Nursing HomeInspections

Avondale Villa Post-Acute

Nursing home in Livermore, CA

Medicare & Medicaid certified4★ overall (CMS)

Call (925) 447-2280Send a messageMap ↗

Public-record details

Address
788 Holmes Street, Livermore, CA 94550
Phone
(925) 447-2280
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
555399
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
37
Average residents per day
34
Ownership
For-profit, limited Liability company
Legal business name
Island Creek Holdings LLC
Chain
Links Healthcare Group (32 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 26, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555399. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 16, 2025. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 25, 2022 to Mar 10, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 10, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 16, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
May 16, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 16, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 16, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 16, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 16, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 16, 2025Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 16, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 1, 2024Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Mar 1, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 1, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 36. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.32 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
2.50 hours
Total nurse staffing on weekends
3.88 hours
Nursing staff turnover (yearly)
36%
RN turnover (yearly)
60%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Livermore

The Vineyards Healthcare Center76 Fenton Street · Livermore, CA 94550 · (925) 443-1800 · For-profit24 health citations in 3 inspection cycles · last standard inspection Dec 6, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Stratford Villa Post-Acute752 Holmes Street · Livermore, CA 94550 · (925) 447-2280 · For-profit16 health citations in 3 inspection cycles · last standard inspection Mar 21, 2024 · $46,779 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

All 3 in Livermore →