7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Oakland, CA
5-star overall rating with 5-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2910 Mcclure Street, Oakland, CA
(510) 836-3677
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1977-04-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 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
0.60
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.49
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.44
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.61
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,293
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.92
Composite VBP score used to determine payment impact.
Payment multiplier
1.0131
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 18.51% · Performance 15.54% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
4.97
Baseline 6.48% · Performance 6.35% · Measure score 4.97 · Achievement 4.97 · Improvement 0.40
Total nurse turnover
8.19
Baseline 47.27% · Performance 30.19% · Measure score 8.19 · Achievement 8.19 · Improvement 7.12
Adjusted total nurse staffing
0
Baseline 3.02 hours · Performance 3.15 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.79% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 208 · Observed rate 9.62% · Lower 95% interval 7.03% |
| Discharge to community | 53.47% |
50.57%
2.9 pts better
|
No Different than the National Rate · Eligible stays 221 · Observed rate 45.7% · Lower 95% interval 46.13% |
| Medicare spending per beneficiary | 1.47 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 109 · Denominator 109 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 109 |
| Discharge self-care score | 81.33% |
53.69%
27.6 pts better
|
Numerator 61 · Denominator 75 |
| Discharge mobility score | 72% |
50.94%
21.1 pts better
|
Numerator 54 · Denominator 75 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 109 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.35% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 132 · Observed rate 5.3% · Lower 95% interval 4.04% |
| Staff COVID-19 vaccination coverage | 18.42% |
8.2%
10.2 pts better
|
Numerator 14 · Denominator 76 |
| Staff flu vaccination coverage | 36.73% |
42%
5.3 pts worse
|
Numerator 36 · Denominator 98 |
| Discharge function score | 80% |
56.45%
23.5 pts better
|
Numerator 60 · Denominator 75 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 86.11% |
96.28%
10.2 pts worse
|
Numerator 62 · Denominator 72 |
| Resident COVID-19 vaccinations up to date | 40.38% |
25.2%
15.2 pts better
|
Numerator 21 · Denominator 52 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
2.3
1.7 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.9 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.7 · 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 | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 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 who have depressive symptoms | 5.3% |
6.8%
1.5 pts better
|
11.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 10.0% · Q3 3.3% · Q4 2.7% · 4Q avg 5.3% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.1%
4.1 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 5.2% |
13.7%
8.5 pts better
|
19.6%
14.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 3.1% · Q3 3.4% · Q4 5.6% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.3% |
14.2%
9.9 pts better
|
16.7%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.5% · Q4 3.7% · 4Q avg 4.3% · 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 | 0.0% |
11.0%
11 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.7% |
10.7%
7 pts better
|
14.9%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 9.4% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7% · 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 | 2.7% |
10.9%
8.2 pts better
|
19.8%
17.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.2% · Q3 0.0% · Q4 4.7% · 4Q avg 2.7% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
4.7%
3.6 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.8% |
11.2%
8.4 pts better
|
12.0%
9.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.8% · Observed 2.9% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.8% |
23.2%
9.4 pts better
|
23.9%
10.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 12.6% · Expected 21.8% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
25 fire-safety deficiencies
Top issue: Emergency Preparedness (16 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-09
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-04
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-03-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-07
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 2024-03-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-03-07
Fire Safety
Use approved construction type or materials.
Corrected 2022-07-13
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 2022-07-13
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 2022-07-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-07-13
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-07-13
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-07-13
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-07-13
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-07-13
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-07-13
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-07-13
Fire Safety
Establish methods for sharing information.
Corrected 2022-07-13
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-07-13
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-07-13
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-07-13
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-07-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-07-13
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-07-13
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-07-13
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-07-13
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-07-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-07-13
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-07-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-13
Inspection history
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-01
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-04-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-01
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-04-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-01
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2025-04-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-11
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-03-11
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 2024-03-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-13
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2022-07-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-21
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-21
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-07-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-07-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-21
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-07-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-07-21
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-07-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-21
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-07-21
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
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