Mcclure Post Acute
MCCLURE POST ACUTE in OAKLAND, CA — inspection on April 9, 2026.
Found 5 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.
Inspection Findings
During a review of the RAI Manual, dated October 2025, the manual indicated, The MDS completion date . must be no later than 14 days after the ARD .2.During a review of Resident 46's Face Sheet (demographics), dated 4/9/26, the Face Sheet indicated Resident 46 was admitted with diagnoses including anxiety and hypertension (high blood pressure).During a concurrent interview and record review on 4/9/26 at 8:26 a.m. with the MDS Registered Nurse (MDSRN), the facility provided document titled, MDS Final Validation Report, dated 4/1/2026 was reviewed.
The document indicated, Assessment Completed Late for Resident 46.
The MDSRN stated the facility follows the Resident Assessment Instrument (RAI, standardized CMS-required system used in nursing homes to assess residents and guide their care) Manual and the quarterly MDS should be done within 92 days of the last MDS assessment.
The MDSRN stated Resident 46's admission MDS was on 12/1/25 but the next MDS was not done until 3/5/26 so it was late.
During an interview on 4/9/26 at 12:23 p.m. with the Director of Nursing (DON), the DON confirmed the facility was responsible for ensuring Resident 46's next MDS was completed within 92 days after the previous MDS.During a review of Resident 46's Clinical Record on 4/9/26, the clinical record indicated the comprehensive MDS assessment completed at admission had an Assessment Reference Date (ARD, date that establishes the timeframe for capturing the resident's condition and services provided for the MDS assessment) of 12/1/25 and the following MDS assessment had an ARD of 3/5/26, making it 94 days after the admission MDS.During a review of the RAI Manual, dated October 2025, the manual indicated, The Quarterly assessment is .non-comprehensive assessment for a resident that must be completed at least every 92 days following the previous .assessment of any type. It is used to track a resident's status between comprehensive assessments to ensure critical indicators of gradual change in a resident's status are monitored .The ARD (A2300) must be not more than 92 days after the ARD of the most recent . assessment of any type.
555067 04/09/2026
McClure Post Acute 2910 McClure Street Oakland, CA 94609
During an interview on 4/9/26 at 12:23 p.m. with the Director of Nursing (DON), the DON confirmed the facility was responsible for ensuring the MDS assessment were submitted within the required 14 days of completion.
During a review of the RAI Manual, dated October 2025, the manual indicated, MDS assessments must be submitted within 14 days of the MDS Completion Date.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
555067 04/09/2026
McClure Post Acute 2910 McClure Street Oakland, CA 94609
activities of daily living.
Residents who are unable to carry out activities of daily living independently
555067 04/09/2026
McClure Post Acute 2910 McClure Street Oakland, CA 94609
During a review of Resident 76's MAR, dated 4/9/26, the MAR did not indicate an administration of albuterol on 4/7/26.
The MAR indicated the last administration of albuterol was on 3/22/26 at 2:47 p.m.During a review of the facility policy and procedure (P&P) titled, Self-Administration of Medication, dated February 2021, the P&P indicated, Nursing staff reviews the self-administered medication record for each nursing shift, and transfers pertinent information to the medication administration record (MAR) kept at the nursing station, appropriately noting that the doses were self-administered.
555067 04/09/2026
McClure Post Acute 2910 McClure Street Oakland, CA 94609
Based on observation, interview, and record review, the facility failed to ensure medications were
sulfate inhaler (medication inhaled into the lungs that helps make breathing easier) was found lying on his tray table.
This failure had the potential to result in unsafe or unauthorized medication use, drug diversion, and accidental ingestion by Resident 76 or other medically vulnerable residents.Findings:During a review of Resident 76's Face Sheet (demographics), dated 4/9/26, the Face Sheet indicated Resident 76's diagnoses included acute and chronic respiratory failure with hypoxia (a short-term and ongoing breathing problem where the body is not getting enough oxygen).During a concurrent observation and interview on 4/6/26 at 4:33 p.m. with Resident 76 in his room, the albuterol inhaler was lying on Resident 76's tray table. Resident 76 stated, It was getting annoying asking the nurse when I need my puffer, so the medication was kept at his bedside.
During a concurrent observation and interview on 4/6/26 at 4:55 p.m. with Licensed Vocational Nurse (LVN) 2 confirmed Resident 76's albuterol inhaler was left on his bedside table and stated medication shouldn't be left unsecured at bedside.
During an interview on 4/9/26 at 11:43 a.m. with the Director of Nursing (DON), the DON confirmed the albuterol inhaler should not have been left unsecured at Resident 76's bedside.
During a review of the facility's P&P titled, Storage of Medications, dated November 2020, the P&P indicated, The facility stores all drugs and biological in a safe, secure, and orderly manner.
Drugs and biologicals used in the facility are stored in locked compartments The nursing staff is responsible for maintaining medication stores and preparation areas in a clean, safe, and sanitary manner.
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 MCCLURE POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.