Alameda County Medical Center D/P SNF

Name: Alameda County Medical Center D/P SNF
Address: 15400 FOOTHILL BOULEVARD, San Leandro, CA, 94578, US
Telephone: 5108954279

15400 Foothill Boulevard, San Leandro, CA 94578 · Alameda County · 109 certified beds · avg 107 residents/day · certified since Nov 1, 1976

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.15

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 22, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 28, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 28, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 28, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 26, 2019	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Sep 26, 2019	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 26, 2019	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Sep 26, 2019	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 26, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 26, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 26, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 26, 2019	B · Minimal risk, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 26, 2019	B · Minimal risk, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Sep 26, 2019	B · Minimal risk, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 5).

Year	Citations	Worst severity that year
2019	10	E
2023	3	E
2024	5	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	7.15	4.31	3.95	top 2% in California; top 1% in the U.S.
Registered Nurse hours	1.41	0.61	0.69	top 4% in California; top 6% in the U.S.
Weekend total nurse staffing	6.66	3.90	3.50	top 2% in California; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.04	0.51	0.48	top 7% in California; top 5% in the U.S.
Total nursing staff turnover (%)	6.9	36.7	45.8	top 1% in California; top 1% in the U.S.
RN turnover (%)	9.4	38.1	42.9	top 5% in California; top 4% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.40, RN 1.26, weekend 5.96. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Alameda Health System	Organization	5% or Greater Direct Ownership Interest	100%	07/01/1998
Espinoza, Richard	Individual	Corporate Officer	NOT APPLICABLE	06/18/2018
Espinoza, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	06/08/2021
Espinoza, Richard	Individual	ADP of the SNF	NOT APPLICABLE	08/06/2021
Johnson, Shari	Individual	Corporate Director	NOT APPLICABLE	01/20/2025
Johnson, Shari	Individual	Corporate Officer	NOT APPLICABLE	01/20/2025
Sharma, Naini	Individual	Corporate Director	NOT APPLICABLE	02/01/2019
Sharma, Naini	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2019
Sharma, Naini	Individual	ADP of the SNF	NOT APPLICABLE	06/05/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
All Saint's Subacute & Transitional Care	0.2 mi	San Leandro, CA	★★★☆☆	2/5
All Saint's Maubert	0.2 mi	San Leandro, CA	★★☆☆☆	2/5
Washington Center	1.2 mi	San Leandro, CA	★★★★★	5/5
Valley Pointe Nursing & Rehabilitation Center	1.8 mi	Castro Valley, CA	★★★★★	4/5
East Bay Post-Acute	1.8 mi	Castro Valley, CA	★★☆☆☆	1/5
San Leandro Healthcare Center	2.0 mi	San Leandro, CA	★★★★☆	4/5
Bancroft Healthcare Center	2.0 mi	San Leandro, CA	★★★☆☆	4/5
Jones Convalescent Hospital	2.1 mi	San Leandro, CA	★★★★☆	4/5
Morton Bakar Center	2.3 mi	Hayward, CA	★★★★★	5/5
Golden Harbor Healthcare Center	2.6 mi	Hayward, CA	★★☆☆☆	2/5
St Francis Healthcare Center	2.6 mi	Hayward, CA	★★★★☆	3/5
Baywood Court Health Center	2.7 mi	Castro Valley, CA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in San Leandro →

Facility data as of CMS processing date 2026-08-01. CCN 056479.

The Care File

Visit checklist — Alameda County Medical Center D/P SNF

15400 Foothill Boulevard, San Leandro, CA 94578 · 5108954279

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056479 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)