Alameda County Medical Center D/P SNF
15400 Foothill Boulevard · San Leandro, CA · 94578 · 5108954279
109 certified beds Government - Hospital district
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 6.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.23 | 0.55–0.75 |
| Weekend hours / resident-day | 6.03 | ≈ weekday level |
| Nursing turnover / year | 8% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Potential for harm · D August 22, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 20, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 20, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024
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 September 20, 2024 · Pharmacy Service
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Potential for harm · F August 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2024 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
Provide and implement an infection prevention and control program.
Corrected September 20, 2024 · Infection Control
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Potential for harm · D July 28, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 18, 2023 · Resident Rights
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Potential for harm · E July 28, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected August 18, 2023 · Pharmacy Service
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Potential for harm · E July 28, 2023
Provide and implement an infection prevention and control program.
Corrected August 18, 2023 · Infection Control
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Potential for harm · D September 26, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 25, 2019 · Resident Rights
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Potential for harm · D September 26, 2019
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 25, 2019 · Resident Rights
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Potential for harm · D September 26, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 25, 2019 · Resident Assessment and Care Planning
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Potential for harm · E September 26, 2019
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 25, 2019 · Nursing and Physician Services
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Potential for harm · E September 26, 2019
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 25, 2019 · Pharmacy Service
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Potential for harm · E September 26, 2019
Ensure that residents are free from significant medication errors.
Corrected October 25, 2019 · Pharmacy Service
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Potential for harm · E September 26, 2019
Provide and implement an infection prevention and control program.
Corrected October 25, 2019 · Infection Control
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No harm found · B September 26, 2019
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 25, 2019 · Resident Assessment and Care Planning
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No harm found · B September 26, 2019
Assess the resident when there is a significant change in condition
Corrected October 25, 2019 · Resident Assessment and Care Planning
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No harm found · B September 26, 2019
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected October 25, 2019 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056479 · certified since November 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.