Inspection citations
6’19
8’23
6’24
31’25
3’26
54 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 22, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 20, 2026 | D · potential | Provide or obtain dental services for each resident. | Complaint |
| Jan 23, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Dec 2, 2025 | 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 |
| Aug 8, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jul 10, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Jun 3, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 3, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| May 13, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| May 13, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Mar 28, 2025 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Mar 28, 2025 | D · 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 |
| Mar 28, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Mar 28, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Mar 28, 2025 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Mar 28, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 28, 2025 | 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 |
| Mar 28, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 28, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 28, 2025 | D · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Mar 28, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 28, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 28, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Mar 28, 2025 | D · 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 |
| Mar 28, 2025 | D · potential | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Routine |
| Mar 28, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 28, 2025 | D · 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 |
| Mar 28, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 28, 2025 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Mar 28, 2025 | D · potential | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Routine |
| Feb 26, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 5, 2025 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Complaint |
| Jan 24, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jan 23, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Dec 4, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Sep 24, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Sep 18, 2024 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Jul 27, 2024 | E · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Mar 28, 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 |
| Feb 8, 2024 | D · potential | Provide appropriate foot care. | Complaint |
| Oct 10, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 10, 2023 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Aug 24, 2023 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Aug 24, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 24, 2023 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Aug 24, 2023 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 24, 2023 | 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 |
| Aug 24, 2023 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Nov 15, 2019 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 15, 2019 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Nov 15, 2019 | D · 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 |
| Nov 15, 2019 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Nov 15, 2019 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Nov 15, 2019 | 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
Bay Marina Post Acute
2919 Fruitvale Ave, Oakland, CA 94602 · (510) 261-8564
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056280
- Certified beds
- 94
- Legal owner
- Brookdale Healthcare & Wellness Centre LP
- Part of
- Corporate Interface Services
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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