Federal inspection record · CMS data as of October 1, 2026

Mercy Retirement & Care Center

3431 Foothill Blvd., Oakland, CA · (510) 534-8540

CMS overall rating

5 of 5

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Certified beds
59
Residents per day
48
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 17, 1985

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Mercy Retirement & Care Center carries 61 inspection points. That is fewer than 71% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 61 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

29 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 9 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 27, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected October 25, 2024

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 9, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected July 21, 2023

  3. G

    Provide enough food/fluids to maintain a resident's health.

    June 9, 2023 · Standard inspection · Quality of Life and Care · F692 · Corrected July 21, 2023

Everything else, by area of care

Quality of Life and Care5E
  1. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 27, 2026 · Complaint · F684 · Corrected April 28, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 13, 2025 · Standard · F684 · Corrected March 18, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 9, 2023 · Standard · F684 · Corrected July 21, 2023

  4. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    February 6, 2020 · Standard · F676 · Corrected March 4, 2020

  5. D

    Provide enough food/fluids to maintain a resident's health.

    February 6, 2020 · Standard · F692 · Corrected March 4, 2020

Pharmacy Service5D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 13, 2025 · Standard · F755 · Corrected March 18, 2025

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    February 13, 2025 · Standard · F756 · Corrected March 18, 2025

  3. D

    Ensure medication error rates are not 5 percent or greater.

    February 13, 2025 · Standard · F759 · Corrected March 18, 2025

  4. D

    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.

    February 13, 2025 · Standard · F761 · Corrected March 18, 2025

  5. D

    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.

    June 9, 2023 · Standard · F761 · Corrected July 21, 2023

Resident Assessment and Care Planning3E
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 23, 2025 · Complaint · F658 · Corrected September 26, 2025

  2. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    June 9, 2023 · Standard · F638 · Corrected July 21, 2023

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 6, 2020 · Standard · F656 · Corrected March 4, 2020

Nutrition and Dietary3F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 13, 2025 · Standard · F812 · Corrected March 18, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 9, 2023 · Standard · F812 · Corrected July 21, 2023

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 6, 2020 · Standard · F812 · Corrected March 4, 2020

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    February 13, 2025 · Standard · F880 · Corrected March 18, 2025

  2. E

    Provide and implement an infection prevention and control program.

    June 9, 2023 · Standard · F880 · Corrected July 21, 2023

  3. E

    Provide and implement an infection prevention and control program.

    February 6, 2020 · Standard · F880 · Corrected March 4, 2020

Resident Rights3E
  1. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    February 13, 2025 · Complaint · F561 · Corrected March 18, 2025

  2. E

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    October 3, 2023 · Complaint · F626 · Corrected October 4, 2023

  3. E

    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.

    June 9, 2023 · Standard · F584 · Corrected July 21, 2023

Administration2D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    August 26, 2025 · Complaint · F835 · Corrected September 26, 2025

  2. C

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    June 9, 2023 · Standard · F851 · Corrected July 21, 2023

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    April 24, 2025 · Complaint · F607 · Corrected May 24, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 24, 2025 · Complaint · F609 · Corrected May 24, 2025

Inspection history

  1. 2025-02-13

    8 health deficiencies · 8 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  2. 2023-06-09

    14 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2020-02-06

    7 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 48 min of nursing staff time a day, 56 min of it from a registered nurse.

This home

4 h 48 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$16,675 in federal fines on record over the past three years.

DatePenaltyAmount
2024-09-27Fine$16,675

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better1.42.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse3.11.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts worse97.3%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better0.0%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms6.8 pts better0.8%7.6%13.5%
Percentage of long-stay residents who lose too much weight3.2 pts better0.9%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts better8.0%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.9 pts better9.4%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.7 pts worse12.6%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better8.1%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.4 pts better3.4%9.8%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better3.2%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts better97.4%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit10.9 pts worse22.0%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better0.0%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better100.0%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.5 pts better15.1%22.6%23.4%

·

Who owns and runs it

12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Elder Care Alliance5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Balley, MarjorieCorporate Officer · Individual0%1 facilities
Benham-Dwyer, RaelynneW-2 Managing Employee · Individual0%1 facilities
Evitts, RobinCorporate Officer · Individual0%1 facilities
Foreman, NicoleW-2 Managing Employee · Individual0%2 facilities
Iverson, AdrieneCorporate Officer · Individual0%1 facilities
Joglekar, RahulCorporate Director · Individual0%1 facilities
Katzmann, LynnCorporate Director · Individual0%2 facilities
Krueger, MarkW-2 Managing Employee · Individual0%1 facilities
Lyons, BlaineW-2 Managing Employee · Individual0%1 facilities
Mcgrath, GeraldineCorporate Director · Individual0%1 facilities
Whelan, ChristineCorporate Director · Individual0%1 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 13, 2025 · K345 · Corrected February 22, 2025

  2. D

    Install a fire alarm system that can be heard throughout the facility.

    February 13, 2025 · K341 · Corrected February 21, 2025

  3. D

    Install corridor and hallway doors that block smoke.

    February 13, 2025 · K363 · Corrected February 21, 2025

  4. C

    Inspect, test, and maintain automatic sprinkler systems.

    February 13, 2025 · K353 · Corrected March 10, 2025

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 9, 2023 · K345 · Corrected July 12, 2023

  6. F

    Properly provide smoke detection systems in areas open to corridors.

    June 9, 2023 · K347 · Corrected July 12, 2023

  7. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 9, 2023 · K353 · Corrected July 12, 2023

  8. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    June 9, 2023 · K355 · Corrected July 12, 2023

  9. D

    Install corridor and hallway doors that block smoke.

    June 9, 2023 · K363 · Corrected July 12, 2023

  10. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 6, 2020 · K355 · Corrected April 7, 2020

Gas, Vacuum, and Electrical Systems4E
  1. D

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    February 13, 2025 · K929 · Corrected February 21, 2025

  2. C

    Have generator or other power source capable of supplying service within 10 seconds.

    February 13, 2025 · K918 · Corrected February 21, 2025

  3. E

    Have generator or other power source capable of supplying service within 10 seconds.

    June 9, 2023 · K918 · Corrected July 12, 2023

  4. D

    Have generator or other power source capable of supplying service within 10 seconds.

    February 6, 2020 · K918 · Corrected April 7, 2020

Miscellaneous3E
  1. C

    Have simulated fire drills held at unexpected times.

    February 13, 2025 · K712 · Corrected March 5, 2025

  2. E

    Have simulated fire drills held at unexpected times.

    June 9, 2023 · K712 · Corrected July 12, 2023

  3. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    February 6, 2020 · K741 · Corrected April 7, 2020

Emergency Preparedness2D
  1. D

    Conduct testing and exercise requirements.

    February 6, 2020 · E39 · Corrected April 7, 2020

  2. D

    Implement emergency and standby power systems.

    February 6, 2020 · E41 · Corrected April 7, 2020

Construction1D
  1. D

    Use approved construction type or materials.

    February 13, 2025 · K161 · Corrected February 21, 2025

·

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