The Rehabilitation Center of Oakland
210 40th Street Way · Oakland, CA · 94611 · 5106582041
70 certified beds For profit - Limited Liability company Chain: Sol Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $23,153 in fines in the last 24 months.
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 the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $30,562 |
Inspection citations (39 in the current record)
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Potential for harm · D March 17, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 13, 2026 · Resident Rights
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Potential for harm · D September 3, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected October 2, 2025 · Resident Rights
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Actual harm · G February 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L September 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 13, 2024 · Nutrition and Dietary
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Potential for harm · D September 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 13, 2024 · Resident Rights
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Potential for harm · E September 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 13, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 13, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Observe each nurse aide's job performance and give regular training.
Corrected October 13, 2024 · Nursing and Physician Services
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Potential for harm · E September 13, 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 October 13, 2024 · Pharmacy Service
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Potential for harm · F September 13, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 13, 2024 · Nutrition and Dietary
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Potential for harm · E September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 13, 2024 · Infection Control
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Potential for harm · D September 13, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 13, 2024 · Environmental
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Potential for harm · D May 21, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 12, 2024 · Resident Rights
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Potential for harm · D October 2, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 21, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 1, 2023 · Resident Rights
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Potential for harm · E July 29, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 24, 2022 · Quality of Life and Care
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Potential for harm · E July 29, 2022
Observe each nurse aide's job performance and give regular training.
Corrected September 24, 2022 · Nursing and Physician Services
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Potential for harm · E July 29, 2022
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected September 24, 2022 · Quality of Life and Care
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Potential for harm · E July 29, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 24, 2022 · Pharmacy Service
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Potential for harm · E July 29, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 24, 2022 · Pharmacy Service
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Potential for harm · E July 29, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected September 24, 2022 · Pharmacy Service
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Potential for harm · F July 29, 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 September 24, 2022 · Nutrition and Dietary
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Potential for harm · F July 29, 2022
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 24, 2022 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2025 | Fine | $9,110 |
| September 13, 2024 | Fine | $14,043 |
| July 17, 2023 | Fine | $7,409 |
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 555313 · certified since September 13, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.