Bethesda Home

Name: Bethesda Home
Address: 22427 MONTGOMERY STREET, Hayward, CA, 94541, US
Telephone: 5105388300

22427 Montgomery Street, Hayward, CA 94541 · Alameda County · 40 certified beds · avg 1 residents/day · certified since Dec 14, 1972

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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 (20)

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
Oct 25, 2024	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 25, 2024	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Oct 25, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 25, 2024	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.
Oct 25, 2024	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Oct 25, 2024	E · Potential for harm, repeated	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.
Oct 25, 2024	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.
Nov 2, 2023	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.
Nov 2, 2023	F · Potential for harm, facility-wide	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Nov 2, 2023	F · Potential for harm, facility-wide	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.
Nov 2, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 21, 2022	F · Potential for harm, facility-wide	The facility did not keep residents' personal and medical information private and confidential.
Oct 21, 2022	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.
Oct 21, 2022	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Oct 21, 2022	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.
Oct 21, 2022	E · Potential for harm, repeated	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.
Oct 21, 2022	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.
Oct 21, 2022	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.
Oct 21, 2022	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.
Oct 21, 2022	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 7).

Year	Citations	Worst severity that year
2022	9	F
2023	4	F
2024	7	E

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)	0.00	4.31	3.95	—
Registered Nurse hours	0.00	0.61	0.69	—
Weekend total nurse staffing	0.00	3.90	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.51	0.48	—
Total nursing staff turnover (%)	0.0	36.7	45.8	—
RN turnover (%)	0.0	38.1	42.9	—

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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Christian Retirement Center of Northern California	Organization	5% or Greater Direct Ownership Interest	100%	05/24/1972
Christian Retirement Center of Northern California	Organization	Operational/Managerial Control	NOT APPLICABLE	05/24/1972
Christian Retirement Center of Northern California	Organization	ADP of the SNF	NOT APPLICABLE	05/24/1972
Ekpenyong, Lovian	Individual	Corporate Director	NOT APPLICABLE	07/31/2024
Ekpenyong, Lovian	Individual	Operational/Managerial Control	NOT APPLICABLE	07/31/2024
Ekpenyong, Lovian	Individual	ADP of the SNF	NOT APPLICABLE	07/31/2024
Harvey, Robyn	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Harvey, Robyn	Individual	Corporate Director	NOT APPLICABLE	05/02/2022
Kelly, Christina	Individual	Corporate Officer	NOT APPLICABLE	11/01/2022
Kelly, Christina	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2022
NG, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	04/17/2024
NG, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	04/30/2025

Questions to ask on your visit

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

"How many hours a day is a registered nurse physically in the building, including weekends?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"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
St Anthony Care Center	0.1 mi	Hayward, CA	★★★★★	5/5
We Care Skilled Nursing Facility	0.3 mi	Hayward, CA	★★★★★	4/5
Serenethos Care Center, LLC	0.5 mi	Hayward, CA	★★★★★	5/5
Golden Harbor Healthcare Center	0.6 mi	Hayward, CA	★★☆☆☆	2/5
Morton Bakar Center	0.7 mi	Hayward, CA	★★★★★	5/5
Baywood Court Health Center	1.1 mi	Castro Valley, CA	★★★★★	5/5
Hayward Gardens Post Acute	1.2 mi	Hayward, CA	★★★★★	4/5
Hayward Hills Health Care Center	1.2 mi	Hayward, CA	★★★☆☆	3/5
Sage Post Acute	1.3 mi	Hayward, CA	★★★☆☆	3/5
Canyon Creek Post-Acute	1.5 mi	Castro Valley, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Hayward →

Facility data as of CMS processing date 2026-08-01. CCN 056370.

The Care File

Visit checklist — Bethesda Home

22427 Montgomery Street, Hayward, CA 94541 · 5105388300

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "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 056370 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)