Nursing homes across Alameda County, California, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
All Saint's Maubert runs on 8.06 nurse hours per resident day, more than double the national figure of 3.86, a real plus at a 14-bed home where staff know residents by name. But that strength is offset by a rough inspection record: 27 deficiencies, including one at the harm level and one tied to abuse, plus a $131,856 fine. Staff turnover sits at 46.4%, right around the national average, and weekend coverage dips about 8% below weekday levels. The most recent inspection was August 2025, so the record is current. For-profit, limited liability ownership. Weigh the heavy staffing against the inspection history before deciding.
Lake Park Healthcare Center runs 4.63 nurse hours per resident day, roughly 20% above the national average, but that number hides a staffing star rating of just 2 out of 5 and weekend coverage that drops about 13% below its own weekday level. Staff turnover sits at 54.3%, nearly nine points above the national average, meaning aides and nurses are cycling through fairly quickly. The home carries 21 deficiencies on its current record, including one at the harm or jeopardy level, plus four fines totaling $34,228. Its last inspection was November 7, 2024, and the quality measure score of 4 out of 5 stands out against the weaker inspection and staffing marks.
Golden Harbor runs 99 certified beds in Hayward under for-profit LLC ownership, and the staffing picture is more mixed than the raw number suggests. Total nurse staffing sits at 3.97 hours per resident day, about 3% above the national average, but weekends drop roughly 7% below the home's own weekday level, so coverage thins out right when families tend to visit. The inspection record is the bigger concern: 45 deficiencies, including one at the harm level and one abuse-related, plus three fines totaling $40,025. The most recent inspection was August 2025. Quality measures score well, but staffing and inspection ratings both sit at 2 out of 5.
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.
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.
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.