Serenethos Care Center, LLC

22822 Myrtle Street · Hayward, CA · 94541 · 5105374844

36 certified beds For profit - Limited Liability company

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 82
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 88
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.943.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day3.69≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Potential for harm · D June 20, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 20, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 15, 2025 · Pharmacy Service

  • Potential for harm · E June 20, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected July 15, 2025 · Nutrition and Dietary

  • Potential for harm · D May 10, 2024

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

    Corrected June 6, 2024 · Resident Rights

  • Potential for harm · D May 10, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 6, 2024 · Quality of Life and Care

  • Potential for harm · E May 10, 2024

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

    Corrected June 6, 2024 · Pharmacy Service

  • Potential for harm · D May 10, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected June 6, 2024 · Pharmacy Service

  • Potential for harm · E May 10, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 6, 2024 · Pharmacy Service

  • Potential for harm · E May 10, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 6, 2024 · Nutrition and Dietary

  • Potential for harm · E May 10, 2024

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

    Corrected June 6, 2024 · Administration

  • Potential for harm · E May 10, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 6, 2024 · Infection Control

  • Potential for harm · E May 10, 2024

    Keep all essential equipment working safely.

    Corrected June 6, 2024 · Environmental

  • Potential for harm · E May 10, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected June 6, 2024 · Environmental

  • Potential for harm · E May 10, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected June 6, 2024 · Environmental

  • Immediate jeopardy · J December 16, 2022

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected February 9, 2023 · Nursing and Physician Services

  • Immediate jeopardy · J December 16, 2022

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected February 9, 2023 · Nutrition and Dietary

  • Immediate jeopardy · L December 16, 2022

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected February 9, 2023 · Nutrition and Dietary

  • Potential for harm · D December 16, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 9, 2023 · Quality of Life and Care

  • Potential for harm · D December 16, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 9, 2023 · Quality of Life and Care

  • Potential for harm · F December 16, 2022

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected February 9, 2023 · Nutrition and Dietary

  • Potential for harm · F December 16, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 10, 2023 · Nutrition and Dietary

  • Potential for harm · F December 16, 2022

    Dispose of garbage and refuse properly.

    Corrected February 10, 2023 · Nutrition and Dietary

  • Potential for harm · F December 16, 2022

    Provide and implement an infection prevention and control program.

    Corrected February 9, 2023 · Infection Control

  • Potential for harm · F December 16, 2022

    Keep all essential equipment working safely.

    Corrected February 9, 2023 · Environmental

  • No harm found · B December 16, 2022

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected February 9, 2023 · Environmental

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 555905 · certified since May 16, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.