Piedmont Gardens Health Facility Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Piedmont Gardens Health Facility in Oakland, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. Federal and state inspectors publish what they find.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 5 of 5.
- California state citations: 7 on record, including 7 class B, with $7,700 in assessed penalties.
- Staffing: 4.76 nursing hours per resident per day; registered nurse turnover 33.3%.
- Most recent standard inspection: 3 deficiencies cited on January 30, 2025.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: Humangood Norcal, non-profit, part of Humangood (17 facilities nationally).
Piedmont Gardens Health Facility ratings and staffing
Piedmont Gardens Health Facility is located at 110 41St Street in Oakland, Alameda County. It is a non-profit facility operated by Humangood Norcal, part of Humangood, with 94 certified beds and an average of 63.5 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Piedmont Gardens Health Facility, those scores are: health inspections 5 of 5, staffing 5 of 5, quality measures 4 of 5.
Staffing. Piedmont Gardens Health Facility reports 4.76 total nursing hours per resident per day, of which 1.12 are registered nurse hours. Over the reporting year, 21.2% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
January 30, 2025, standard inspection
3 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, provide and implement an infection prevention and control program, and 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.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
- F0880Provide and implement an infection prevention and control program. (scope and severity E)
- F0584Honor 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. (scope and severity D)
November 17, 2022, standard inspection
5 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)
- F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity D)
- F0881Implement a program that monitors antibiotic use. (scope and severity D)
April 11, 2019, standard inspection
3 deficiencies cited. Surveyors cited the facility for 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, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and provide safe, appropriate pain management for a resident who requires such services.
- F0761Ensure 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. (scope and severity E)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
Penalties. CMS records show no federal fines for Piedmont Gardens Health Facility in the reported period.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. 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. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 7 citations against Piedmont Gardens Health Facility between January 9, 2004 and February 27, 2020: 7 class B, with $7,700 in assessed penalties.
- February 27, 2020, class B, Patient Care. $1,500 penalty.
- March 23, 2015, class B, Abuse/Facility Not Self Reported. $1,500 penalty.
- March 23, 2015, class B, Patient Rights. $1,500 penalty.
- February 15, 2005, class B, Patient Care. $1,000 penalty.
- December 2, 2004, class B, Patient Care. $1,000 penalty.
- January 26, 2004, class B, Patient Care. $600 penalty.
- January 9, 2004, class B, Patient Care. $600 penalty.
Across Alameda County's 69 certified facilities, the average is about 6.1 state citations per facility. Piedmont Gardens Health Facility's 7 is close to that average.
A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Oakland
Families comparing options in Oakland often look at these facilities as well. Each link opens that facility's full public record:
- Fruitvale Healthcare Center, 5 stars, 2 state citations
- Medical Hill Healthcare Center, 5 stars, 10 state citations
- Bay Area Healthcare Center, 5 stars, 16 state citations
- Excell Health Care Center, 5 stars, 8 state citations
- Oakland Healthcare & Wellness Center, 5 stars, 10 state citations
See every facility in the Alameda County nursing home directory.
Other nursing homes in Alameda County
These are other nursing homes in Alameda County, listed by how close each home's ZIP code is to the ZIP code for Piedmont Gardens Health Facility. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- The Rehabilitation Center of Oakland, Oakland
- Lake Merritt Healthcare Center LLC, Oakland
- Lake Park Healthcare Center, Oakland
- St Paul's Towers, Oakland
- Mcclure Post Acute, Oakland
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Piedmont Gardens Health Facility, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Alameda County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Alameda County's ombudsman program can be reached at (510) 638-6878. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Piedmont Gardens Health Facility is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Alameda County
If a loved one was harmed at Piedmont Gardens Health Facility, these pages explain how Alameda County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Alameda County bedsore lawyer
- Alameda County nursing home neglect lawyer
- Alameda County nursing home fall lawyer
- Alameda County nursing home wrongful death lawyer
- Alameda County nursing home sepsis lawyer
- Alameda County nursing home dehydration and malnutrition lawyer
- Alameda County nursing home medication error lawyer
You can also compare every home in the Alameda County nursing home directory.
Are There Lawsuits Against Piedmont Gardens Health Facility?
This page reports federal and state inspection, complaint and enforcement records for Piedmont Gardens Health Facility. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Alameda County are searchable through the Alameda County Superior Court's online case records. If your family member was injured at Piedmont Gardens Health Facility, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Piedmont Gardens Health Facility a good nursing home?
- CMS gives Piedmont Gardens Health Facility an overall rating of 5 of 5 stars, with a health inspection rating of 5 of 5 based on in-person state surveys. California has issued 7 state citations against the facility. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Piedmont Gardens Health Facility?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Alameda County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Piedmont Gardens Health Facility been fined or cited for serious violations?
- Public records show 7 California state citations with $7,700 in state penalties.
- How many state citations does Piedmont Gardens Health Facility have?
- The California Department of Public Health has issued 7 citations against Piedmont Gardens Health Facility in Oakland between January 9, 2004 and February 27, 2020: 7 class B, with $7,700 in assessed penalties.
- How do I report a problem at Piedmont Gardens Health Facility?
- File a complaint with CDPH through its Cal Health Find system, or contact the Alameda County Long-Term Care Ombudsman at (510) 638-6878. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Piedmont Gardens Health Facility, talk to our Alameda County nursing home abuse lawyers. We handle cases in Oakland and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Piedmont Gardens Health Facility provider record, CCN 056096. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Piedmont Gardens Health Facility state license record, FACID 020000091, license 20000088.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Piedmont Gardens Health Facility in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Piedmont Gardens Health Facility, and neither the facility nor any government agency endorses this page.