Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alameda County Medical Center D/p Snf during CMS and state inspections, most recent first.
The facility failed to maintain food safety and hygiene standards, as raw seafood was improperly stored above ready-to-eat foods, a scoop was left in breadcrumbs, and a food service worker did not change gloves or wash hands after contamination. These actions risked foodborne illness for 106 residents.
The facility failed to ensure safe storage and handling of hazardous medications in three out of six medication carts. Observations revealed that drugs like megestrol, finasteride, and tofacitinib were not consistently stored in protective bags, posing a risk of accidental exposure. Licensed nurses were unsure about the inconsistent storage practices, and the DON acknowledged reliance on the pharmacy for consistent risk highlighting. The facility's policy on hazardous drug handling was not consistently followed, as noted in the report.
A resident was prescribed erythromycin ophthalmic ointment without a specific duration or indication for use, leading to a deficiency in medication management. The ointment was used as a lubricant, but there was no active order for artificial tears. The consultant pharmacist did not realize the prolonged use and noted the lack of standard practice for long-term use as a lubricant.
The facility failed to ensure safe storage practices for medications and medical supplies, leading to potential risks of unsafe medication use. In Unit B2, undated DuoNeb and improperly stored suppositories were found, while Unit B4's Treatment Cart contained unlabeled drugs and expired supplies. Additionally, Unit B3's unlocked refrigerator stored outdated flu vaccine and undated antibiotics. These issues were acknowledged by staff, but the facility lacked a medication storage policy.
A facility failed to follow infection control protocols during medication administration and blood sugar testing for two residents. An LPN did not clean a pill cutter or perform hand hygiene while administering medication. Additionally, the LPN did not properly disinfect a shared glucometer between uses, using a sanitizing wipe for less than the required contact time. The DON confirmed these actions were against facility policy, and the annual skills competency evaluation for infection control had not been conducted.
Food Safety and Hygiene Deficiencies in LTC Facility
Penalty
Summary
The facility failed to ensure that food was prepared and stored in a safe and sanitary manner for all 106 residents. During an inspection, it was observed that frozen raw tilapia and shrimp were stored above ready-to-eat chicken enchiladas and bean and cheese pupusas in the freezer. This improper storage arrangement was acknowledged by the Director of Food and Nutrition Services (DFNS) and a Registered Dietitian (RD 1), who confirmed that raw seafood should be stored below ready-to-eat foods to prevent cross-contamination, as per the FDA Food Code. Additionally, a dispensing scoop was found resting inside a bin of panko breadcrumbs, which is against the FDA Food Code that requires dispensing utensils to be stored with their handles above the food. Furthermore, a food service worker (FSW 1) failed to perform hand hygiene after picking up a clipboard from the floor and continued to handle food without changing gloves or washing hands. This was contrary to the facility's policy on hand hygiene, which mandates washing hands after any activity that may contaminate them. These lapses in food safety practices placed the residents at risk of foodborne illness.
Inconsistent Storage and Handling of Hazardous Medications
Penalty
Summary
The facility failed to ensure safe practices in the storage and handling of hazardous medications in three out of six medication carts. During observations and interviews, it was noted that several hazardous drugs, such as megestrol, finasteride, and tofacitinib, were not consistently stored in protective zip lock bags, which are necessary to prevent accidental exposure. Licensed nurses were unsure why some hazardous medications were stored in hazard bags while others were not, indicating a lack of consistent practice in handling these drugs. Further observations revealed that medication carts contained hazardous drugs like methotrexate, colchicine, and Dilantin, some of which were stored in zip lock bags with warning labels, while others were not. The inconsistency in storage practices was acknowledged by the Director of Nursing (DON), who stated that the facility relied on the pharmacy to provide a consistent method of highlighting risks and ensuring safe containment. The DON also mentioned that the use of hazard bags helped nurses recognize hazardous drugs for safer handling. The facility's policy on the safe handling of hazardous drugs was reviewed, which indicated that hazardous drugs should be stored in a manner that prevents spillage. However, the observations showed that this policy was not consistently followed. The report also referenced guidelines from the CDC's NIOSH and the American Society of Health-System Pharmacists, which emphasize the importance of clearly labeling and safely handling hazardous drugs to prevent occupational exposure and potential health risks to healthcare workers.
