All Saint's Maubert
ALL SAINT'S MAUBERT in SAN LEANDRO, CA — inspection on August 22, 2025.
Found 8 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
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0604 during a standard health inspection conducted on 2025-08-22.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-22.
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 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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-08-22.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
Federal health inspectors cited ALL SAINT'S MAUBERT in SAN LEANDRO, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-22.
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 8 deficiencies cited during this inspection of ALL SAINT'S MAUBERT.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.