Alameda Healthcare & Wellness Center

430 Willow Street · Alameda, CA · 94501 · 5105238857

166 certified beds For profit - Limited Liability company Chain: Sol Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 94
Staffing 20% 20
Federal penalties 15% 59
Trend 10% 62
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $8,990

Inspection citations (63 in the current record)

  • Potential for harm · E September 4, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 30, 2025 · Infection Control

  • Potential for harm · D August 8, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected September 11, 2025 · Environmental

  • Potential for harm · D June 2, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 1, 2025 · Nursing and Physician Services

  • Potential for harm · D June 2, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 1, 2025 · Pharmacy Service

  • Potential for harm · D June 2, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 1, 2025 · Pharmacy Service

  • Potential for harm · D June 2, 2025 · found via complaint

    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.

    Corrected July 1, 2025 · Pharmacy Service

  • Potential for harm · D June 2, 2025 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected July 1, 2025 · Administration

  • Potential for harm · D January 29, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected February 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 29, 2025 · found via complaint

    Provide appropriate foot care.

    Corrected February 21, 2025 · Quality of Life and Care

  • Potential for harm · D August 10, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D August 10, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D August 10, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D August 10, 2024

    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.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D August 10, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 10, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D August 10, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D August 10, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2024

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2024

    Assist a resident in gaining access to vision and hearing services.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 10, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 10, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · E August 10, 2024

    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.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 10, 2024

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · E August 10, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 10, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 23, 2024Fine$8,990
April 23, 2024Payment Denial7 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555486 · certified since November 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.