All Saint's Subacute & Transitional Care
1652 Mono Avenue, San Leandro, CA 94578
All Saint's Subacute & Transitional Care is a nursing home in San Leandro, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 3 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (510) 481-3200
- Last standard health inspection
- July 12, 2024 (2 years ago)
- Certified beds
- 86
- Residents per day, on average
- 63.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- All Saintsidence Opco, LLC
- Chain
- Pacs Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the California average (23 vs 50).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
2 citations
Health inspection on July 3, 2026
CMS lists this as a complaint inspection.
Citation F0755. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on August 13, 2026.
CMS has cited this home for F0755 2 times since 2024.
Citation F0839. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Employ staff that are licensed, certified, or registered in accordance with state laws.
CMS lists it as corrected on August 17, 2025.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 3 of 5.
Health citation
CMS removed citation F0605 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0641 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0689 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0690 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0693 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0695 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0725 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0812 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0841 from the health inspection on August 22, 2025.
Health citation
CMS removed citation F0684 from the health inspection on August 22, 2025.
Fire safety citation
CMS removed citation E0026 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation E0039 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0341 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0342 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0363 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on August 22, 2025.
Fire safety citation
CMS removed citation K0919 from the fire safety inspection on August 22, 2025.
Fine
CMS changed the fine from August 22, 2025 from $44,190 to $30,933.
4 citations
Health inspection on June 23, 2026
CMS lists this as a complaint inspection.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 6, 2026.
CMS has cited this home for F0695 2 times since 2024.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on July 6, 2026.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 6, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 6, 2026.
CMS has cited this home for F0880 3 times since 2025.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
2 citations
Health inspection on February 9, 2026
CMS lists this as a complaint inspection.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on March 17, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 17, 2026.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Health citation
CMS removed citation F0684 from the health inspection on August 22, 2025.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from March 25, 2025 from $192,456 to $132,194.
Fine
August 22, 2025 (1 year ago)
CMS fine of $30,933 on August 22, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 7.3 to 6.4 hours per resident per day.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
2 citations
Health inspection on March 25, 2025
CMS lists this as a complaint inspection.
Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
86 of 1,165 California homes (7%) got a citation at the immediate jeopardy level in 2025.
Citation F0880. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 15, 2025.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 15, 2025.
Fine
March 25, 2025 (1 year ago)
CMS fine of $132,194 on March 25, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of August 29, 2024
Ownership
CMS lists this home under a new chain.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
8 citations
Health inspection on July 12, 2024
CMS lists this as a standard inspection.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 23, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 23, 2024.
Citation F0802. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on July 23, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 23, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 23, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 23, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on July 23, 2024.
Citation F0912. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on July 23, 2024.
CMS has cited this home for F0912 3 times since 2019.
4 citations
Fire safety inspection on July 12, 2024
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 13, 2024.
CMS has cited this home for K0345 2 times since 2019.
Citation K0347. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on August 13, 2024.
CMS has cited this home for K0347 2 times since 2019.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 13, 2024.
CMS has cited this home for K0363 2 times since 2019.
Citation K0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on August 13, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
3 citations
Health inspection on May 19, 2022
CMS lists this as a standard inspection.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on June 14, 2022.
Citation F0640. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on June 14, 2022.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on June 14, 2022.
10 citations
Fire safety inspection on May 19, 2022
CMS lists this as a standard inspection.
Citation K0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
CMS lists it as corrected on June 28, 2022.
CMS has cited this home for K0908 2 times since 2019.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on June 28, 2022.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on June 28, 2022.
CMS has cited this home for E0039 2 times since 2019.
Citation K0342. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
CMS lists it as corrected on June 28, 2022.
CMS has cited this home for K0342 2 times since 2019.
Citation K0354. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
CMS lists it as corrected on June 28, 2022.
CMS has cited this home for K0354 2 times since 2019.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on June 28, 2022.
CMS has cited this home for K0355 2 times since 2019.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on June 28, 2022.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on June 28, 2022.
CMS has cited this home for K0712 2 times since 2019.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on June 28, 2022.
Citation K0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on June 28, 2022.
2 citations
Health inspection on November 21, 2019
CMS lists this as a standard inspection.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on December 9, 2019.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on December 9, 2019.
19 citations
Fire safety inspection on November 21, 2019
CMS lists this as a standard inspection.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on January 29, 2020.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on January 29, 2020.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on January 29, 2020.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on January 29, 2020.
Citation K0325. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed hallway dispensers for alcohol-based hand rub.
CMS lists it as corrected on January 29, 2020.
Citation K0342. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
CMS lists it as corrected on January 29, 2020.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on January 29, 2020.
Citation K0346. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on January 29, 2020.
Citation K0347. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on January 29, 2020.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 29, 2020.
Citation K0354. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
CMS lists it as corrected on January 29, 2020.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on January 29, 2020.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 29, 2020.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on January 29, 2020.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on January 29, 2020.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on January 29, 2020.
Citation K0907. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medical gas and vacuum systems have documented maintenance programs.
CMS lists it as corrected on January 29, 2020.
Citation K0908. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
CMS lists it as corrected on January 29, 2020.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 29, 2020.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PROVIDENCE GROUP NORTH LLC5% or greater direct ownership interest · 100% · since 06/20/2016
Questions
When was All Saint's Subacute & Transitional Care last inspected?
CMS lists July 12, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does All Saint's Subacute & Transitional Care have?
CMS lists 23 health citations since November 21, 2019. CMS also calls these deficiencies.
Has All Saint's Subacute & Transitional Care been fined?
CMS lists 2 fines in the past three years, $163,127 in total.
What is the CMS star rating of All Saint's Subacute & Transitional Care?
Its CMS overall star rating is 3 of 5.
Is All Saint's Subacute & Transitional Care a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.