ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

44 Chain-Owned Nursing Homes in Alameda County, California

44 of the 69 Medicare-certified nursing homes in Alameda County, California (64%) are chain-owned, and all are listed below. 20 of the 44 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 36.8%, 1.7 points higher than the 35.1% across all homes there. Creekview Skilled Nursing in Pleasanton grades highest at A (99 out of 100).

How chain-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

4.34

All homes in Alameda County, California: 4.36

Worse than the local average

Nurse staff turnover

36.8%

All homes in Alameda County, California: 35.1%

Worse than the local average

Average ElderGrade score

81.6/100

All homes in Alameda County, California: 82.4/100

Worse than the local average

Grade spread

A
B

20 grade A, 22 grade B, 2 grade C,

The best-graded chain-owned home in Alameda County, California is Creekview Skilled Nursing in Pleasanton, CA, grade A, 99/100.

Every chain-owned nursing home in Alameda County, California

Showing 1 to 20 of 44, best-graded first.

A

99/100

Creekview Skilled Nursing

Pleasanton, CA · Alameda County

CMS 5/573 bedsFor-profit
Nurse hours
5.05 /day
Staff turnover
31%
Serious cites
0

Creekview runs about 5.05 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its staff turnover of 31.3% is well below the 45.8% national figure, a combination that usually shows up as consistent care rather than revolving faces. State inspectors visited in February 2025 and logged 12 deficiencies, none at the level of actual harm and none related to abuse, so what's on the record reads as paperwork and process issues rather than resident safety. Weekend coverage dips about 9% below weekdays, worth asking about if your family tends to visit Saturday or Sunday.

A

93/100

Piedmont Gardens Health Facility

Oakland, CA · Alameda County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
21%
Serious cites
0

Piedmont Gardens runs on a nonprofit model with 94 certified beds, and the staffing numbers are where it separates itself. At 4.76 nurse hours per resident day, it sits roughly 23 percent above the national average of 3.86, and weekend coverage only dips about 5 percent below its own weekday levels, which is a smaller drop than many homes manage. Staff turnover tells a similar story: 21.2 percent against a national average of 45.8 percent, meaning the people caring for residents tend to stay. Eleven deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. For a family weighing options, the pattern here is steady hands and few red flags.

A

92/100

Driftwood Healthcare Center - Hayward

Hayward, CA · Alameda County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
30%
Serious cites
0

Driftwood Healthcare Center runs on more nursing hours than most homes, 4.93 per resident day against a national average of 3.86, and staff tend to stay, with turnover at 30.3% versus 45.8% nationally. Weekend coverage slips only slightly below weekday levels. The trouble sits on the inspection side: 39 deficiencies on the current record, including one at the harm level and two tied to abuse, plus five fines totaling $24,666 and a two-star health inspection rating. That last inspection was August 2024, so the record is fairly recent. Quality measures score well, but the enforcement history is the part worth asking about directly.

A

90.5/100

St Paul's Towers

Oakland, CA · Alameda County

CMS 5/543 bedsNon-profit
Nurse hours
4.22 /day
Staff turnover
23%
Serious cites
0

St. Paul's Towers runs on 4.22 nurse hours per resident per day, roughly 9% above the national average, and its weekend staffing dips about 15% below its own weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The turnover number is the standout: 23.3% against a national average of 45.8%, meaning far fewer caregivers cycle through than at the typical home. Twenty deficiencies sit on the current record, but none at the harm level and none abuse-related, with the last inspection in September 2024. As a nonprofit, it has no shareholder pressure driving census or cost decisions.

A

88/100

Excell Health Care Center

Oakland, CA · Alameda County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
32%
Serious cites
0

Excell Health Care Center runs 99 certified beds as a for-profit LLC, and the clinical picture holds up well. Its last health inspection, in November 2024, produced 12 deficiencies, but only one rose to the harm or jeopardy level and none involved abuse. Staff turnover sits at 31.5% against a national average of 45.8%, which matters because consistent caregivers know residents. Total nurse staffing lands right at the national average, though weekends run roughly 8% lighter than weekdays, so a Saturday shift may feel thinner than a Tuesday. The tradeoff is a longer deficiency record despite strong inspection and quality scores, which is what keeps a solid home from grading higher.

