{"schema_version":"1.0.0","facility":{"id":"cms-555461","ccn":"555461","name":"Marina Garden Nursing Center","source_name":"MARINA GARDEN NURSING CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"CA","address":{"line1":"3201 Fernside Blvd.","city":"Alameda","state":"CA","zip":"94501","county_name":"Alameda County","county_fips":"06001","county_method":"name_match","ssa_county_code":"000","urban":true},"location":{"lat":37.7631,"lon":-122.23,"method":"cms_published_coordinates"},"phone":"5105232363","certification":{"authority":"CMS","ccn":"555461","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1991-05-27","certified_beds":32,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/555461"},"licenses":[{"state":"CA","authority":"California Department of Public Health (CDPH), Licensing & Certification","license_number":"020000211","state_facility_id":"020000104","license_type":"Skilled Nursing Facility","source_type_code":"SNF","status":"active","facility_status":"open","licensed_beds":32,"initial_license_date":"2004-06-01","effective_date":"2026-06-01","expiration_date":"2027-05-31","licensee":"MARINA GARDEN NURSING CENTER, INC.","licensee_entity_type":"Profit Corp","certification_status":"Licensed and Certified","federal_programs":"Medicare (and possibly Medicaid)","ccn":"555461","as_of":"2026-10-16","evidence_class":"VERIFIED","source_id":"ca_cdph_facility_listing","source_url":"https://data.chhs.ca.gov/dataset/healthcare-facility-locations"}],"capacity":{"certified_beds":32,"licensed_beds":32,"avg_residents_per_day":33},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"MARINA GARDEN NURSING CENTER, INC.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"quality_measures":{"value":3},"long_stay_qm":{"value":3},"short_stay_qm":{"value":2},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.55718,"lpn_hprd":0.42741,"rn_hprd":0.42169,"licensed_hprd":0.8491,"total_nurse_hprd":3.40628,"weekend_total_nurse_hprd":3.40367,"weekend_rn_hprd":0.51778,"pt_hprd":0.01828,"nursing_turnover_pct":28.1,"rn_turnover_footnote":"27","administrator_turnover_footnote":"26","case_mix_index":1.41291,"case_mix_index_ratio":1.00188,"case_mix_total_nurse_hprd":3.9082,"adjusted_total_nurse_hprd":3.3732,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-11-21","cycle1_deficiencies":4,"cycle1_score":16,"cycle2_date":"2023-10-05","cycle23_deficiencies":3,"cycle23_score":24,"total_weighted_score":18},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-marina-garden-nursing-center-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/555461","provenance":[{"source_id":"cms_provider_info","source_record_id":"555461","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"555461","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"ca_cdph_facility_listing","source_record_id":"020000104","url":"https://data.chhs.ca.gov/dataset/healthcare-facility-locations","retrieved_at":"2026-11-07T13:31:59.230Z","source_updated_at":"2026-10-16","effective_date":"2026-10-16","jurisdiction":"CA","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2024-11-21","latest_standard_health":"2024-11-21","earliest_date":"2021-04-22","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":29,"health_count":10,"fire_count":19,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":26,"minimal":3},"by_scope_severity":{"F":3,"D":17,"C":2,"B":1,"E":6},"by_concept":{"environment_life_safety":21,"staffing":1,"medication":1,"food_nutrition":3,"infection_prevention":2,"emergency_preparedness":1},"type_ids":["cms-k0353","cms-k0918","cms-k0342","cms-k0355","cms-k0919","cms-k0920","cms-k0712","cms-f0727","cms-f0755","cms-f0812","cms-f0880","cms-f0912","cms-k0321","cms-k0345","cms-k0161","cms-k0363","cms-k0923","cms-f0805","cms-e0004","cms-k0293","cms-k0511"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":8,"organizations":0,"individuals":8,"not_available":false}},"row":{"id":"cms-555461","ccn":"555461","name":"Marina Garden Nursing Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"CA","city":"Alameda","zip":"94501","county_fips":"06001","county_name":"Alameda County","address":"3201 Fernside Blvd.","beds":32,"residents":33,"ownership":"for_profit","operator_id":"op-marina-garden-nursing-center-inc","operator_name":"Marina Garden Nursing Center, Inc","lat":37.7631,"lon":-122.23,"overall":5,"health_rating":5,"staffing_rating":2,"qm_rating":3,"nurse_hprd":3.41,"turnover":28.1,"inspections":6,"last_inspection":"2024-11-21","deficiencies":29,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0353","cms-k0918","cms-k0342","cms-k0355","cms-k0919","cms-k0920","cms-k0712","cms-f0727","cms-f0755","cms-f0812","cms-f0880","cms-f0912","cms-k0321","cms-k0345","cms-k0161","cms-k0363","cms-k0923","cms-f0805","cms-e0004","cms-k0293","cms-k0511"],"universe":"cms","licensed_beds":32,"state_license":"CA 020000211","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-marina-garden-nursing-center-inc","name":"Marina Garden Nursing Center, Inc","legal_name":"MARINA GARDEN NURSING CENTER, INC","facility_count":1,"states":["CA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Belinda Leung","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, BELINDA"},{"owner_type":"individual","owner_name":"Kenneth Leung","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, KENNETH"},{"owner_type":"individual","owner_name":"Belinda Leung","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, BELINDA"},{"owner_type":"individual","owner_name":"Kenneth Leung","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, KENNETH"},{"owner_type":"individual","owner_name":"Belinda Leung","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, BELINDA"},{"owner_type":"individual","owner_name":"Kenneth Leung","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, KENNETH"},{"owner_type":"individual","owner_name":"Belinda Leung","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, BELINDA"},{"owner_type":"individual","owner_name":"Kenneth