25 Independent Nursing Homes in Alameda County, California
25 of the 69 Medicare-certified nursing homes in Alameda County, California (36%) are independently owned, and all are listed below. 11 of the 25 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 32.6%, 2.5 points lower than the 35.1% across all homes there. Baywood Court Health Center in Castro Valley grades highest at A (99 out of 100).
How independently owned homes in Alameda County, California compare
This group set against every nursing home in Alameda County, California, from the current CMS release.
Nursing hours per resident per day
4.41
All homes in Alameda County, California: 4.36
Better than the local average
Nurse staff turnover
32.6%
All homes in Alameda County, California: 35.1%
Better than the local average
Average ElderGrade score
83.8/100
All homes in Alameda County, California: 82.4/100
Better than the local average
Grade spread
A
B
C
11 grade A, 12 grade B, 2 grade C,
The best-graded independently owned home in Alameda County, California is
Baywood Court Health Center
in Castro Valley, CA, grade A, 99/100.
Every independently owned nursing home in Alameda County, California
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.
St. Anthony Care Center is a 30-bed for-profit home in Hayward, and its inspection record is genuinely strong, a perfect health inspection rating, with all 21 deficiencies on file falling below the harm or jeopardy level and none tied to abuse. Staffing is where it gets shakier: 3.92 nurse hours per resident day sits just above the national average of 3.86, but the staffing rating is only 2 out of 5, weekend coverage dips below weekday levels, and turnover runs 50 percent against a national 45.8. One fine totaling $51,355 is on record. The last inspection was October 2024. Small homes can be uneven this way, so ask directly about weekend nurse coverage and how long the current director of nursing has been there.
Sage Post Acute runs 99 certified beds in Hayward, and the staffing numbers are the clearest thing to look at here. At 3.30 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends dip a further 3% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 55% against a national 45.8%, which means aides and nurses are cycling through steadily. The inspection record shows 42 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a single fine of $4,938. The most recent inspection was August 2025, so the picture is current. Individual, for-profit ownership.
Garfield Neurobehavioral Center runs on unusually steady staffing for a for-profit home: 4.58 nurse hours per resident day, roughly 19% above the national average, with a 5/5 CMS staffing rating. Turnover sits at 13.2% against a national 45.8%, which means the people caring for residents mostly stay. The friction shows up in inspections. Seventeen deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse, pulled the health inspection rating down to 2/5 despite a recent August 2025 survey. Weekend coverage also dips about 9% below weekday levels. Solid, consistent staffing paired with a troubled inspection history is the tradeoff here.
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.
Frequently asked questions
How many independently owned nursing homes are there in Alameda County, California?
There are 25 independently owned Medicare-certified nursing homes in Alameda County, California, 36% of the 69 nursing homes there.
Are independently owned nursing homes better staffed?
In Alameda County, California they average 4.41 total nursing hours per resident per day, against 4.36 for all nursing homes in Alameda County, California, a difference of +0.05 hours. Staff turnover averages 32.6% against 35.1%.
Which independently owned nursing home grades best in Alameda County, California?