A

88/100

Medical Hill Healthcare Center

Oakland, CA · Alameda County

CMS 5/5124 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
35%
Serious cites
0

Medical Hill Healthcare Center runs 3.94 nurse hours per resident day, just above the national average of 3.86, though weekend coverage drops roughly 9% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 34.8%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, so ask how those were resolved and what's changed since. A recent August 2025 inspection and five out of five on quality measures round out a solid picture, though the three-star staffing rating and for-profit LLC ownership are worth weighing.

A

88/100

Fruitvale Healthcare Center

Oakland, CA · Alameda County

CMS 5/5140 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
24%
Serious cites
0

Fruitvale Healthcare Center runs 140 certified beds in Oakland under for-profit partnership ownership, and the staffing picture is genuinely better than most: 4.09 nurse hours per resident day against a national average of 3.86, with weekend coverage only about 5% below weekday levels. Turnover sits at 24% while the national figure is 45.8%, which matters because consistent caregivers know residents. The inspection record is where it gets complicated. A five-star health inspection rating and a clean October 2024 visit sit alongside 25 deficiencies, including one at harm level and four tied to abuse, plus 18 fines totaling $105,627. Ask what those abuse deficiencies involved and what changed afterward.

A

87/100

Pleasanton Nursing And Rehabilitation Center

Pleasanton, CA · Alameda County

CMS 5/5139 bedsFor-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
43%
Serious cites
0

Pleasanton Nursing and Rehabilitation Center runs on more nurse hours per resident than most homes in the country, 4.45 a day against a national average of 3.86, and its inspection record shows a 5/5 rating with 14 deficiencies on file, none of them causing harm. Weekend staffing sits roughly 9% below its own weekday level, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 42.9%, slightly better than the national 45.8% but still meaning nearly half the nursing staff turns over in a year. The one abuse-related deficiency and the fact that this is a for-profit limited liability company are the other things to press on during a tour.

A

86/100

San Leandro Healthcare Center

San Leandro, CA · Alameda County

CMS 4/562 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

San Leandro Healthcare Center runs 62 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover is 37.5%, noticeably better than the 45.8% national figure, which matters for whether your family sees the same faces. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Inspections, quality measures, and staffing each landed at 4 out of 5 stars.

A

86/100

Lake Merritt Healthcare Center Llc

Oakland, CA · Alameda County

CMS 2/553 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
29%
Serious cites
0

Lake Merritt Healthcare Center runs on a for-profit LLC structure with 53 certified beds, and its staffing is the clearest strength: 4.16 nurse hours per resident day sits about 8% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover at 28.6% is well under the national 45.8%. The inspection record is where the picture darkens, 44 deficiencies on file, three tied to abuse, and a 2/5 health inspection rating, though none reached harm or jeopardy. The most recent inspection was October 2024. A 4/5 staffing rating paired with a 2/5 inspection rating tells you the hands are there but the compliance history has been rougher than average.

A

86/100

Fremont Healthcare Center

Fremont, CA · Alameda County

CMS 4/5115 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
36%
Serious cites
0

Fremont Healthcare Center runs 115 beds under for-profit partnership ownership, and the staffing numbers here are the real story: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 7% below its own weekday level. Turnover sits at 36%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in the inspection record, 30 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus one fine of $12,051. The most recent inspection was November 2025. Quality measures score well and staffing is strong; the survey history is where a family should ask questions.

A

85.5/100

Canyon Creek Post-Acute

Castro Valley, CA · Alameda County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
n/a
Serious cites
0

Canyon Creek Post-Acute runs 4.54 nursing hours per resident per day, roughly 18% above the national average, though weekends drop about 12% below its own weekday levels. Inspectors have been in recently, the last visit was November 2024, and the record shows 26 deficiencies, including one at the harm level and one abuse-related, which is worth asking about directly. The 70-bed home is owned by a for-profit limited liability company. Its staffing, inspection, and quality measure ratings all sit at 4 out of 5 stars, so the numbers are solid without being spotless.

A

85/100

The Vineyards Healthcare Center

Livermore, CA · Alameda County

CMS 5/583 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
41%
Serious cites
0

The Vineyards Healthcare Center runs 83 certified beds in Livermore under corporate for-profit ownership, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average. Weekend coverage dips about 10% below its own weekday level, which is worth knowing if you'll be visiting on Saturdays and Sundays. Turnover lands at 41.1%, a bit better than the 45.8% national figure, so the crew here is somewhat more stable than most. Inspections in December 2024 produced 26 deficiencies, none at harm or jeopardy level and none abuse-related, and the quality measure rating came back strong at 5/5.