Leung","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2004-04-01","owner_name_raw":"LEUNG, KENNETH"}],"inspections":[{"id":"cms-555461-20241121-fire","ccn":"555461","date":"2024-11-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0342","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"},{"t":"cms-k0355","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"},{"t":"cms-k0919","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"},{"t":"cms-k0712","ss":"C","sl":1,"cs":"corrected","cd":"2024-12-18","std":1,"tv":"New"}]},{"id":"cms-555461-20241121-health","ccn":"555461","date":"2024-11-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-20","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-20","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-20","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-20","std":1},{"t":"cms-f0912","ss":"B","sl":1,"cs":"waiver_granted","cd":"2024-12-20","std":1}]},{"id":"cms-555461-20231005-fire","ccn":"555461","date":"2023-10-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"},{"t":"cms-k0345","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"},{"t":"cms-k0355","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"}]},{"id":"cms-555461-20231005-health","ccn":"555461","date":"2023-10-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-06","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-06","std":1},{"t":"cms-f0912","ss":"C","sl":1,"cs":"corrected","cd":"2023-10-06","std":1}]},{"id":"cms-555461-20210422-fire","ccn":"555461","date":"2021-04-22","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"D","sl":2,"cs":"corrected","cd":"2021-05-18","std":1,"tv":"New"},{"t":"cms-k0161","ss":"E","sl":2,"cs":"corrected","cd":"2021-05-18","std":1,"tv":"New"},{"t":"cms-k0293","ss":"D","sl":2,"cs":"corrected","cd":"2021-05-18","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2021-05-18","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2021-05-18","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2021-05-18","std":1,"tv":"New"}]},{"id":"cms-555461-20210422-health","ccn":"555461","date":"2021-04-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2021-06-15","std":1},{"t":"cms-f0912","ss":"E","sl":2,"cs":"waiver_granted","cd":"2021-06-15","std":1}]}],"deficiency_types":{"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0342":{"code":"K-0342","title":"Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0919":{"code":"K-0919","title":"Meet requirements for the use of electrical equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0727":{"code":"F-0727","title":"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.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0912":{"code":"F-0912","title":"Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555461&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"CA","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.2,"staffing_rating":3.3,"avg_residents_per_day":87.6,"cycle1_health_deficiencies":15.7,"cycle1_fire_deficiencies":6.3,"nurse_aide_hprd":2.66,"lpn_hprd":1.2,"rn_hprd":0.67957,"licensed_hprd":1.88,"total_nurse_hprd":4.54292,"weekend_total_nurse_hprd":4.10275,"weekend_rn_hprd":0.52,"pt_hprd":0.1,"nursing_turnover_pct":36.6,"rn_turnover_pct":37.8,"administrators_left":0.4,"case_mix_index":1.5057,"fines":0.8,"fine_amount":23366,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"CA","name":"California"},"county":{"fips":"06001","name":"Alameda County"},"zip":"94501","city":"Alameda"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"ca-cdph-630014635","name":"Park Bridge Rehabilitation and Wellness Center","address":"2401 Blanding Avenue","city":"Alameda","state":"CA","zip":"94501","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":1},{"id":"cms-555381","ccn":"555381","name":"Alameda Hospital D/P SNF","address":"2070 Clinton Ave","city":"Alameda","state":"CA","zip":"94501","beds":181,"overall":3,"inspections":9,"last_inspection":"2026-05-21","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","licensed_beds":35,"state_actions":1,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"id":"cms-555358","ccn":"555358","name":"Fruitvale Healthcare Center","address":"3020 East 15th Street","city":"Oakland","state":"CA","zip":"94601","beds":140,"overall":5,"inspections":14,"last_inspection":"2026-07-23","deficiencies":49,"serious":1,"ij":0,"open":0,"fines_total":45995,"status":"active","universe":"cms","licensed_beds":140,"state_actions":2,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"id":"cms-056348","ccn":"056348","name":"Bay View Rehabilitation Hospital, LLC","address":"516 Willow Street","city":"Alameda","state":"CA","zip":"94501","beds":180,"overall":1,"inspections":18,"last_inspection":"2026-07-10","deficiencies":72,"serious":2,"ij":2,"open":0,"fines_total":216834,"abuse":true,"status":"active","universe":"cms","licensed_beds":170,"state_actions":17,"state_serious":5,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"id":"cms-05a396","ccn":"05A396","name":"Garfield Neurobehavioral Center","address":"1451 28th Avenue","city":"Oakland","state":"CA","zip":"94601","beds":96,"overall":3,"inspections":9,"last_inspection":"2026-07-02","deficiencies":51,"serious":2,"ij":1,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","licensed_beds":96,"state_actions":10,"state_serious":3,"types":["nursing_home"],"distance_km":1.9},{"id":"ca-cdph-630011864","name":"Alameda Hospital - Southshore Convalescent","address":"625 Willow Street","city":"Alameda","state":"CA","zip":"94501","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","licensed_beds":26,"state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":2.1},{"id":"cms-555189","ccn":"555189","name":"Mercy Retirement & Care Center","address":"3431 Foothill Blvd.","city":"Oakland","state":"CA","zip":"94601","beds":59,"overall":5,"inspections":12,"last_inspection":"2026-03-27","deficiencies":49,"serious":3,"ij":0,"open":0,"fines_total":16675,"status":"active","universe":"cms","licensed_beds":59,"state_actions":3,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.4},{"id":"cms-555486","ccn":"555486","name":"Alameda Healthcare & Wellness Center","address":"430 Willow Street","city":"Alameda","state":"CA","zip":"94501","beds":166,"overall":2,"inspections":18,"last_inspection":"2026-08-27","deficiencies":104,"serious":1,"ij":0,"open":0,"fines_total":8990,"status":"active","universe":"cms","licensed_beds":166,"state_actions":7,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.7}]}}