Cycle 1
Health 2025-01-30 · Fire 2025-01-30
3 health deficiencies
Top issue: Infection Control (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Oakland, CA
Piedmont Gardens Health Facility
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
110 41st Street, Oakland, CA
(510) 654-7172
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
69
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Humangood
Operator or chain grouping
Approved since
1969-07-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 4 health / 5 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
Hours and turnover
RN hours / resident day
0.96
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.94
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.67
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.40
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
814
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.38
Composite VBP score used to determine payment impact.
Payment multiplier
1.0181
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 20.89% · Performance 16.71% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
4.80
Baseline 6.18% · Performance 6.40% · Measure score 4.80 · Achievement 4.80 · Improvement 0
Total nurse turnover
6.22
Baseline 40.62% · Performance 38.27% · Measure score 6.22 · Achievement 6.22 · Improvement 0.99
Adjusted total nurse staffing
4.33
Baseline 3.14 hours · Performance 4.31 hours · Measure score 4.33 · Achievement 4.33 · Improvement 3.93
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 279 · Observed rate 6.09% · Lower 95% interval 6.94% |
| Discharge to community | 57.98% |
50.57%
7.4 pts better
|
Better than the National Rate · Eligible stays 288 · Observed rate 59.03% · Lower 95% interval 52.07% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 147 · Denominator 147 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 147 |
| Discharge self-care score | 68.64% |
53.69%
15 pts better
|
Numerator 81 · Denominator 118 |
| Discharge mobility score | 65.25% |
50.94%
14.3 pts better
|
Numerator 77 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 2.04% |
2.29%
0.2 pts better
|
Numerator 3 · Denominator 147 · Adjusted rate 2.63% |
| Healthcare-associated infections requiring hospitalization | 6.4% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 159 · Observed rate 4.4% · Lower 95% interval 4.15% |
| Staff COVID-19 vaccination coverage | 10.47% |
8.2%
2.3 pts better
|
Numerator 9 · Denominator 86 |
| Staff flu vaccination coverage | 65.22% |
42%
23.2 pts better
|
Numerator 105 · Denominator 161 |
| Discharge function score | 68.64% |
56.45%
12.2 pts better
|
Numerator 81 · Denominator 118 |
| Transfer of health information to provider | 98.94% |
95.95%
3 pts better
|
Numerator 93 · Denominator 94 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 62.67% |
25.2%
37.5 pts better
|
Numerator 47 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
98.5%
0.2 pts worse
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 97.8% · Q3 100.0% · Q4 100.0% · 4Q avg 98.3% |
| 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 | 0.6% |
1.6%
1 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
6.8%
6.2 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
4.1%
2.7 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.7% |
13.7%
9 pts better
|
19.6%
14.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 2.7% · Q3 2.8% · Q4 5.3% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
14.2%
3.2 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 9.4% · Q3 9.7% · Q4 15.2% · 4Q avg 11.0% · 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 | 24.4% |
11.0%
13.4 pts worse
|
16.3%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
10.7%
2.1 pts worse
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 5.7% · Q3 2.9% · Q4 5.6% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
1.0%
1.6 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.3% · Q3 1.3% · Q4 1.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.2%
0.6 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.7% |
10.9%
1.8 pts worse
|
19.8%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 25.9% · Q3 7.5% · Q4 4.8% · 4Q avg 12.7% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
4.7%
1.5 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 8.6% · Q3 8.8% · Q4 4.5% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
94.0%
5.9 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.5% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.9% |
11.2%
8.7 pts worse
|
12.0%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 17.0% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.0% |
93.2%
5.8 pts better
|
79.7%
19.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% |
23.2%
4.4 pts better
|
23.9%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 14.8% · Expected 18.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-17 · Fire 2022-11-17
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-04-11 · Fire 2019-04-11
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-30
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-28
F · Potential for more than minimal harm
2025-01-30
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-21
F · Potential for more than minimal harm
2025-01-30
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-02-21
E · Potential for more than minimal harm
2025-01-30
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-30
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-30
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-30
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-30
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-02-28
C · Minimal harm
2025-01-30
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-02-14
F · Potential for more than minimal harm
2022-11-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-11-17
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-01-05
D · Potential for more than minimal harm
2022-11-17
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-01-05
D · Potential for more than minimal harm
2022-11-17
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-05
D · Potential for more than minimal harm
2022-11-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-05
E · Potential for more than minimal harm
2019-04-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-07-08
E · Potential for more than minimal harm
2019-04-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-08
D · Potential for more than minimal harm
2019-04-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-08
D · Potential for more than minimal harm
2019-04-11
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-07-08
D · Potential for more than minimal harm
2019-04-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-07-08
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-20
E · Potential for more than minimal harm
2025-01-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-20
D · Potential for more than minimal harm
2025-01-30
F584 · Resident Rights Deficiencies
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 2025-02-20
E · Potential for more than minimal harm
2022-11-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-25
E · Potential for more than minimal harm
2022-11-17
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-11-17
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-11-17
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-11-17
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-11-25
E · Potential for more than minimal harm
2019-04-11
F761 · Pharmacy Service Deficiencies
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 2019-05-03
D · Potential for more than minimal harm
2019-04-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-05-03
D · Potential for more than minimal harm
2019-04-11
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-05-03
Penalties and ownership
What sits behind the stars
Ownership
Humangood Norcal
5% Or Greater Direct Ownership Interest · Organization
Baker, Judith
Operational/Managerial Control · Individual
Baker, Judith
Corporate Director · Individual
Battison, William
Operational/Managerial Control · Individual
Battison, William
Corporate Director · Individual
Brown, Herman
Corporate Director · Individual
Brown, Herman
Corporate Officer · Individual
Christopherson, Joanne
Operational/Managerial Control · Individual
Christopherson, Joanne
Corporate Director · Individual
Cochrane, John
Operational/Managerial Control · Individual
Cochrane, John
Corporate Officer · Individual
Dhugga, Gurpreet
Operational/Managerial Control · Individual
Feller, Irene
Operational/Managerial Control · Individual
Feller, Irene
Corporate Director · Individual
Gesinger, Jana
Operational/Managerial Control · Individual
Ghassemi, Bethany
Operational/Managerial Control · Individual
Ghassemi, Bethany
Corporate Officer · Individual
Griffith, Alan
Operational/Managerial Control · Individual
Griffith, Alan
Corporate Director · Individual
Holmes, Michelle
Operational/Managerial Control · Individual
Holmes, Michelle
Corporate Director · Individual
Humangood Norcal
Operational/Managerial Control · Organization
Humangood Socal
Operational/Managerial Control · Organization
Kelley, Albert
Operational/Managerial Control · Individual
Kelley, Albert
Corporate Director · Individual
Mast, Russell
Operational/Managerial Control · Individual
Mcdonald, Andrew
Operational/Managerial Control · Individual
Mcdonald, Andrew
Corporate Officer · Individual
Ogus, Daniel
Operational/Managerial Control · Individual
Ogus, Daniel
Corporate Officer · Individual
Roth, Sharon
Corporate Director · Individual
Vangelisto, Gwen
Operational/Managerial Control · Individual
Wittman, Daniel
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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The Rehabilitation Center Of Oakland
Oakland, CA
1-star overall rating with 1-star inspections with $30,562 in total fines with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#2
Oakland Healthcare & Wellness Center
Oakland, CA
5-star overall rating with 4-star inspections with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
Lake Merritt Healthcare Center LLC
Oakland, CA
3-star overall rating with 3-star inspections with 17 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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