Nursing home

All Saint's Maubert

15731 Maubert Avenue, San Leandro, CA 94578

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle11
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$131,856
Beds14

Inspection findings

Inspectors recorded 30 findings in the last three inspection cycles.

1 Immediate jeopardy29 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 3, 2026AdministrationEmploy staff that are licensed, certified, or registered in accordance with state laws. (F0839)No harm, but a risk of harm
widespread · from a complaint
Corrected: Aug 17, 2025
Jul 3, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
widespread · from a complaint
Corrected: Aug 13, 2026
Jul 3, 2026Nursing and physician servicesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727)No harm, but a risk of harm
widespread · from a complaint
Corrected: Aug 17, 2025
Aug 22, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Dec 11, 2025
Aug 22, 2025Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Dec 11, 2025
Aug 22, 2025Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
pattern
Corrected: Dec 11, 2025
Aug 22, 2025Nursing and physician servicesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727)No harm, but a risk of harm
widespread
Corrected: Dec 11, 2025
Aug 22, 2025Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Dec 11, 2025
Aug 22, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern
Corrected: Dec 11, 2025
Aug 22, 2025Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Dec 11, 2025
Aug 22, 2025Abuse, neglect and exploitationEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604)No harm, but a risk of harm
isolated
Corrected: Dec 11, 2025
Mar 25, 2025Infection controlDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (F0882)No harm, but a risk of harm
widespread · from a complaint
Corrected: Apr 14, 2025
Mar 25, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)Immediate jeopardy
widespread · from a complaint
Corrected: Apr 14, 2025
Mar 25, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern · from a complaint
Corrected: Apr 14, 2025
Earlier inspections (16)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Feb 5, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated · from a complaint
Corrected: Mar 5, 2024
Oct 26, 2023Building and environmentMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921)No harm, but a risk of harm
pattern
Corrected: Nov 23, 2023
Oct 26, 2023Infection controlEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887)No harm, but a risk of harm
isolated
Corrected: Nov 23, 2023
Oct 26, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Nov 23, 2023
Oct 26, 2023Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Nov 23, 2023
Oct 26, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Nov 23, 2023
Oct 26, 2023Nursing and physician servicesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726)No harm, but a risk of harm
pattern
Corrected: Nov 23, 2023
Oct 26, 2023Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
isolated
Corrected: Nov 23, 2023
Oct 26, 2023Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
pattern
Corrected: Nov 23, 2023
Oct 26, 2023Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Nov 23, 2023
Oct 26, 2023Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Nov 23, 2023
Oct 26, 2023Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern
Corrected: Nov 23, 2023
Oct 26, 2023Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
isolated
Corrected: Nov 23, 2023
Oct 13, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Nov 15, 2022
Oct 13, 2022Nursing and physician servicesPost nurse staffing information every day. (F0732)No harm, but a risk of harm
isolated
Corrected: Nov 15, 2022
Oct 13, 2022Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
pattern
Corrected: Nov 15, 2022

Fines and payment denials

Federal fines in the last three years: $131,856 (1). Payment denials: 0.

DateTypeAmount
Mar 25, 2025Fine$131,856

Staffing

Nurse staff hours per resident per day7.92California median: 4.27
Registered nurse hours per resident per day2.40California median: 0.52
Nurse staff hours on weekends6.98California median: 3.85
Nursing staff who left within a year40.7%California median: 36.0%

About this home

Beds14
Residents per day, average13.3
OwnershipFor-profit, limited liability company
Legal business nameMaubertidence Opco, LLC
ChainPacs Group (277 homes)
In Medicare/Medicaid sinceFeb 21, 2013

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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