Nursing HomeInspections

All Saint's Subacute & Transitional Care

Nursing home in San Leandro, CA

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
1652 Mono Avenue, San Leandro, CA 94578
Phone
(510) 481-3200
Listed under
For-profit
Medicare CCN
555809
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
86
Average residents per day
64
Ownership
For-profit, limited Liability company
Legal business name
All Saintsidence Opco, LLC
Chain
Pacs Group (277 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 9, 2004
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 555809. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 12, 2024. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 21, 2019 to Jul 3, 2026): 10 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 3, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
F
Potential for more than minimal harm, widespread
Jul 3, 2026Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration · complaint inspection
F
Potential for more than minimal harm, widespread
Jun 23, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 23, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 23, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 23, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 9, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 9, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 25, 2025Develop 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 · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 25, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
L
Immediate jeopardy, widespread
Jul 12, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 12, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. 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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $163,127 in the last three years.

Aug 22, 2025Fine: $30,933
Mar 25, 2025Fine: $132,194

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

Staffing

Total nurse staffing per resident per day
6.39 hours
Registered nurse (RN) time per resident per day
1.73 hours
Nurse aide time per resident per day
3.00 hours
Total nurse staffing on weekends
6.15 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
46%
Administrators who left in the past year
2

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.

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