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 Marina Garden Nursing Center during CMS and state inspections, most recent first.
The facility did not maintain RN coverage for eight hours a day, seven days a week, on five specific days. The absence of RN coverage was confirmed by the Administrator, and the Director of Nursing highlighted the importance of RNs for critical decision-making and emergency procedures. The facility's policy required RN services for at least eight consecutive hours daily, which was not adhered to during the specified days.
A resident with type 2 diabetes did not receive their prescribed Jardiance medication due to its unavailability in the medication cart. During a medication pass, an LVN confirmed the absence of the medication, which was scheduled for administration. The facility's policy requires medications to be administered as per prescriber's orders, which was not followed in this case.
The facility was found to have multiple food safety and sanitation deficiencies, including a lack of an air gap in the food preparation sink, a dirty pop-up toaster, improper storage of a rice scoop, an unsealed carton of powdered potatoes, and freezer burn in chest freezers. These issues posed a risk of foodborne illnesses for 28 residents. Observations and interviews with staff confirmed these findings.
The facility failed to maintain infection control practices as CNA and laundry staff were observed wearing masks incorrectly and not performing hand hygiene when handling linens. Both staff acknowledged the correct procedures, and the DON confirmed the importance of these practices for infection prevention.
Fifteen rooms in the facility were found to provide less than the required 80 square feet per resident, with square footage per bed ranging from 69.07 to 77.67 square feet. Despite this, observations indicated sufficient space for care, no obstructions, and no resident complaints or safety concerns. A room size waiver was recommended.
Failure to Maintain RN Coverage
Penalty
Summary
The facility failed to ensure Registered Nurse (RN) coverage for eight hours a day, seven days a week, for five specific days. This deficiency was identified during an interview and record review with the Administrator, who confirmed the absence of RN coverage on June 23, 26, 27, 28, and 29, 2023. The Director of Nursing emphasized the importance of having an RN available due to their critical decision-making responsibilities and broader scope of practice, such as intravenous insertion in emergencies. The facility's policy on staffing indicated the requirement for RN services for at least eight consecutive hours daily, seven days a week, which was not met during the specified days.
Medication Unavailability for a Resident with Diabetes
Penalty
Summary
The facility failed to ensure that medication was available and administered according to the physician's order for a resident diagnosed with type 2 diabetes mellitus, high blood pressure, and pulmonary embolism. During a medication pass observation, a Licensed Vocational Nurse (LVN) was observed administering several medications to the resident, but the resident's Jardiance, a medication used to help lower blood sugar levels, was not available for administration. The LVN confirmed that the Jardiance medication, scheduled for administration at 7:30 a.m., was not given because it was not found in the medication cart. A review of the resident's records, including the Admission Record, Order Summary Report, and Medication Administration Record, confirmed the absence of Jardiance administration on the specified date. The LVN documented in the administration note that the medication was pending and that follow-up with the pharmacy was necessary. The facility's policy and procedure on medication administration, dated 2007, states that medications should be administered in accordance with the written orders of the prescriber, which was not adhered to in this instance.
Food Safety and Sanitation Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to maintain safe and sanitary food storage, preparation, and distribution practices, as observed during a survey. The deficiencies included the absence of an air gap in the food preparation sink, which was directly connected to the sewage system, posing a risk of contamination. Additionally, a pop-up toaster was found with accumulated debris due to irregular cleaning, contrary to the facility's policy requiring daily cleaning after each use. A scoop was improperly stored inside a rice grain container, which could lead to bacterial contamination, and an open carton of powdered potatoes was not sealed, increasing the risk of pest attraction. Further observations revealed that two chest freezers contained crystallization, indicating freezer burn, with two bags of frozen French fries affected. This suggested that the freezers were not functioning properly, potentially leading to food quality issues. These failures had the potential to cause foodborne illnesses for 28 residents who received food from the kitchen, as the facility census was 29 at the time of the survey. Interviews with the Dietary Manager, Maintenance Supervisor, and Registered Dietician confirmed these findings and highlighted the importance of adhering to proper food safety standards.
Infection Control Breaches in Mask Usage and Hand Hygiene
Penalty
Summary
The facility failed to maintain proper infection control practices as observed in two instances involving staff members. Certified Nursing Assistant (CNA) 1 and Laundry Staff (LS) 1 were both observed wearing face masks below their noses, which is contrary to the facility's policy that mandates face masks should cover both the nose and mouth to prevent the transmission of respiratory infections. During interviews, both staff members acknowledged the correct way to wear a mask and the importance of doing so to protect themselves, residents, and other staff from respiratory viruses. The Director of Nursing (DON) confirmed that wearing face masks correctly was a county mandate and essential for infection control. Additionally, LS 1 failed to perform hand hygiene before donning gloves and after removing them while handling linens, which is a breach of the facility's infection control policies. LS 1 was observed handling both clean and soiled linens without sanitizing hands, despite acknowledging the importance of hand hygiene in preventing the spread of infections. The DON reiterated that hand hygiene is crucial when handling soiled linens to prevent the spread of infection. The facility's policies on hand hygiene and the use of personal protective equipment were reviewed, indicating that hand hygiene is the primary means to prevent infection spread and should be performed before and after glove use.
Deficiency in Room Size Requirements
Penalty
Summary
The facility was found to have a deficiency related to room size requirements for resident accommodations. Specifically, fifteen resident rooms with multiple beds were identified as providing less than the required 80 square feet per resident. The rooms in question had square footage per bed ranging from 69.07 to 77.67 square feet, which is below the regulatory standard. This deficiency was observed during a survey conducted on November 21, 2024, at 10:30 a.m. Despite the deficiency in room size, observations made from November 18 to November 21, 2024, indicated that there was sufficient space for the provision of care in all rooms. There were no heavy equipment or other obstructions that interfered with resident care, and each resident had adequate personal space and privacy. Additionally, there were no complaints from residents regarding insufficient space for their belongings, and no negative consequences or safety concerns were noted as a result of the decreased space in the fifteen rooms. A recommendation for a room size waiver was made.
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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 Alameda
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alameda Hospital D/p Snf | 1.1 mi | ★★★★★ | 2 | 0 |
| Fruitvale Healthcare Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Bay View Rehabilitation Hospital, Llc | 1.1 mi | ★★★★★ | 5 | 0 |
| Garfield Neurobehavioral Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Mercy Retirement & Care Center | 1.5 mi | ★★★★★ | 3 | 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.