All 5 Medicare-certified nursing homes in Alameda,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Marina Garden is a small for-profit home in Alameda, 32 beds, and its inspection record is the standout: a five-star health inspection rating, ten deficiencies on the current record with none at the harm or jeopardy level and none involving abuse. Staffing is where it thins out. At 3.74 nurse hours per resident day, it runs about 3% under the national average, and weekends dip slightly below its own weekday numbers. The tradeoff is retention: 26.7% turnover is well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Quality measures land mid-range.
West Shore Post Acute runs 151 beds in Alameda under for-profit LLC ownership. Staffing sits at 3.93 nurse hours per resident day, barely above the national average of 3.86, and weekends run about 8% thinner than weekdays, a meaningful gap if your family member needs care on a Saturday. Turnover is 38.7%, better than the 45.8% national figure, so the same aides are more likely to stick around. What drags this one down is the inspection record: 57 deficiencies, including four tied to abuse and one serious enough to put a resident in harm's way. That's a lot of citations for a single building. The last inspection was May 2025, so the record is current.
Alameda Healthcare & Wellness Center runs 166 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, though weekend coverage dips about 6% below its own weekday level. The problem isn't the hours on the floor; it's the record. That staffing advantage hasn't translated into a clean inspection history: 61 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $8,990 fine and a 2/5 inspection rating. The last survey was August 2024, so the current picture is reasonably fresh. Stronger staffing than most, but the compliance record is doing the damage.
Bay View Rehabilitation Hospital runs 180 certified beds in Alameda, and its nurse staffing sits at 3.85 hours per resident day, essentially dead even with the national average, though weekends run about 9% thinner than weekdays, so coverage depends on when you visit. What stands out is retention: 21.6% annual turnover against a national average of 45.8%, meaning the people caring for residents tend to stick around. The inspection record is more of a mixed picture: 33 deficiencies, including one at the harm level and four tied to abuse, plus a $46,726 fine. Its most recent inspection was October 31, 2024, so that record is fairly current.
Alameda Hospital D/P SNF runs 5.11 nursing hours per resident day, roughly a third more than the national average, and its quality measure score sits at the top of CMS's scale. That part of the picture looks strong. What pulls it back is stability: annual staff turnover of 86.5% is nearly double the national rate, weekend coverage dips about 9% below weekdays, and the inspection history shows 17 deficiencies, including two tied to abuse, with a 2-out-of-5 inspection rating. County ownership means public accountability, but it doesn't fix a workforce that keeps cycling through. If you're considering this one, ask how they hold staffing steady on weekends and what's changed since September 2024.