PENINSULA POST-ACUTE

For profit - Limited Liability company · PACS GROUP chain · 62 certified beds · CCN 555856 · PEAR HOLDINGS LLC · San Mateo · CA


PENINSULA POST-ACUTE is a 62-bed nursing home in BURLINGAME, California. CMS has certified it for Medicare and Medicaid since 2008-12-22. It averages 58.5 residents a day.

What harm was found in the violations cited at PENINSULA POST-ACUTE?

CMS lists 43 health-inspection deficiencies for PENINSULA POST-ACUTE since 2022-02-18, 28 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-03.

Survey dateTagDeficiencySeverity
2026-06-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-03-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-03-27F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2026-03-27F0609, F0656, F0658, F0755, F0761Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.D
2024-10-18F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-10-18F0759, F0761, F0803, F0804, F0840Ensure medication error rates are not 5 percent or greater. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.E
2024-10-18F0578, F0640, F0656, F0658, F0676, F0758, F0760, F0802, F0808, F0836, F0880Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. / Provide and implement an infection prevention and control program.D
2024-04-29F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2024-02-27F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2024-02-27F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2022-02-18F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2022-02-18F0800, F0812Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2022-02-18F0550, F0584, F0801, F0803, F0805, F0880, F0908Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.E
2022-02-18F0609, F0755, F0758, F0761, F0804Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D

How is PENINSULA POST-ACUTE staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.710694.51570
Total nursing staff turnover (%)36.936.7
Average number of residents per day58.587.9

Who owns PENINSULA POST-ACUTE, and what chain is it in?

PENINSULA POST-ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name PEAR HOLDINGS LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
CONTRACTED MANAGING EMPLOYEEPATEL, ADITIsince 10/01/2015
W-2 MANAGING EMPLOYEEMITCHELL, HUNTERsince 04/01/2023
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at PENINSULA POST-ACUTE?