A

85/100

Mission Valley Post Acute

Fremont, CA · Alameda County

CMS 4/585 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
33%
Serious cites
0

Mission Valley Post Acute runs about 4.06 nurse hours per resident day, roughly 5% above the national average, though weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 33.3%, well under the national 45.8%, which matters for continuity of care. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was October 2024. It's a for-profit limited liability company with 85 certified beds in Fremont, holding 5 out of 5 stars on both health inspections and quality measures, with staffing at 4. The weaker point is weekend consistency, not safety or clinical quality.

A

85/100

Hayward Gardens Post Acute

Hayward, CA · Alameda County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
31%
Serious cites
0

Hayward Gardens runs on 4.27 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 30.6% is well below the 45.8% national figure, that combination is harder to find than the bed count suggests. The trade-off sits in the inspection record: 32 deficiencies on file, one serious enough to reach harm or jeopardy level, though none involve abuse. Weekend coverage dips about 12% below weekday levels, which matters for a 75-bed for-profit home where families often visit on Saturdays and Sundays. The last inspection was in May 2026, so the record is current rather than stale.

A

85/100

Niles Canyon Post Acute

Fremont, CA · Alameda County

CMS 5/573 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
21%
Serious cites
0

Niles Canyon Post Acute sits in Fremont with 73 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing runs 4.25 hours per resident day, roughly 10% above the national average, though weekend coverage dips about 9% below its own weekday level, so ask how that gap gets covered. Staff turnover is 21%, less than half the national rate of 45.8%, which matters for whether you see the same faces each visit. Its inspection record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. The quality measure rating is 4 out of 5.

A

85/100

Washington Center

San Leandro, CA · Alameda County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
20%
Serious cites
0

Washington Center runs on a for-profit LLC structure with 99 certified beds, and the numbers tell a steadier story than most. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage does thin out on Saturdays and Sundays. What stands out is the 20.2% annual turnover, less than half the national rate of 45.8%, which suggests a workforce that mostly sticks around. Thirteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection from November 2024. The soft spot is raw staffing hours, not safety.

A

85/100

Avondale Villa Post-Acute

Livermore, CA · Alameda County

CMS 5/537 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
36%
Serious cites
0

Avondale Villa runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 36.4% sits well below the national 45.8%. Both of those matter in a 37-bed home, where you're not just a room number. The catch is weekends: staffing drops about 10% below its own weekday level, so ask how that plays out on a Sunday afternoon. Inspections give a mixed picture, 36 deficiencies on record with none at the harm level, but one tied to abuse. The last full inspection was May 2025, so the record is current. It's for-profit, run by an LLC, with quality scores that look better than its inspection history.

A

85/100

Redwood Healthcare Center Llc

Oakland, CA · Alameda County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
26%
Serious cites
0

Redwood Healthcare Center runs 44 beds in Oakland under a for-profit LLC, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so ask how that gap gets covered when your family member needs help on a Saturday. Staff turnover is 25.6%, well under the national 45.8%, which suggests a steadier crew than most. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the last inspection was August 2024.

A

85/100

Oakland Heights Nursing And Rehabilitation

Oakland, CA · Alameda County

CMS 5/548 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
35%
Serious cites
0

Oakland Heights runs 4.52 nursing hours per resident day, well above the 3.86 national average, and its staff turnover of 35.4% beats the national 45.8%, a combination that usually shows up in day-to-day care. The catch is weekends, when staffing drops about 10% below its own weekday level. On inspections, the home has 21 deficiencies with none at the harm level, though one is abuse-related, and a single fine of $7,409. Its most recent inspection was April 2025, so the record is current. For-profit corporate ownership, 48 beds, and quality measures that score at the top of CMS's scale.

Frequently asked questions

How many chain-owned nursing homes are there in Alameda County, California?
There are 44 chain-owned Medicare-certified nursing homes in Alameda County, California, 64% of the 69 nursing homes there.
Are chain-owned nursing homes better staffed?
In Alameda County, California they average 4.34 total nursing hours per resident per day, against 4.36 for all nursing homes in Alameda County, California, a difference of -0.02 hours. Staff turnover averages 36.8% against 35.1%.
Which chain-owned nursing home grades best in Alameda County, California?
Creekview Skilled Nursing in Pleasanton, CA, grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 44 graded chain-owned homes in Alameda County, California, 20 grade A and 0 grade D or F.
Do chain-owned nursing homes in Alameda County, California accept Medicaid?
41 of the 44 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Alameda County, California