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Complaint Investigation

Peninsula Post-acute

March 27, 2026 · Burlingame, CA · 1609 Trousdale Drive
Citations 7
CMS Rating 5/5
Beds 62
Provider ID 555856
Healthcare Facility
Peninsula Post-acute
Burlingame, CA  ·  View full profile →
Inspection Summary

PENINSULA POST-ACUTE in BURLINGAME, CA — inspection on March 27, 2026.

Found 7 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

Review of a facility policy titled Unusual Occurrence Reporting, not dated, indicated .As required by federal or state regulations, our facility reports unusual occurrences or other reportable events which affect the health, safety, or welfare of our residents, employees or visitors. occurrences that .affect the welfare, safety, or health of residents .

The policy provided does not address if these unusual occurrences will be formally investigated to identify deficiencies and formulation of interventions to address identified deficiencies.

Federal health inspectors cited PENINSULA POST-ACUTE in BURLINGAME, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-03-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of PENINSULA POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-04-20.

Federal health inspectors cited PENINSULA POST-ACUTE in BURLINGAME, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2026-03-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of PENINSULA POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-04-20.

Federal health inspectors cited PENINSULA POST-ACUTE in BURLINGAME, CA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2026-03-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of PENINSULA POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-04-20.

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Federal health inspectors cited PENINSULA POST-ACUTE in BURLINGAME, CA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-03-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of PENINSULA POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-04-20.

Federal health inspectors cited PENINSULA POST-ACUTE in BURLINGAME, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-03-27.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of PENINSULA POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-04-20.

Federal health inspectors cited PENINSULA POST-ACUTE in BURLINGAME, CA for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2026-03-27.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of PENINSULA POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-04-20.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BURLINGAME, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PENINSULA POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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