CareSentinel

Federal Nursing-Home Survey Record

ALL SAINT'S SUBACUTE & TRANSITIONAL CARE

CCN 555809 · 1652 MONO AVENUE, SAN LEANDRO, CA, 94578 · Operated within the PACS GROUP chain

Does ALL SAINT'S SUBACUTE & TRANSITIONAL CARE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ALL SAINT'S SUBACUTE & TRANSITIONAL CARE (CCN 555809), in SAN LEANDRO, CA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 12 deficiencies; the most serious carries scope/severity L on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2025-08-22. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $176,384 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$176,384

CMS has $176,384 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-09
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2026-02-09
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-08-22
CURRENT CYCLE
F689S/S L

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-08-22
CURRENT CYCLE
F725S/S F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-08-22
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-08-22
CURRENT CYCLE
F693S/S E

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

2025-08-22
CURRENT CYCLE
F841S/S E

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

2025-08-22
CURRENT CYCLE
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-08-22
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-08-22
CURRENT CYCLE
F605S/S D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2025-08-22
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-08-22
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-03-25
HISTORICAL
F880S/S L

Provide and implement an infection prevention and control program.

2025-03-25
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-07-12
HISTORICAL
F761S/S E

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.

2024-07-12
HISTORICAL
F802S/S E

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2024-07-12
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-07-12
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-07-12
HISTORICAL
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2024-07-12
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-07-12
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-07-12
HISTORICAL
F912S/S D

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2023-09-29
HISTORICAL
F573S/S D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

2023-08-03
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-05-17
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2022-05-19
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2022-05-19
HISTORICAL
F640S/S B

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2022-05-19
HISTORICAL
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at ALL SAINT'S SUBACUTE & TRANSITIONAL CARE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…