All Saint's Subacute & Transitional Care
1652 Mono Avenue · San Leandro, CA · 94578 · 5104813200
86 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Federal penalties on record: $163,127 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$163,127 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 6.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.38 | 0.55–0.75 |
| Weekend hours / resident-day | 5.98 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $163,127 |
Inspection citations (19 in the current record)
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Potential for harm · D February 9, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Immediate jeopardy · L March 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 15, 2025 · Infection Control
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Potential for harm · E March 25, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D July 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · E July 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 23, 2024 · Pharmacy Service
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Potential for harm · D July 12, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 23, 2024 · Pharmacy Service
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Potential for harm · E July 12, 2024
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 23, 2024 · Pharmacy Service
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Potential for harm · E July 12, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected July 23, 2024 · Nutrition and Dietary
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Potential for harm · E July 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 23, 2024 · Nutrition and Dietary
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Potential for harm · D July 12, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected July 23, 2024 · Environmental
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Potential for harm · D September 29, 2023 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected October 30, 2023 · Resident Rights
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Potential for harm · D August 3, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 22, 2023 · Infection Control
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Potential for harm · D May 19, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 14, 2022 · Quality of Life and Care
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No harm found · B May 19, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 14, 2022 · Resident Assessment and Care Planning
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No harm found · B May 19, 2022
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 14, 2022 · Environmental
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Potential for harm · D November 21, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 9, 2019 · Resident Rights
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No harm found · B November 21, 2019
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected December 9, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2025 | Fine | $30,933 |
| March 25, 2025 | Fine | $132,194 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555809 · certified since September 9, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.