10 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
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
210 40th Street Way, Oakland, CA
(510) 658-2041
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sol Healthcare
Operator or chain grouping
Approved since
1988-09-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 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
0.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.43
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.07
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
4.22
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
78%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
11,786
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Performance 22.02% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 7.74% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
2.31
Baseline 68.52% · Performance 56.25% · Measure score 2.31 · Achievement 1.82 · Improvement 2.31
Adjusted total nurse staffing
3.81
Baseline 4.12 hours · Performance 4.16 hours · Measure score 3.81 · Achievement 3.81 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.47% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 11.76% · Lower 95% interval 7.06% |
| Discharge to community | 30.3% |
50.57%
20.3 pts worse
|
Worse than the National Rate · Eligible stays 52 · Observed rate 17.31% · Lower 95% interval 20.7% |
| Medicare spending per beneficiary | 1.49 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 63 · Denominator 63 |
| Falls with major injury | 1.59% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 63 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 24 · Denominator 36 |
| Discharge mobility score | 52.78% |
50.94%
1.8 pts better
|
Numerator 19 · Denominator 36 |
| Pressure ulcers or injuries, new or worsened | 3.17% |
2.29%
0.9 pts worse
|
Numerator 2 · Denominator 63 · Adjusted rate 3.11% |
| Healthcare-associated infections requiring hospitalization | 7.74% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 10.26% · Lower 95% interval 3.67% |
| Staff COVID-19 vaccination coverage | 22.22% |
8.2%
14 pts better
|
Numerator 12 · Denominator 54 |
| Staff flu vaccination coverage | 49.65% |
42%
7.6 pts better
|
Numerator 70 · Denominator 141 |
| Discharge function score | 72.22% |
56.45%
15.8 pts better
|
Numerator 26 · Denominator 36 |
| Transfer of health information to provider | 59.09% |
95.95%
36.9 pts worse
|
Numerator 13 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30.56% |
25.2%
5.4 pts better
|
Numerator 11 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.8 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.6
0.1 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 1.9 · 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 | 1.8% |
1.6%
0.2 pts worse
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 2.0% · Q4 1.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
6.8%
1.4 pts worse
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.9% · Q3 15.2% · Q4 12.0% · 4Q avg 8.2% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
4.1%
3.6 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.9% |
13.7%
7.8 pts better
|
19.6%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 5.2% · Q3 6.1% · Q4 3.8% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
14.2%
5.4 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 15.4% · Q3 6.7% · Q4 3.3% · 4Q avg 8.8% · 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 | 13.3% |
11.0%
2.3 pts worse
|
16.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 13.2% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.1% |
10.7%
3.6 pts better
|
14.9%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 3.5% · Q3 15.2% · Q4 6.1% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.0%
0.5 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.2%
0.3 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 2.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.2% |
10.9%
0.7 pts better
|
19.8%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 16.7% · Q3 4.4% · Q4 5.5% · 4Q avg 10.2% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
4.7%
0.1 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 2.4% · Q3 2.9% · Q4 5.6% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
94.0%
5.2 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 98.7% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.7% |
11.2%
8.5 pts worse
|
12.0%
7.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 19.6% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
93.2%
5.4 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.1% |
23.2%
2.1 pts better
|
23.9%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 21.4% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
20 fire-safety deficiencies
Top issue: Emergency Preparedness (10 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-11
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-11
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-10-11
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-10-11
Fire Safety
Use approved construction type or materials.
Corrected 2024-10-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-11
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-10-11
Fire Safety
Develop a communication plan.
Corrected 2024-10-11
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-10-11
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-08-17
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-08-17
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-08-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-08-17
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-08-17
Fire Safety
Use approved construction type or materials.
Corrected 2022-08-17
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 2022-08-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-08-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-08-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-08-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-08-17
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-08-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-09-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-09-13
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-09-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-09-13
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2019-09-13
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2019-09-13
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-09-13
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-09-13
Fire Safety
Provide emergency officials' contact information.
Corrected 2019-09-13
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-09-13
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-09-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-09-13
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-09-13
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-09-13
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 2019-09-13
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-09-13
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-09-13
Inspection history
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-10-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-06
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-13
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-10-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-13
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-10-13
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 2024-10-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-13
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-10-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-06-12
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-25
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-08-01
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 2022-09-24
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-09-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-24
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-09-24
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-09-24
Health
Keep all essential equipment working safely.
Corrected 2022-09-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-24
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-09-24
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2022-09-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-09-24
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 2022-09-24
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-09-24
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-09-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-09-24
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 2019-07-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-07-11
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-07-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-07-11
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 2019-07-11
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2019-07-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-07-11
Penalties and ownership
Fine · fine $9,110
Fine
Fine · fine $14,043
Fine
Fine · fine $7,409
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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