% |
| Staff COVID-19 vaccination coverage | 39.13% |
8.2%
30.9 pts better
|
Numerator 27 · Denominator 69 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 25 · Denominator 45 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25.53% |
25.2%
0.3 pts better
|
Numerator 12 · Denominator 47 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.3
0.6 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 3.0 · Expected 3.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
1.6
1.5 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.7 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
98.5%
0.6 pts worse
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 95.1% · Q3 100.0% · Q4 100.0% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.5% |
98.2%
5.7 pts worse
|
95.5%
3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
1.6%
0.8 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 1.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
6.8%
6.3 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
4.1%
0.4 pts worse
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.4% · Q3 4.0% · Q4 4.2% · 4Q avg 4.5% |
| 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 3.8% · Q2 10.9% · Q3 11.8% · Q4 10.4% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.6% |
14.2%
12.6 pts better
|
16.7%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 3.1% · 4Q avg 1.6% · 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 | 13.1% |
11.0%
2.1 pts worse
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.7% |
10.7%
8 pts better
|
14.9%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.0% · Q3 2.1% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.0% |
10.9%
2.9 pts better
|
19.8%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.8% · Q3 11.4% · Q4 9.5% · 4Q avg 8.0% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
4.7%
1.8 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.0% · Q3 1.4% · Q4 1.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.1% |
94.0%
19.9 pts worse
|
81.7%
7.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 58.1% · Q3 76.7% · Q4 96.7% · 4Q avg 74.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
11.2%
6 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 18.2% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.1% |
93.2%
13.1 pts worse
|
79.7%
0.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.9% |
23.2%
4.7 pts worse
|
23.9%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 28.8% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (3 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-12-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-12-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-17
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2026-01-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-03-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-03-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-03-17
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-03-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-17
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-03-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-03-17
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-03-17
Fire Safety
Use approved construction type or materials.
Corrected 2022-03-17
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-03-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-03-17
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-03-17
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2022-03-17
Inspection history
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-12-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-04
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-01-04
Health
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.
Corrected 2024-08-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-16
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-07-16
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-07-16
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 2024-07-16
Health
Provide appropriate foot care.
Corrected 2024-07-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-18
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 2024-02-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-08
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-11-15
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-04-11
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-04-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-11
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 2022-04-11
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-04-11
Health
Dispose of garbage and refuse properly.
Corrected 2022-04-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
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