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Complaint Investigation

Bay Area Healthcare Center

January 29, 2026 · Oakland, CA · 1833 10th Avenue
Citations 3
CMS Rating 5/5
Beds 99
Provider ID 555851
Healthcare Facility
Bay Area Healthcare Center
Oakland, CA  ·  View full profile →
Inspection Summary

BAY AREA HEALTHCARE CENTER in OAKLAND, CA — inspection on January 29, 2026.

Found 3 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
Potential for More Than Minimal Harm

Fahrenheit.

This incident was reported to both the physician and to the Regional Case Manager, who determined that Resident 1 had a history of fabricating stories. As a result, SOC 341 was not filed at that time.

Furthermore, the SOC 341 indicated that the abuse allegation made by Resident 1 to NP on 10/23/25 was not reported to the State Agency.

The section titled Written Report, which specifies the agencies to which the incident was reported, was left blank.During a telephone interview on 1/29/26 at 2:54 p.m. with Administrator (ADM), ADM stated, on 10/26/25, the facility reported the incident to the Local Ombudsman, believing that was sufficient. ADM stated she did not send a written report to the State Survey Agency.During a review of the facility's policy and procedure (P&P) titled Abuse Prevention and Mandated Reporting, undated, the P&P requires the Administrator to report suspected abuse or allegations to the California Department of Health within 24 hours.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Bay Area Healthcare Center

1833 10th Avenue Oakland, CA 94606

SUMMARY STATEMENT OF DEFICIENCIES

During another concurrent telephone interview and review of Resident 2's Weekly Assessment dated 11/19/25, on 1/29/25 at 10:41 a.m. with LVN 2, LVN 2 stated she completed the weekly assessment dated [DATE] and wrote there was a stage 2 pressure ulcer on the coccyx but did not measure it because it has already healed. LVN 2 stated she only wrote that a pressure ulcer was there as reminder that there once was a pressure ulcer on Resident 2's coccyx.During a review of the facility's policy and procedure (P&P) titled Pressure Ulcers, undated, the P&P indicated multiple factors in management of pressure ulcers that included wound assessment.

The P&P indicated to monitor wound status with each dressing change documenting wound assessment parameters using quantitative instrument such as Bates-[NAME] Wound Assessment Tool (BWAT, a more detailed wound assessment tool that evaluates multiple characteristics that included wound size and depth and condition of wound edges and surrounding skin).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Bay Area Healthcare Center

1833 10th Avenue Oakland, CA 94606

SUMMARY STATEMENT OF DEFICIENCIES

During a review of Resident 2's Treatment Administration Record (TAR) for November 2025, the TAR indicated the following treatment orders: to coccyx pressure ulcer, wash with soap and water, pat dry, apply moisture barrier cream and keep open to air every shift and as needed. to moisture-associated skin damage on the coccyx, right and left perineum, wash with soap and water, pat dry, apply moisture barrier cream every shift and as needed.The TAR indicated LVN 1 signed off seven out of 20 scheduled NOC shift treatments for Resident 2.During another concurrent telephone interview and review of Resident 2's Weekly Assessment dated 11/19/25, on 1/29/25 at 10:41 a.m. with LVN 2, LVN 2 stated she completed the weekly assessment dated [DATE] and wrote there was a stage 2 pressure ulcer on the coccyx but did not measure it because it has already healed. LVN 2 stated she only wrote that a pressure ulcer was there as reminder that there once was a pressure ulcer on Resident 2's coccyx.During a review of the facility's policy and procedure (P&P) titled Weekly Nurses Progress Notes, undated, the P&P indicated the Weekly Nurses Progress Notes is part of the resident's medical record. It will summarize the resident's condition during the week, based upon the nurse's assessment, and reflect the nurse's assessment at the time of the documentation.

Facility ID:

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 OAKLAND, 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 BAY AREA HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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