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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Masonic Home during CMS and state inspections, most recent first.
The facility failed to store food under sanitary conditions, with several items in the walk-in refrigerator not labeled with use-by dates. Staff interviews revealed a lack of adherence to labeling protocols, partly due to a labeling machine being out of paper. Additionally, the ice machine was found in unsanitary condition, with dusty and rusty components. These deficiencies were contrary to the facility's policy, posing a potential risk of foodborne illness.
Three residents in the facility were found with call lights out of reach, potentially hindering their ability to request assistance. A resident with muscle weakness and mobility issues, another receiving palliative care with hemiplegia, and a third with muscle weakness and anxiety disorder all had call lights hanging on the wall, inaccessible from their beds. An LVN confirmed the inaccessibility, and the DON emphasized the importance of having call lights within reach, as per facility policy.
A facility failed to follow its skin and wound care policy when a resident's pressure ulcer dressing was not labeled with the date of the last change or the nurse's initials. The resident, with a stage 2 pressure ulcer on the left buttock, experienced an increase in wound size. The oversight was confirmed during an observation and interview, highlighting a lapse in standard practice.
The facility failed to ensure safe medication storage practices by allowing expired medications to remain in an emergency drug kit. An RN identified that a kit in the medication room had expired, which was confirmed by the Pharmacy Manager. The facility's policy requires immediate removal and disposal of outdated medications, which was not followed.
The facility failed to maintain a sanitary garbage and refuse storage area, as the area around the dumpster was littered with trash and used gloves, and had stagnant water. This was observed during a survey and acknowledged by the Maintenance Staff and Registered Dietician. The Facility Manager noted that the area was scheduled for weekly cleaning, but recent staff absences due to illness had affected this schedule. The facility's policy required proper disposal to prevent contamination, which was not followed.
A hand sanitizer dispenser in a resident room was non-operational for four days, despite being reported to staff. The room housed two residents with various infections and chronic conditions. The facility's infection control policy was not followed, posing a risk of infection spread due to inadequate hand hygiene equipment.
A resident experienced significant weight loss and redness on the buttocks, which were not addressed in the care plan. The facility failed to notify the resident's physician and family about the weight loss. Despite documentation of the weight loss, the care plan was not updated, and staff interviews confirmed the oversight.
Deficient Food Storage and Ice Machine Sanitation
Penalty
Summary
The facility failed to ensure the proper storage of food under sanitary conditions, as observed during a survey. In the walk-in refrigerator, several food items, including an open package of hot dogs, six opened containers of salad cream, and a bowl of peeled mandarin oranges, were not labeled with received, open, or use-by dates. This oversight was confirmed through interviews with various staff members, including a cook, a dietary clerk, and the chef, who acknowledged the expectation to label and date food items. The chef mentioned that the labeling machine was out of paper, which contributed to the failure to label the food items properly. Additionally, the facility's ice machine was found to be in unsanitary condition, with dusty surfaces, brownish rusty discoloration on the interior panel, and dusty grayish discolored water tubing sleeves. This was observed during a concurrent inspection and interview with maintenance staff, the facility manager, the registered dietician, and the director of dining services. The facility's policy and procedure for food and supply storage, which requires all food items to be covered, labeled, and dated to prevent contamination, was not adhered to, leading to the potential risk of foodborne illness.
Inaccessible Call Lights for Residents
Penalty
Summary
The facility failed to ensure that the call lights were within easy reach for three residents, which could potentially hinder their ability to request assistance when needed. During an initial tour, it was observed that Resident 3, who was alert and able to answer questions, could not reach the call light as it was hanging on the wall beside the bed. Resident 3, diagnosed with muscle weakness and mobility issues, was unaware of the call light's location and expressed the need for it to request assistance. Licensed Vocational Nurse (LVN) 1 confirmed the call light was out of reach and acknowledged the necessity for it to be accessible. Similarly, Resident 59, who was receiving palliative care and had hemiplegia, was found with the call light hanging on the wall, out of reach. LVN 1 confirmed that Resident 59 used the call light to communicate needs and that it should be within reach. Resident 64, diagnosed with muscle weakness and anxiety disorder, also had a call light that was not accessible. LVN 1 confirmed the inaccessibility and stated the importance of having the call light within reach. The Director of Nursing (DON) emphasized that residents should always be able to reach their call lights to ensure timely assistance. The facility's policy indicated that call lights should be within easy reach when residents are in bed or confined to a chair.
