Inspection citations
5’20
10’23
1’24
12’25
1’26
29 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 27, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Sep 23, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Aug 26, 2025 | D · potential | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Complaint |
| Apr 24, 2025 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Apr 24, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 13, 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 |
| Feb 13, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 13, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 13, 2025 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Feb 13, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 13, 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 |
| Feb 13, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 13, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 27, 2024 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 3, 2023 | E · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Jun 9, 2023 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Jun 9, 2023 | E · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Jun 9, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 9, 2023 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 9, 2023 | G · harm | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 9, 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 |
| Jun 9, 2023 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 9, 2023 | C · minimal | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Routine |
| Jun 9, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 6, 2020 | 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 |
| Feb 6, 2020 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Feb 6, 2020 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Feb 6, 2020 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 6, 2020 | E · 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
Mercy Retirement & Care Center
3431 Foothill Blvd., Oakland, CA 94601 · (510) 534-8540
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555189
- Certified beds
- 59
- Legal owner
- Mercy Retirement and Care Center
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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