PENINSULA POST-ACUTE
1609 TROUSDALE DRIVE, BURLINGAME, CA 94010 · CCN 555856
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 62
- Avg residents/day
- 59.3
- Phone
- 6506523969
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 | 2024-10-18 | 16 | 15.6 | 9.5 | +0.4 worse |
| 2 | 2022-02-18 | 17 | 17.4 | 9.8 | -0.4 better |
| 3 | 2020-02-09 | 10 | 17.1 | 9.3 | -7.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 5 |
| Pharmacy service | 4 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.85 | 50.5% |
| RN staffing (reported) | 0.76 | 64.7% |
| Total nurse staffing (adjusted) | 3.30 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (43)1 actual harm
- DF0578Honor 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.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-10-18 · Health · corrected 2024-12-10
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.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-18 · Health · corrected 2024-12-10
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.2024-10-18 · Health · corrected 2024-12-10
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.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-10-18 · Health · corrected 2024-12-10
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.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- EF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-18 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-04-29 · Health · corrected 2024-05-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-27 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-27 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-10 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-21 · Health · corrected 2023-04-14
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-02-18 · Health · corrected 2022-04-08
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.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-02-18 · Health · corrected 2022-04-08
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-02-18 · Health · corrected 2022-04-08
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.2022-02-18 · Health · corrected 2022-04-08
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.2022-02-18 · Health · corrected 2022-04-08
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.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- FF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-02-18 · Health · corrected 2022-04-08
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2022-02-18 · Health · corrected 2022-04-08
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.2020-02-09 · Health · corrected 2020-03-06
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2020-02-09 · Health · corrected 2020-03-06
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.2020-02-09 · Health · corrected 2020-03-06
Potential for more than minimal harm
- FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2020-02-09 · Health · corrected 2020-03-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-02-09 · Health · corrected 2020-03-06
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2020-02-09 · Health · corrected 2020-03-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| PATEL, ADITI | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2015-10-01 |
| MITCHELL, HUNTER | Individual | W-2 MANAGING EMPLOYEE | — | 2023-04-01 |
Other facilities in BURLINGAME
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.