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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

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-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • 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

  • 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

  • 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

  • Potential for harm · E October 25, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 20, 2024 · Pharmacy Service

  • 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

  • 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

  • Potential for harm · E October 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 20, 2024 · Infection Control

  • 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

  • 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

  • Potential for harm · F November 2, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 28, 2023 · Infection Control

  • Potential for harm · E November 2, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected November 28, 2023 · Infection Control

  • Potential for harm · F October 21, 2022

    Keep residents' personal and medical records private and confidential.

    Corrected November 17, 2022 · Resident Rights

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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.