5 health deficiencies
Top issue: Environmental (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Hayward, CA
5-star overall rating with 5-star inspections with $51,355 in total fines with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
553 Smalley Avenue, Hayward, CA
(510) 733-3877
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
30
Certified beds
Average residents
26
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.31
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.71
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
10,004
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.55
Baseline 20.22% · Performance 19.79% · Measure score 3.55 · Achievement 3.55 · Improvement 0.86
Healthcare-associated infections
2.33
Baseline 8.02% · Performance 7.16% · Measure score 2.33 · Achievement 2.26 · Improvement 2.33
Total nurse turnover
2.81
Baseline 50.00% · Performance 52.17% · Measure score 2.81 · Achievement 2.81 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.88 hours · Performance 2.74 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.16% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 12.24% · Lower 95% interval 6.69% |
| Discharge to community | 49.11% |
50.57%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 38.18% · Lower 95% interval 35.35% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 32 · Denominator 32 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 32 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 32 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.16% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 30.3% |
8.2%
22.1 pts better
|
Numerator 10 · Denominator 33 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 96.0% |
98.2%
2.2 pts worse
|
95.5%
0.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
1.6%
1.7 pts worse
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.5% · Q4 4.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
4.1%
0.7 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.0% · Q3 4.5% · Q4 0.0% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.2% |
13.7%
11.5 pts better
|
19.6%
17.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.5% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
14.2%
4.7 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.5% · 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 need for help with daily activities has increased | 5.5% |
10.7%
5.2 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.0%
0.3 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 1.3% · 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 | 4.1% |
10.9%
6.8 pts better
|
19.8%
15.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q4 0.0% · 4Q avg 4.1% |
| Percentage of long-stay residents with pressure ulcers | 9.5% |
4.7%
4.8 pts worse
|
5.1%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.6% · Q3 7.5% · Q4 12.1% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.5% |
94.0%
43.5 pts worse
|
81.7%
31.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.2% · Q2 46.7% · Q3 44.0% · 4Q avg 50.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
11.2%
4.1 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 8.7% · Expected 13.7% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.6% |
93.2%
41.6 pts worse
|
79.7%
28.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
23.2%
0.7 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 30.4% · Expected 30.3% · Used in QM five-star |
Survey summary
Top issue: Environmental (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-12-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-22
Fire Safety
Use approved construction type or materials.
Corrected 2024-11-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-11-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-22
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-11-01
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-11-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-09
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-09
Fire Safety
Use approved construction type or materials.
Corrected 2024-01-09
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-09
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-01-09
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-12-23
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-12-23
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-12-23
Fire Safety
Implement emergency and standby power systems.
Corrected 2021-12-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-12-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-12-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-12-23
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2021-12-23
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2021-12-23
Fire Safety
Provide emergency officials' contact information.
Corrected 2021-12-23
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-12-23
Fire Safety
Use approved construction type or materials.
Corrected 2021-12-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-12-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-12-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2021-12-23
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-06-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-12
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-11-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-10
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-12-10
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 2023-12-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-10
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-12-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-01-27
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 2022-01-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-01-27
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-27
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 2022-01-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-01-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-27
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 2022-01-27
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-01-27
Penalties and ownership
Fine · fine $51,355
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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Hayward, CA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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