Quick answer: A serious bedsore (stage 3 or 4) in a Alameda County nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message. Alameda County has 69 skilled nursing facilities, and 12 of them carry a one- or two-star overall CMS rating. Several pair one-star ratings with heavy fines, and those are the homes where a serious pressure ulcer is most likely, because a bedsore is a repositioning failure and repositioning fails where staffing is thin.
If your loved one developed a bedsore in an Oakland, Hayward, or San Leandro nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. We know the defense playbook because we spent years running it, and you pay nothing unless we win.
Nursing home records in Alameda County
Alameda County has 69 federally certified nursing facilities with 5,522 licensed beds. Since 1997, state inspectors have issued 418 citations against Alameda County facilities, including 9 class AA citations and 56 class A citations. Facilities in the county have been assessed $1,565,253 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
21 of those enforcement actions were connected to a resident's death.
4 Alameda County facilities currently carry the federal abuse warning icon.
The county's facilities average 3.8 of 5 stars on the federal rating system. 12 of 69 facilities hold a 1 or 2 star overall rating.
Alameda County facilities have been assessed $960,218 in federal fines.
The most cited nursing homes in Alameda County
- Eden Healthcare Center (19 citations)
- Driftwood Healthcare Center - Hayward (16 citations)
- Bay Area Healthcare Center (16 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in Alameda County
In the CMS data, these are the homes in the county reporting the fewest nursing hours per resident. Staffing at Sage Post Acute in Hayward is 3.30 nursing hours per resident per day against 4.52 statewide, with a 3 star overall rating and a 3 star health inspection rating. Its record also shows a 2 star staffing rating and $4,938 in federal fines across 1 federal penalty. In San Leandro, Bancroft Healthcare Center reports 3.56 nursing hours per resident per day, where the state average is 4.52, with a 3 star overall rating and a 4 star health inspection rating. It carries a 1 star staffing rating as well. Staffing at Washington Center in San Leandro is 3.71 nursing hours per resident per day against 4.52 statewide, with a 5 star overall rating and a 5 star health inspection rating. Its record also shows a 4 star staffing rating. Countywide, 12 of 69 homes hold a 1 or 2 star overall rating.
Staffing is the number that matters most when a pressure sore develops.
Before you accept a facility's explanation for a bedsore, check its record in our Alameda County nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How Alameda County families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the Alameda County Long-Term Care Ombudsman (Empowered Aging) at (510) 638-6878, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact Alameda County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
Not sure whether what happened crosses the line into neglect? A short, free call can tell you. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. In the years since, they have recovered millions for California families in elder abuse and neglect cases. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. At a home with one-star staffing and six figures in fines, that gap is the first thing to check. As Alameda County nursing home abuse lawyers, we handle these cases across Oakland, Hayward, San Leandro, and the county and throughout California.
Talk to an Alameda County bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We serve families throughout Alameda County and all of California. We have recovered millions holding these facilities accountable, and you pay nothing unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
Is a bedsore automatically neglect?
No, but a serious pressure ulcer at a home with one-star staffing and heavy fines deserves a hard look. Federal rules treat advanced bedsores as preventable except where a documented medical condition makes them unavoidable.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in Alameda County?
Alameda County has 69 federally certified nursing facilities with 5,522 licensed beds. Every one of them is listed in our Alameda County nursing home directory with its ratings, staffing, citations and fines.
Do Alameda County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 418 citations against Alameda County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our Alameda County nursing home directory with its ratings, staffing, citations and fines.
Which Alameda County nursing homes carry a one-star overall CMS rating or the highest published fine totals?
By the current CMS data, these are the homes in Alameda County with the lowest overall CMS ratings. Bay View Rehabilitation Hospital, LLC in Alameda carries a 1 star overall rating and a 1 star health inspection rating, $201,994 in federal fines across 2 federal penalties and the federal abuse warning icon. The Rehabilitation Center of Oakland in Oakland carries a 1 star overall rating and a 1 star health inspection rating and $23,153 in federal fines across 2 federal penalties. West Shore Post Acute in Alameda carries a 1 star overall rating and a 1 star health inspection rating. Every Alameda County home's full record, with its ratings, staffing, citations and fines, is in our Alameda County nursing home directory.
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Disclaimer: facility ratings, staffing figures, fines, and the CMS abuse icon above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.