Lake Merritt Healthcare Center LLC
309 Macarthur Boulevard, Oakland, CA 94610 · Alameda County · 53 certified beds · avg 51 residents/day · certified since Aug 31, 1972
Part of chain: CRYSTAL SOLORZANO (9 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (44)
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 |
|---|---|---|
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Mar 16, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 6, 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 |
| Mar 5, 2026 | E · Potential for harm, repeated | 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 |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Jan 6, 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 |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Oct 25, 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. |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 25, 2024 | 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. |
| 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 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Oct 25, 2024 | 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. |
| Oct 25, 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. |
| Oct 25, 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Oct 25, 2024 | 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Oct 25, 2024 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Nov 16, 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | D · Potential for harm, one-off | 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. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 16, 2023 | D · Potential for harm, one-off | 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Nov 16, 2023 | C · Minimal risk, facility-wide | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jul 16, 2021 | 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. |
| Jul 16, 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. |
| Jul 16, 2021 | E · Potential for harm, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jul 16, 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. |
| Jul 16, 2021 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jul 16, 2021 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 6 | 0 | E |
| 2023 | 14 | 0 | E |
| 2024 | 17 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 6 | 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) | 4.59 | 4.31 | 3.95 | top 25% in California; top 21% in the U.S. |
| Registered Nurse hours | 0.37 | 0.61 | 0.69 | bottom 26% in California; bottom 18% in the U.S. |
| Weekend total nurse staffing | 4.16 | 3.90 | 3.50 | top 25% in California; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.51 | 0.48 | bottom 28% in California; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 36.7 | 45.8 | top 25% in California; top 12% in the U.S. |
| RN turnover (%) | 50.0 | 38.1 | 42.9 | bottom 29% in California; bottom 39% 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 4.16, RN 0.34, weekend 3.78. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cohen, Rachel | Individual | 5% or Greater Indirect Ownership Interest | 75% | 07/24/2024 |
| Dionisio, Paola | Individual | 5% or Greater Indirect Ownership Interest | 24% | 07/24/2024 |
| Lmhcst LLC | Organization | 5% or Greater Direct Ownership Interest | 24% | 07/24/2024 |
| Rust, Jaden | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/24/2024 |
| Chavarria, Eva | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/16/2024 |
| Chavarria, Eva | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2024 |
| Cohen, Rachel | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2024 |
| Cohen, Rachel | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2024 |
| Enabulele, Fate | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2024 |
| Enabulele, Fate | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2024 |
| Gateways Rehabilitation Center II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/17/2023 |
| Renew Health Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/17/2023 |
| Renew Health Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/17/2023 |
| Sharma, Vatsala | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/17/2023 |
| Sharma, Vatsala | Individual | ADP of the SNF | NOT APPLICABLE | 08/17/2023 |
| Yeh, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/19/2021 |
| Yeh, James | Individual | ADP of the SNF | NOT APPLICABLE | 10/19/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| St Paul's Towers | 0.6 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Oakland Healthcare & Wellness Center | 0.6 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Lake Park Healthcare Center | 0.8 mi | Oakland, CA | ★★★☆☆ | 3/5 | |
| Piedmont Gardens Health Facility | 0.8 mi | Oakland, CA | ★★★★★ | 5/5 | |
| The Rehabilitation Center of Oakland | 1.0 mi | Oakland, CA | ★☆☆☆☆ | 1/5 | |
| McClure Post Acute | 1.1 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Medical Hill Healthcare Center | 1.1 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Bay Area Healthcare Center | 1.3 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Oakland Heights Nursing and Rehabilitation | 1.7 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Bay Marina Post Acute | 2.2 mi | Oakland, CA | ★★★☆☆ | 2/5 | |
| Bellaken Skilled Nursing Center | 2.2 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Garfield Neurobehavioral Center | 2.6 mi | Oakland, CA | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 056350.