GOLDEN HARBOR HEALTHCARE CENTER
442 SUNSET BOULEVARD, HAYWARD, CA 94541 · CCN 056471
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 92.6
- Phone
- 5105828311
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-29 | 18 | 15.6 | 9.5 | +2.4 worse |
| 2 | 2024-05-17 | 7 | 17.4 | 9.8 | -10.4 better |
| 3 | 2022-03-24 | 21 | 17.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Pharmacy service | 5 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.86 | — |
| RN staffing (reported) | 0.49 | — |
| Total nurse staffing (adjusted) | 3.66 | — |
Fines & penalties
- Total fines
- $43,554
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Inspection citations (46)1 immediate jeopardy
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0727Have 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.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0761Ensure 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.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-08-29 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-06 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-06 · Health · corrected 2025-03-18
Potential for more than minimal harm
- FF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-13 · Health · corrected 2024-11-25
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-17 · Health · corrected 2024-06-20
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-17 · Health · corrected 2024-06-20
Immediate jeopardy
- FF0727Have 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.2024-05-17 · Health · corrected 2024-06-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-17 · Health · corrected 2024-06-20
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-05-17 · Health · corrected 2024-06-20
Potential for more than minimal harm
- EF0761Ensure 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.2024-05-17 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-12 · Health · corrected 2023-07-17
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0761Ensure 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.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2022-03-24 · Health · corrected 2022-04-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DEMESA, PRAXEDES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2022-12-01 |
| DEMESA, WILLIAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 47% | 2022-12-01 |
| BAUTISTA, RICARDO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 |
| DEMESA, PRAXEDES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-01 |
Other facilities in HAYWARD
| Name | Overall | Beds |
|---|---|---|
| WE CARE SKILLED NURSING FACILITY | ★★★★★ | 28 |
| ST ANTHONY CARE CENTER | ★★★★★ | 30 |
| ST FRANCIS HEALTHCARE CENTER | ★★★★★ | 62 |
| MORTON BAKAR CENTER | ★★★★★ | 97 |
| BETHESDA HOME | ★★★★☆ | 40 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.