Oakland Heights Nursing and Rehabilitation
2361 East 29th Street, Oakland, CA 94606 · Alameda County · 48 certified beds · avg 46 residents/day · certified since Oct 14, 1993
Part of chain: ASPEN SKILLED HEALTHCARE (35 facilities, chain avg rating 3.7★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$7,409
Fines, last 3 years
4.01
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: 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 (21)
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 10, 2025 | 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. |
| Apr 10, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 10, 2025 | 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. |
| Apr 10, 2025 | 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. |
| Apr 10, 2025 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| May 6, 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 |
| Nov 3, 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 3, 2023 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Nov 3, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 3, 2023 | 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. |
| Nov 3, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Nov 3, 2023 | 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. |
| Nov 3, 2023 | E · Potential for harm, 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. |
| Nov 3, 2023 | D · Potential for harm, one-off | 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. |
| Nov 3, 2023 | 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. |
| Nov 3, 2023 | 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. |
| Nov 3, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Nov 3, 2023 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Nov 4, 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. |
| Nov 4, 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | E |
| 2023 | 12 | 0 | F |
| 2024 | 1 | 0 | D |
| 2025 | 5 | 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)
1 fine totaling $7,409.
| Date | Type | Amount / length |
|---|---|---|
| Sep 18, 2023 | Fine | $7,409 |
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) | 4.01 | 4.31 | 3.95 | bottom 42% in California; top 39% in the U.S. |
| Registered Nurse hours | 0.69 | 0.61 | 0.69 | top 25% in California; top 38% in the U.S. |
| Weekend total nurse staffing | 3.60 | 3.90 | 3.50 | bottom 39% in California; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.51 | 0.48 | top 29% in California; top 31% in the U.S. |
| Total nursing staff turnover (%) | 35.4 | 36.7 | 45.8 | top 48% in California; top 25% in the U.S. |
| RN turnover (%) | 42.9 | 38.1 | 42.9 | bottom 39% in California; bottom 49% 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 4.52, RN 0.78, weekend 4.06. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aotn LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/07/2014 |
| Bradshaw, Peter | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/07/2023 |
| Elsner, Eric | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/07/2014 |
| Kirkwood, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2019 |
| Orgill, Craig | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2019 |
| Parti, Rajesh | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/07/2014 |
| Parti, Shruty | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/07/2014 |
| Paxman, Marcus | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Aotn LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/07/2014 |
| Aotn LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/07/2014 |
| Aspen Healthcare Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Bradshaw, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2014 |
| Bradshaw, Jeffrey | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/05/2026 |
| Bradshaw, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Brady, Vern | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2014 |
| Brady, Vern | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Brown, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2001 |
| Brown, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2001 |
| Case, Ryan | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2014 |
| Case, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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?"
- "Who is your infection preventionist, and what training do they have?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Bay Marina Post Acute | 0.6 mi | Oakland, CA | ★★★☆☆ | 2/5 | |
| Bellaken Skilled Nursing Center | 0.6 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Mercy Retirement & Care Center | 1.0 mi | Oakland, CA | ★★★★☆ | 4/5 | |
| Garfield Neurobehavioral Center | 1.0 mi | Oakland, CA | ★★★☆☆ | 2/5 | abuse |
| Bay Area Healthcare Center | 1.1 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Fruitvale Healthcare Center | 1.1 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Lake Merritt Healthcare Center LLC | 1.7 mi | Oakland, CA | ★★☆☆☆ | 2/5 | |
| Redwood Healthcare Center LLC | 1.8 mi | Oakland, CA | ★★★★☆ | 4/5 | |
| Lake Park Healthcare Center | 1.8 mi | Oakland, CA | ★★★☆☆ | 3/5 | |
| Excell Health Care Center | 1.8 mi | Oakland, CA | ★★★★★ | 5/5 | |
| St Paul's Towers | 2.0 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Marina Garden Nursing Center | 2.2 mi | Alameda, CA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555570.