Bay View Rehabilitation Hospital, LLC

Name: Bay View Rehabilitation Hospital, LLC
Address: 516 WILLOW STREET, Alameda, CA, 94501, US
Telephone: 5105215600

516 Willow Street, Alameda, CA 94501 · Alameda County · 180 certified beds · avg 166 residents/day · certified since Aug 31, 1972

Abuse citation flag (CMS)

Part of chain: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5

Health inspection rating (on-site)

Serious findings on record

$201,994

Fines, last 3 years

4.32

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jun 15, 2026 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 8, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · May 16, 2024 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

Corrected: Jun 13, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (35)

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
Jun 15, 2026	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 15, 2026	F · Potential for harm, facility-wide	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 22, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 10, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint
Dec 4, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Oct 31, 2024	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Oct 31, 2024	D · Potential for harm, one-off	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.
Oct 31, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 31, 2024	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 24, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jul 9, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 16, 2024	▲ J · Immediate jeopardy, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 16, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 1, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Mar 29, 2024	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 24, 2021	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jun 24, 2021	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Jun 24, 2021	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.
Jun 24, 2021	F · Potential for harm, facility-wide	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Jun 24, 2021	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Jun 24, 2021	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jun 24, 2021	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Jun 24, 2021	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.
Jun 24, 2021	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jun 24, 2021	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.
Jun 24, 2021	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 24, 2021	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jun 24, 2021	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 29, 2019	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 29, 2019	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 29, 2019	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 29, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 29, 2019	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.
Mar 29, 2019	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2019	6	0	D
2021	13	0	F
2024	11	1	J ▲
2025	1	0	D
2026	4	1	J ▲

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)

2 fines totaling $201,994.

Date	Type	Amount / length
May 13, 2026	Fine	$155,268
May 16, 2024	Fine	$46,726

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)	4.32	4.31	3.95	top 37% in California; top 28% in the U.S.
Registered Nurse hours	0.34	0.61	0.69	bottom 18% in California; bottom 14% in the U.S.
Weekend total nurse staffing	3.94	3.90	3.50	top 37% in California; top 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.51	0.48	bottom 23% in California; bottom 23% in the U.S.
Total nursing staff turnover (%)	21.6	36.7	45.8	top 10% in California; top 4% in the U.S.
RN turnover (%)	47.1	38.1	42.9	bottom 31% in California; bottom 40% 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 3.85, RN 0.30, weekend 3.51. Staffing rating: 3/5.

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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chambers, Thomas	Individual	Direct Ownership Interest	NOT APPLICABLE	11/01/2012
Johnson, David	Individual	Direct Ownership Interest	NOT APPLICABLE	11/01/2012
Allen, Anthony	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Allen, Anthony	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Chambers, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2012
Chambers, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2012
Johnson, David	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2012
Punzalan, Rustico	Individual	Corporate Officer	NOT APPLICABLE	05/01/2024
Punzalan, Rustico	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Punzalan, Rustico	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2024
Santos Rabago, Roland	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Santos Rabago, Roland	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

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

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"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	Flags
Alameda Hospital D/P SNF	0.3 mi	Alameda, CA	★★★☆☆	2/5	abuse
Alameda Healthcare & Wellness Center	0.6 mi	Alameda, CA	★★☆☆☆	2/5
Marina Garden Nursing Center	1.1 mi	Alameda, CA	★★★★★	5/5
West Shore Post Acute	1.2 mi	Alameda, CA	★☆☆☆☆	1/5
Fruitvale Healthcare Center	1.7 mi	Oakland, CA	★★★★★	5/5
Garfield Neurobehavioral Center	1.8 mi	Oakland, CA	★★★☆☆	2/5	abuse
Mercy Retirement & Care Center	2.3 mi	Oakland, CA	★★★★☆	4/5
Bay Area Healthcare Center	2.4 mi	Oakland, CA	★★★★★	5/5
Oakland Heights Nursing and Rehabilitation	2.7 mi	Oakland, CA	★★★★★	4/5
Princeton Manor Healthcare Center, LLC	2.8 mi	Oakland, CA	★★★☆☆	3/5
Bellaken Skilled Nursing Center	2.9 mi	Oakland, CA	★★★★★	5/5
Bay Marina Post Acute	2.9 mi	Oakland, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Alameda →

Facility data as of CMS processing date 2026-08-01. CCN 056348.

The Care File

Visit checklist — Bay View Rehabilitation Hospital, LLC

516 Willow Street, Alameda, CA 94501 · 5105215600

Health inspection rating 1/5 · CMS overall 1/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $201,994

Most serious findings on record:

▲ Jun 15, 2026 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ May 16, 2024 (F-0610, Immediate jeopardy, one-off): The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "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 056348 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)