St John Kronstadt Convalescent Center
4432 James Avenue · Castro Valley, CA · 94546 · 5108897000
49 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
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: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.83 | ≈ weekday level |
| Nursing turnover / year | 22% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D November 21, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 21, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Post nurse staffing information every day.
Corrected December 21, 2025 · Nursing and Physician Services
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Potential for harm · E November 21, 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 December 21, 2025 · Pharmacy Service
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Potential for harm · E November 21, 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 December 21, 2025 · Pharmacy Service
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Potential for harm · E November 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 21, 2025 · Nutrition and Dietary
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Potential for harm · D November 21, 2025
Provide and implement an infection prevention and control program.
Corrected December 21, 2025 · Infection Control
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Potential for harm · D November 21, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 21, 2025 · Infection Control
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No harm found · B November 21, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected December 21, 2025 · Environmental
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Potential for harm · D April 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · E June 7, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 4, 2024 · Resident Rights
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Potential for harm · E June 7, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 4, 2024 · Quality of Life and Care
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Potential for harm · D June 7, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 4, 2024 · Pharmacy Service
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Potential for harm · E June 7, 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 4, 2024 · Pharmacy Service
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No harm found · B June 7, 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 4, 2024 · Environmental
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Immediate jeopardy · K February 17, 2023
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 March 24, 2023 · Nutrition and Dietary
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Potential for harm · E February 17, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 24, 2023 · Resident Rights
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Potential for harm · E February 17, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected March 24, 2023 · Resident Rights
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Potential for harm · E February 17, 2023
Observe each nurse aide's job performance and give regular training.
Corrected March 24, 2023 · Nursing and Physician Services
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Potential for harm · E February 17, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected March 24, 2023 · Pharmacy Service
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Potential for harm · E February 17, 2023
Ensure that residents are free from significant medication errors.
Corrected March 24, 2023 · Pharmacy Service
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Potential for harm · E February 17, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 17, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 555016 · certified since May 14, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.