Inspection citations
8’22
31’24
16’25
6’26
61 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 20, 2026 | E · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Aug 20, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jul 2, 2026 | F · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jul 2, 2026 | F · potential | Employ staff that are licensed, certified, or registered in accordance with state laws. | Complaint |
| Apr 7, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 7, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 3, 2025 | F · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Nov 17, 2025 | F · potential | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Routine |
| Nov 17, 2025 | E · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Nov 17, 2025 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Nov 17, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Nov 17, 2025 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Nov 17, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Nov 17, 2025 | D · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Nov 17, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 17, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Nov 17, 2025 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Nov 17, 2025 | F · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Nov 17, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 17, 2025 | E · potential | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Routine |
| Nov 17, 2025 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Nov 17, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 24, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 29, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 29, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| May 16, 2024 | D · potential | Dispose of garbage and refuse properly. | Complaint |
| Jan 12, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 12, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jan 12, 2024 | E · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Jan 12, 2024 | E · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Jan 12, 2024 | E · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Jan 12, 2024 | D · potential | Provide care by qualified persons according to each resident's written plan of care. | Routine |
| Jan 12, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jan 12, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jan 12, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jan 12, 2024 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Jan 12, 2024 | B · minimal | Post nurse staffing information every day. | Routine |
| Jan 12, 2024 | G · harm | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 12, 2024 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Jan 12, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 12, 2024 | G · harm | Ensure that residents are free from significant medication errors. | Complaint |
| Jan 12, 2024 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Jan 12, 2024 | F · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Jan 12, 2024 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jan 12, 2024 | F · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Jan 12, 2024 | F · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jan 12, 2024 | E · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Jan 12, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 12, 2024 | F · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jan 12, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 12, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 12, 2024 | E · potential | Keep all essential equipment working safely. | Routine |
| Jan 12, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Jun 17, 2022 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Jun 17, 2022 | D · potential | Provide appropriate foot care. | Routine |
| Jun 17, 2022 | D · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Jun 17, 2022 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 17, 2022 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| Jun 17, 2022 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Jun 17, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 17, 2022 | D · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
East Bay Post-Acute
20259 Lake Chabot Road, Castro Valley, CA 94546 · (510) 351-3700
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055239
- Certified beds
- 91
- Legal owner
- Bilberry Holdings, LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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