Nursing homes › California › All Saint'S Maubert
15731 Maubert Avenue, San Leandro, CA 94578 · 5104813200 · 14 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 8.06 (California median: 4.24). RN hours: 2.36. Weekend total: 7.41. Nursing staff turnover: 46%.
All-time on record: 27 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-22 | Have 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. | F | Health | corrected 2025-12-11 |
| 2025-08-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-12-11 |
| 2025-08-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-12-11 |
| 2025-08-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2025-12-11 |
| 2025-08-22 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-12-11 |
| 2025-08-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-12-11 |
| 2025-08-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-12-11 |
| 2025-08-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-12-11 |
| 2025-03-25 | Provide and implement an infection prevention and control program. | L | complaint | corrected 2025-04-14 |
| 2025-03-25 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | complaint | corrected 2025-04-14 |
| 2025-03-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-04-14 |
| 2024-02-05 | 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 | complaint | corrected 2024-03-05 |
| 2023-10-26 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-11-23 |
| 2023-10-26 | 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. | E | Health | corrected 2023-11-23 |
| 2023-10-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2023-11-23 |
| 2023-10-26 | Ensure 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 | Health | corrected 2023-11-23 |
| 2023-10-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-11-23 |
| 2023-10-26 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2023-11-23 |
| 2023-10-26 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2023-11-23 |
| 2023-10-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-11-23 |
| 2023-10-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-11-23 |
| 2023-10-26 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2023-11-23 |
| 2023-10-26 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-11-23 |
| 2023-10-26 | Educate 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. | D | Health | corrected 2023-11-23 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-25 | Fine | $131,856 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555879. Corrections: data@carerecords.org.