Deficiency in Safe Use of Erythromycin Ophthalmic Ointment
Penalty
Summary
The facility failed to ensure the safe use of erythromycin ophthalmic ointment for a resident, leading to a deficiency in medication management. The resident, who had a history of eye surgeries and was being treated for glaucoma and dry eye syndrome, was prescribed erythromycin ointment without a specific duration or indication for its use. The primary physician confirmed that the ointment was used as a lubricant, but there was no active order for artificial tears, which were also noted in the eye specialist's records. This oversight could contribute to antibiotic resistance, although the primary physician noted it would not be as severe as with oral antibiotics. The facility's consultant pharmacist, responsible for tracking antibiotic use as part of the Antibiotic Stewardship Program, did not realize the prolonged use of the eye antibiotic. The pharmacist stated that there was no standard practice supporting the long-term use of the antibiotic as a lubricant and suggested that consultation with the eye specialist and an infectious disease doctor was necessary. The facility's medication therapy policy requires that each resident's medication regimen includes only necessary medications with appropriate frequency and duration, which was not adhered to in this case.
Medication Storage Deficiencies in Facility
Penalty
Summary
The facility failed to ensure safe storage practices for medications and medical supplies across several units, leading to potential risks of unsafe and spoiled medication use. In Unit B2, Medication Cart 2 stored undated inhalation medication DuoNeb and opened packets of lidocaine topical system without proper labeling. Additionally, the medication refrigerator in Unit B2 contained unlabeled CathFlo and improperly stored bisacodyl and acetaminophen suppositories that did not require refrigeration. These findings were acknowledged by the respective nurses during observations and interviews. In Unit B4, the Treatment Cart contained unlabeled and partially used prescription drugs such as Santyl and Triamcinolone cream, along with opened and expired wound care supplies. Furthermore, the medication refrigerator in Unit B3 was found unlocked and contained outdated flu vaccine, expired vancomycin oral solution, and undated cephalexin bottles. The pharmacy supervisor confirmed that floor inspections were conducted monthly, and the Director of Nursing stated that medication storage areas were regularly checked for outdates. However, the facility did not provide a medication storage policy.
Infection Control Lapses in Medication and Blood Sugar Testing
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during medication administration and blood sugar testing for two residents. Licensed Nurse 1 (LN 1) did not clean the pill cutter before and after use and neglected to perform hand hygiene while administering medication to Resident 81. Additionally, LN 1 did not clean the blood glucometer between uses for Residents 81 and 407, contrary to the facility's policy and standards of practice. The glucometer was not adequately disinfected, as LN 1 used a Sani-Cloth wipe for less than the required two-minute contact time. The Director of Nursing (DON) confirmed that the facility's policy required cleaning the glucometer before and after each use, with a contact time of two minutes for the sanitizing wipe. The facility's policies on cleaning and disinfecting non-critical resident care items, point-of-care blood glucose testing, and hand hygiene were not followed. Furthermore, the annual skills competency evaluation for infection control practices had not been conducted for the year, as stated by the Registered Nurse/Clinical Instructor (RN/CI).
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San Leandro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| All Saint's Subacute & Transitional Care | 0.2 mi | ★★★★★ | 2 | 0 |
| All Saint's Maubert | 0.2 mi | ★★★★★ | 0 | 0 |
| Kaiser Permanente Post-acute Care Center | 1.2 mi | — | 0 | 0 |
| Washington Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Valley Pointe Nursing & Rehabilitation Center | 1.8 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.