Hayward Hills Health Care Center
1768 B Street, Hayward, CA 94541 · Alameda County · 74 certified beds · avg 66 residents/day · certified since Oct 1, 1974
Part of chain: MARINER HEALTH CARE (17 facilities, chain avg rating 3.6★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
4.74
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 18, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 14, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (34)
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 11, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jun 11, 2026 | E · Potential for harm, repeated | 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 |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | E · Potential for harm, repeated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Jun 11, 2026 | 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 11, 2026 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 11, 2026 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Jun 11, 2026 | 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 |
| Jun 11, 2026 | 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 11, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 16, 2024 | F · Potential for harm, facility-wide | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 16, 2024 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 16, 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. |
| Aug 16, 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. |
| Aug 16, 2024 | 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. |
| Aug 16, 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. |
| Aug 16, 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. |
| Aug 16, 2024 | D · Potential for harm, one-off | 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. |
| Jul 18, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 6, 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 |
| Feb 6, 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. · from a complaint |
| Feb 5, 2024 | 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. · from a complaint |
| Jun 23, 2022 | 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. |
| Jun 23, 2022 | E · Potential for harm, repeated | 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 23, 2022 | 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. |
| Jun 23, 2022 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jun 23, 2022 | 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. |
| Jun 23, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 23, 2022 | 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. |
| Jun 23, 2022 | D · Potential for harm, one-off | 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. |
| Jun 23, 2022 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 23, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Jun 23, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 11 | 0 | E |
| 2024 | 12 | 1 | G ▲ |
| 2026 | 11 | 0 | 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) | 4.74 | 4.31 | 3.95 | top 20% in California; top 18% in the U.S. |
| Registered Nurse hours | 0.72 | 0.61 | 0.69 | top 22% in California; top 34% in the U.S. |
| Weekend total nurse staffing | 4.49 | 3.90 | 3.50 | top 15% in California; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.59 | 0.51 | 0.48 | top 23% in California; top 24% in the U.S. |
| Total nursing staff turnover (%) | 56.1 | 36.7 | 45.8 | bottom 5% in California; bottom 23% in the U.S. |
| RN turnover (%) | 60.0 | 38.1 | 42.9 | bottom 16% in California; bottom 22% 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 4.21, RN 0.64, weekend 3.99. Staffing rating: 4/5.
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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| GC Operating Company LLC | Organization | 5% or Greater Direct Ownership Interest | — | 12/09/2019 |
| Grancare LLC | Organization | 5% or Greater Direct Ownership Interest | — | 12/21/2005 |
| Grunstein, Emily | Individual | 5% or Greater Indirect Ownership Interest | — | 02/06/2019 |
| Mariner Health Care INC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/21/2015 |
| MHC Holding Company | Organization | 5% or Greater Indirect Ownership Interest | — | 12/21/2005 |
| MHC West Holding Company | Organization | 5% or Greater Indirect Ownership Interest | — | 12/21/2005 |
| National Senior Care, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 12/21/2005 |
| Agapay, Erika | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/06/2025 |
| Agapay, Erika | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/30/2025 |
| Agapay, Erika | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2025 |
| GC Operating Company LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 12/09/2019 |
| Hayward Hills Operating Company GP LLC | Organization | General Partnership Interest | NOT APPLICABLE | 12/21/2005 |
| Sarcauga, Dennis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/06/2025 |
| Sarcauga, Dennis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/06/2025 |
| Sarcauga, Dennis | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2025 |
| Utrata, Petr | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/09/2017 |
| Utrata, Petr | Individual | ADP of the SNF | NOT APPLICABLE | 10/09/2017 |
| Yap, Edwinda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2023 |
| Yap, Edwinda | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Yap, Edwinda | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Sage Post Acute | 0.1 mi | Hayward, CA | ★★★☆☆ | 3/5 | |
| Hayward Gardens Post Acute | 0.1 mi | Hayward, CA | ★★★★★ | 4/5 | |
| Canyon Creek Post-Acute | 0.4 mi | Castro Valley, CA | ★★★★☆ | 4/5 | |
| Baywood Court Health Center | 0.6 mi | Castro Valley, CA | ★★★★★ | 5/5 | |
| Vista Post Acute | 1.1 mi | Hayward, CA | ★★★★☆ | 4/5 | |
| We Care Skilled Nursing Facility | 1.1 mi | Hayward, CA | ★★★★★ | 4/5 | |
| Bethesda Home | 1.2 mi | Hayward, CA | ★★★☆☆ | 4/5 | |
| St Anthony Care Center | 1.3 mi | Hayward, CA | ★★★★★ | 5/5 | |
| Serenethos Care Center, LLC | 1.5 mi | Hayward, CA | ★★★★★ | 5/5 | |
| East Bay Post-Acute | 1.5 mi | Castro Valley, CA | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 056447.