Failure to Properly Label Pressure Ulcer Dressing
Penalty
Summary
The facility failed to adhere to its skin and wound care policy and procedure, as evidenced by the lack of proper labeling on a pressure ulcer dressing for Resident 69. The dressing on Resident 69's left buttock was not marked with the date of the last change or the initials of the treatment nurse, which is a requirement according to the facility's policy. This oversight was confirmed during an observation and interview with a Certified Nursing Assistant and a Licensed Vocational Nurse, who acknowledged that it is standard practice to date and initial dressings to ensure proper monitoring and treatment. Resident 69, who was admitted with multiple diagnoses including a stage 2 pressure ulcer on the left buttock, experienced an increase in the size of the wound over time. The resident's medical records indicated a significant weight loss and ongoing treatment for the pressure ulcer, yet the dressing was not properly labeled, potentially compromising the monitoring and treatment process. The facility's policy, dated 11/17/17, clearly outlines the procedure for dressing wounds, which includes marking the tape with initials, time, and date, a step that was not followed in this instance.
Expired Medications Found in Emergency Drug Kit
Penalty
Summary
The facility failed to ensure safe medication storage practices by allowing expired medications to remain available for use in an emergency drug kit. During an observation and interview, a Licensed Registered Nurse (RN2) identified that one of the emergency drug kits in the medication room on the third floor had an expiration date of November 2024, indicating it was expired. This was confirmed by the Pharmacy Manager (PM), who acknowledged the expiration and stated that the kit would be replaced. The facility's policy and procedure for medication storage requires that outdated, contaminated, or deteriorated medications be immediately removed from stock and disposed of according to procedures, which was not adhered to in this instance.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to maintain the garbage and refuse storage area in a sanitary condition, as observed during a survey. The area surrounding the dumpster, located behind the kitchen building, was found to be littered with trash and used gloves, and had stagnant water. This was confirmed during an observation and interview with the Maintenance Staff and Registered Dietician, who acknowledged that such littering was not acceptable. The Facility Manager explained that the dumpster area was scheduled for weekly cleaning, but recent staff absences due to illness had impacted this schedule. The facility's policy on Sanitation and Infection Prevention/Control, revised in January, indicated that food waste and rubbish should be disposed of in a manner that prevents contamination, which was not adhered to in this instance.
Non-Operational Hand Sanitizer Dispenser in Resident Room
Penalty
Summary
The facility failed to maintain a safe, sanitary, and comfortable environment when a hand sanitizer dispenser in one of the resident bedrooms was non-operational for four consecutive days. This deficiency was observed in a room occupied by two residents, one of whom had a history of infections and chronic conditions, including a right lower leg open wound, Proteus mirabilis infection, Staphylococcus aureus infection, chronic venous hypertension with ulcer and inflammation, and latent tuberculosis. The other resident had chronic kidney disease, acute systolic congestive heart failure, and candidal stomatitis. Both residents had intact cognition as indicated by their BIMS scores. The non-operational hand sanitizer dispenser was first observed on February 3rd, and despite being reported to a registered nurse and the facility administrator, it remained non-functional by February 5th. The facility's infection prevention and control policy, which aims to provide a safe and sanitary environment, was not adhered to, as the dispenser was not repaired promptly. The lack of operational hand sanitizing equipment in the resident's room and nearby hallways posed a risk of infection spread, as confirmed by a CNA who emphasized the importance of hand hygiene when caring for multiple residents.
Failure to Address Significant Weight Loss and Skin Redness
Penalty
Summary
The facility failed to provide appropriate treatment and care for a resident, identified as Resident 1, in accordance with professional standards. The resident experienced significant weight loss and redness on the bilateral buttocks, which were not addressed in the comprehensive care plan with appropriate interventions. The facility did not notify the resident's physician and representatives about the continued weight loss. The resident was sent to the emergency room due to persistent nausea, vomiting, and significant weight loss. Despite the resident's weight loss being documented in the weight tracking system, the care plan was not updated to address these issues. Interviews with facility staff, including a Registered Dietician, MDS coordinator, Licensed Vocational Nurse, Registered Nurse-Supervisor, and Director of Nursing, revealed that the care plans did not address the resident's significant weight loss and buttock redness. The facility's policy and procedure for nutrition and weight loss were not followed, as the resident's family and physician were not informed of the significant weight loss. The facility's protocol required that the care plans be revised as the resident's condition changed, but this was not done in this case.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
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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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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Union City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Niles Canyon Post Acute | 3 mi | ★★★★★ | 6 | 0 |
| Mission Valley Post Acute | 3.3 mi | ★★★★★ | 0 | 0 |
| We Care Skilled Nursing - Fremont | 3.3 mi | ★★★★★ | 3 | 0 |
| Country Drive Post Acute | 3.4 mi | ★★★★★ | 5 | 0 |
| Crestwood Treatment Center | 3.4 mi | ★★★★★ | 0 | 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 June 2026) and official state health department websites.