St Anthony Care Center
553 Smalley Avenue, Hayward, CA 94541 · Alameda County · 30 certified beds · avg 25 residents/day · certified since May 1, 1978
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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 |
|---|---|---|
| May 23, 2025 | 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 |
| Oct 24, 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 24, 2024 | 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. |
| Oct 24, 2024 | 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. |
| Oct 24, 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 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 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. |
| 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 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 | 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. |
| Dec 3, 2021 | E · Potential for harm, repeated | 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 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. |
| Dec 3, 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. |
| Dec 3, 2021 | D · Potential for harm, one-off | 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 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. |
| Dec 3, 2021 | B · Minimal risk, repeated | The facility had resident rooms holding more people than allowed — no more than 4 residents per room, and no more than 2 per room in buildings constructed after November 28, 2016. |
| Dec 3, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 10 | 0 | E |
| 2023 | 6 | 0 | E |
| 2024 | 4 | 0 | D |
| 2025 | 1 | 0 | D |
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 $51,355.
| Date | Type | Amount / length |
|---|---|---|
| Jan 12, 2024 | Fine | $51,355 |
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) | 3.99 | 4.31 | 3.95 | bottom 40% in California; top 40% in the U.S. |
| Registered Nurse hours | 0.32 | 0.61 | 0.69 | bottom 15% in California; bottom 12% in the U.S. |
| Weekend total nurse staffing | 3.87 | 3.90 | 3.50 | top 41% in California; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.51 | 0.48 | bottom 37% in California; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 36.7 | 45.8 | bottom 15% in California; bottom 38% in the U.S. |
| 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 3.92, RN 0.32, weekend 3.81. Staffing rating: 2/5.
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: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baldwin, Ronald | Individual | Direct Ownership Interest | NOT APPLICABLE | 03/01/2015 |
| St Anthony Serenethos SNF LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2015 |
| Xie, Qing | Individual | Direct Ownership Interest | NOT APPLICABLE | 03/01/2015 |
| Baldwin, Ronald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2015 |
| Baldwin, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2015 |
| Baldwin, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2018 |
| Baldwin, Ronald | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2015 |
| Dickman Weston Group | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2015 |
| Hansen Hunter LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2015 |
| NG, Andrew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2018 |
| NG, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2018 |
| NG, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| St Anthony Serenethos SNF LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2015 |
| St Anthony Serenethos SNF LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Xie, Qing | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2015 |
| Xie, Qing | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2015 |
| Xie, Qing | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2015 |
| Xie, Qing | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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?"
- "Can I see the actual room my family member would live in before we decide?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "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 |
|---|---|---|---|---|---|
| Bethesda Home | 0.1 mi | Hayward, CA | ★★★☆☆ | 4/5 | |
| We Care Skilled Nursing Facility | 0.4 mi | Hayward, CA | ★★★★★ | 4/5 | |
| Serenethos Care Center, LLC | 0.4 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 | 1.3 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 | |
| St Francis Healthcare Center | 1.6 mi | Hayward, CA | ★★★★☆ | 3/5 | |
| Driftwood Healthcare Center - Hayward | 1.6 mi | Hayward, CA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055809.