Mercy Retirement & Care Center
3431 Foothill Blvd. · Oakland, CA · 94601 · 5105348540
59 certified beds Non profit - Corporation
Why this verdict
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 74 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 4.20 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $16,675 |
Inspection citations (29 in the current record)
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Potential for harm · E March 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 28, 2026 · Quality of Life and Care
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Potential for harm · D September 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 26, 2025 · Administration
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Potential for harm · D April 24, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2025
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 February 13, 2025
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 · D February 13, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 18, 2025 · Pharmacy Service
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Potential for harm · D February 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 18, 2025 · Pharmacy Service
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Potential for harm · D February 13, 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 March 18, 2025 · Pharmacy Service
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Potential for harm · E February 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 18, 2025 · Nutrition and Dietary
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Potential for harm · E February 13, 2025
Provide and implement an infection prevention and control program.
Corrected March 18, 2025 · Infection Control
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Potential for harm · D February 13, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 18, 2025 · Resident Rights
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Actual harm · G September 27, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 25, 2024 · Quality of Life and Care
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Potential for harm · E October 3, 2023 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected October 4, 2023 · Resident Rights
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Actual harm · G June 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 21, 2023 · Quality of Life and Care
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Actual harm · G June 9, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · E June 9, 2023
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 July 21, 2023 · Resident Rights
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Potential for harm · E June 9, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected July 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 9, 2023
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 21, 2023 · Pharmacy Service
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Potential for harm · F June 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 21, 2023 · Nutrition and Dietary
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Potential for harm · E June 9, 2023
Provide and implement an infection prevention and control program.
Corrected July 21, 2023 · Infection Control
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No harm found · C June 9, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 21, 2023 · Administration
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Potential for harm · D February 6, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2020 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 27, 2024 | Fine | $16,675 |
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 555189 · certified since January 17, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.