Peninsula Post-Acute
1609 Trousdale Drive · Burlingame, CA · 94010 · 6506523969
62 certified beds For profit - Limited Liability company Chain: Pacs Group
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 4.13 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D March 27, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · D March 27, 2026
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 April 20, 2026 · Pharmacy Service
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Potential for harm · F March 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 20, 2026 · Nutrition and Dietary
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Potential for harm · E March 27, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 20, 2026 · Environmental
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Potential for harm · D October 18, 2024 · found via complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected December 10, 2024 · Administration
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Potential for harm · D October 18, 2024
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 December 10, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
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 December 10, 2024 · Pharmacy Service
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Potential for harm · E October 18, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 10, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Ensure that residents are free from significant medication errors.
Corrected December 10, 2024 · Pharmacy Service
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Potential for harm · E October 18, 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 December 10, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · E October 18, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · E October 18, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · D October 18, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · F October 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · E October 18, 2024
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected December 10, 2024 · Administration
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Potential for harm · D October 18, 2024
Provide and implement an infection prevention and control program.
Corrected December 10, 2024 · Infection Control
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Potential for harm · D April 29, 2024 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected May 27, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 555856 · certified since December 22, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.