Quick answer: A serious bedsore (stage 3 or 4) in a San Mateo 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. San Mateo County has 14 skilled nursing facilities, and three of them carry a one- or two-star overall CMS rating. 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 a Daly City, San Mateo, or Redwood City nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. Because we once defended facilities like this one, we know where the answers are, and you pay nothing unless we win.
Nursing home records in San Mateo County
San Mateo County has 14 federally certified nursing facilities with 1,657 licensed beds. Since 1997, state inspectors have issued 96 citations against San Mateo County facilities, including 5 class AA citations and 14 class A citations. Facilities in the county have been assessed $530,645 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.
5 of those enforcement actions were connected to a resident's death.
The county's facilities average 3.9 of 5 stars on the federal rating system. 3 of 14 facilities hold a 1 or 2 star overall rating.
San Mateo County facilities have been assessed $206,193 in federal fines.
The most cited nursing homes in San Mateo County
- San Mateo Medical Center D/P SNF (15 citations)
- Linda Mar Care Center (14 citations)
- Ahmc Seton Medical Center (10 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 San Mateo County
In the CMS data, these are the homes in the county reporting the fewest nursing hours per resident. Staffing at Millbrae Care Center in Millbrae is 3.20 nursing hours per resident per day against 4.52 statewide, with a 2 star overall rating and a 2 star health inspection rating. It carries a 3 star staffing rating and $7,045 in federal fines across 1 federal penalty as well. Golden Pavilion Healthcare in Daly City reports 3.86 nursing hours per resident per day against a state average of 4.52, with a 3 star overall rating and a 3 star health inspection rating. It also carries a 4 star staffing rating and $41,426 in federal fines across 3 federal penalties. Staffing at Atherton Park Post-Acute in Menlo Park is 3.90 nursing hours per resident per day against 4.52 statewide, with a 4 star overall rating and a 3 star health inspection rating. It carries a 3 star staffing rating as well. Across the county, 3 of 14 homes hold a 1 or 2 star overall rating.
A strong county-wide average does not protect a resident at one of these homes, and 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 San Mateo 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 San Mateo 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 San Mateo County Long-Term Care Ombudsman (Ombudsman Services of San Mateo County) at (650) 780-5709, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact San Mateo County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
The sooner the records are preserved, the stronger the case. Call (888) 999-0169 for a free consultation.
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 San Mateo County nursing home abuse lawyers, we handle these cases across Daly City, San Mateo, Redwood City, and the county and throughout California.
Talk to a San Mateo 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 San Mateo County and across California, 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 San Mateo County?
San Mateo County has 14 federally certified nursing facilities with 1,657 licensed beds. Every one of them is listed in our San Mateo County nursing home directory with its ratings, staffing, citations and fines.
Do San Mateo County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 96 citations against San Mateo 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 San Mateo County nursing home directory with its ratings, staffing, citations and fines.
Which San Mateo 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 San Mateo County with the lowest overall CMS ratings. San Mateo Medical Center D/P SNF in San Mateo carries a 1 star overall rating and a 1 star health inspection rating and $104,000 in federal fines across 2 federal penalties. Ahmc Seton Medical Center in Daly City carries a 1 star overall rating and a 1 star health inspection rating and $41,019 in federal fines across 3 federal penalties. Millbrae Care Center in Millbrae carries a 2 star overall rating and a 2 star health inspection rating and $7,045 in federal fines across 1 federal penalty. Every San Mateo County home's full record, with its ratings, staffing, citations and fines, is in our San Mateo County nursing home directory.
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Disclaimer: facility ratings, staffing figures, and fines 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.
