Bethesda Home
22427 Montgomery Street · Hayward, CA · 94541 · 5105388300
40 certified beds Non profit - Church related
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- 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: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · E October 25, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 20, 2024 · Nursing and Physician Services
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Potential for harm · E October 25, 2024
Observe each nurse aide's job performance and give regular training.
Corrected November 20, 2024 · Nursing and Physician Services
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Potential for harm · E October 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 20, 2024 · Pharmacy Service
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Potential for harm · E October 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 20, 2024 · Pharmacy Service
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Potential for harm · E October 25, 2024
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 November 20, 2024 · Nutrition and Dietary
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Potential for harm · E October 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 20, 2024 · Nutrition and Dietary
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Potential for harm · E October 25, 2024
Provide and implement an infection prevention and control program.
Corrected November 20, 2024 · Infection Control
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Potential for harm · F November 2, 2023
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 November 28, 2023 · Nutrition and Dietary
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Potential for harm · F November 2, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 28, 2023 · Nutrition and Dietary
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Potential for harm · F November 2, 2023
Provide and implement an infection prevention and control program.
Corrected November 28, 2023 · Infection Control
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Potential for harm · E November 2, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 28, 2023 · Infection Control
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Potential for harm · F October 21, 2022
Keep residents' personal and medical records private and confidential.
Corrected November 17, 2022 · Resident Rights
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Potential for harm · D October 21, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 17, 2022 · Quality of Life and Care
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Potential for harm · D October 21, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 17, 2022 · Pharmacy Service
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Potential for harm · E October 21, 2022
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 November 17, 2022 · Pharmacy Service
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Potential for harm · F October 21, 2022
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 November 17, 2022 · Nutrition and Dietary
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Potential for harm · F October 21, 2022
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected November 17, 2022 · Nutrition and Dietary
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Potential for harm · F October 21, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 17, 2022 · Nutrition and Dietary
-
Potential for harm · E October 21, 2022
Provide and implement an infection prevention and control program.
Corrected November 17, 2022 · Infection Control
-
Potential for harm · D October 21, 2022
Ensure staff are vaccinated for COVID-19
Corrected November 17, 2022 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056370 · certified since December 14, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.