Golden Harbor Healthcare Center
442 Sunset Boulevard · Hayward, CA · 94541 · 5105828311
99 certified beds For profit - Limited Liability company Chain: Spyglass Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
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: 4 of 5
| Total nurse hours / resident-day | 3.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.66 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $43,554 |
Inspection citations (46 in the current record)
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Potential for harm · D August 29, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · E August 29, 2025
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.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · E August 29, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · E August 29, 2025
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 19, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 29, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · F August 29, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 19, 2025 · Nursing and Physician Services
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Potential for harm · F August 29, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · E August 29, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · E August 29, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · F August 29, 2025
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 September 19, 2025 · Pharmacy Service
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Potential for harm · F August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · D August 29, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected September 19, 2025 · Environmental
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Potential for harm · D March 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 18, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 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 March 18, 2025 · Pharmacy Service
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Potential for harm · F November 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2024 · Quality of Life and Care
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Immediate jeopardy · J May 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · E May 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · F May 17, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected June 20, 2024 · Nursing and Physician Services
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Potential for harm · E May 17, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · E May 17, 2024
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.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · E May 17, 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 June 20, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 17, 2024 | Fine | $22,777 |
| August 28, 2023 | Fine | $4,545 |
| July 17, 2023 | Fine | $12,703 |
| June 26, 2023 | Fine | $3,529 |
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 056471 · certified since February 18, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.