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Acacia Creek – Union City
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Union City, CA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A beautifully arranged salad with grilled chicken and toppings Residents enjoying a meal together in a dining area Residents enjoying a meal in the dining room Senior resident watering plants in a garden

Acacia Creek – Union City

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Union City, CA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
34400 Mission Blvd, Union City, CA 94587 View map Calculator: See prices in your area
Acacia Creek – Union City accepts Medicare, Medicaid, and private pay.
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Acacia Creek – Union City accepts Medicare, Medicaid, and private pay.

Overview of Acacia Creek – Union City

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Masonic Homes Cal & Acacia Creek operates Acacia Creek – Union City, a senior living campus located at 34400 Mission Blvd in Union City, California. The property is owned by Larry Adamson, administered by Chuck Major, and has been in business for 20 years. While the broader campus houses 376 residents across independent and assisted living options, the skilled nursing section includes 96 beds. Residents stay for an average of 87 days, showing that the nursing team balances short-term post-hospital rehab with intermediate care.

The surrounding neighborhood has a walk score of 63, meaning visitors can handle a few quick errands on foot but will generally need a car to get around. On the floor, the nursing crew delivers an average of 5 hours of hands-on care per resident each day. This round-the-clock staffing handles physical rehabilitation, memory care programs, and temporary respite stays. For day-to-day life, the campus features an indoor pool, a fitness center, a library, a hair salon, and restaurant-style dining with made-to-order breakfast options.

Interested families exploring regional recovery or memory care programs can call the intake department to check on current bed availability and ask about the admissions process. The front office can also arrange a convenient time to tour the campus, view the dining rooms, and see the therapy spaces.

Facility Direct Line (510) 441-3700
Facility Direct Line (510) 441-3700 info@acaciacreek.org
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 27.0% Above CA avg. ▲ 27.0% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 78.8% Above CA avg. ▲ 78.8% Above CA avg.CA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 59.3% Above CA avg. ▲ 59.3% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 75.5% Below CA avg. ▼ 75.5% Below CA avg.CA average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs California averages

Rank #71 / 289Nurse hours — State benchmarkedThis home is ranked 71st out of 289 homes we track in California for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 289 California facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 71st out of 289 homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 36m

9% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
57m
+53% State avg: 37m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
53m
−22% State avg: 1h 7m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 46m
+8% State avg: 2h 34m per day · National avg: 2h 24m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 18m
+10% State avg: 3h 54m per day · National avg: 3h 30m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
−34% State avg: 6m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
39m
+25% State avg: 31m per day · National avg: 29m per day

2 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +53% above California average

By The Numbers

Community insights.

Bed count Info A large-scale community that may provide a wide range of amenities, services, and structured programs. 376 Rank #22 / 328Bed count — State benchmarkedThis home is ranked 22nd out of 328 homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

High-capacity home · May provide extensive amenities, services and programs.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #68 / 182Years in operation — State benchmarkedThis home is ranked 68th out of 182 homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
28 years
Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #181 / 354Walk Score — State benchmarkedThis home is ranked 181st out of 354 homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
63 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #280 / 289Occupancy rate — State benchmarkedThis home is ranked 280th out of 289 homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 289. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
46.5% This home usually has availability
Lower than the California average: 82.5%
Occupied beds
175 / 376
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
87 days
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About this community

License Details

IssuanceMay 20, 2010
CountyAlameda
License NumberCOA #246
CMS Certification Number555843
RCFE Number015601302

Ownership & Operating Entity

Acacia Creek – Union City is legally operated by Masonic Homes Cal & Acacia Creek, Masonic Sen Liv, and administered by Chuck Major.

Owner NameMasonic Sen Liv Masonic Homes Cal & Acacia Creek

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Amenities & Lifestyle

Fitness Center
Swimming Pool
Spa
Library
Salon
Garden
Lounge
Bar
Dance Floor
Specific ProgramsSuccessful Aging, Memory Care and Assisted Living

Contact Acacia Creek – Union City

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. CA average 0 Worse No metrics in this bucket. 6 Better Metrics better than California average:
• Total citations (83% below)
• Serious citations (Type A) (67% below)
• Moderate citations (Type B) (75% below)
• Citations per inspection (86% below)
• Total complaints (57% below)
• Complaints per year (55% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 212 This facility has 83% fewer total citations than a typical California nursing home (2 vs. CA avg 12).↓ 83% better
Serious citations (Type A) Info Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 13 This facility has 67% fewer serious citations (type a) than a typical California nursing home (1 vs. CA avg 3).↓ 67% better Rank #478 / 1433 Serious citations (Type A) — State benchmarked This home is ranked 478th out of 1,433 homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1433 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Moderate citations (Type B) Info Citations that do not pose an immediate risk but still represent a departure from required care or operational standards. 14 This facility has 75% fewer moderate citations (type b) than a typical California nursing home (1 vs. CA avg 4).↓ 75% better
Citations per inspection Info Average citations per inspection. 0.10.69 This facility has 86% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 0.69).↓ 86% better

Inspections & Visits Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total inspections Info Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes. 1416 This facility has had 13% fewer total inspections than the California average (14 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 13% fewer
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 613 This facility has had 54% fewer complaint visits than the California average (6 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 54% fewer Rank #651 / 1387 Complaint visits — State benchmarked This home is ranked 651st out of 1,387 homes we track in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1387 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 27 This facility has had 71% fewer other visits than the California average (2 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 71% fewer
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 64 This facility has had 50% more official inspections than the California average (6 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityCA Averagevs. CA Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 614 This facility has 57% fewer total complaints than a typical California nursing home (6 vs. CA avg 14).↓ 57% better
Complaints per year Info Average complaints per year since 2019. 0.92 This facility has 55% fewer complaints per year than a typical California nursing home (0.9 vs. CA avg 2).↓ 55% better
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 4

State average 12.5

Last Health inspection on Feb 2025

Total health citations
15 Rank #18 / 291Health citations — State benchmarkedThis home is ranked 18th out of 291 homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 291 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 50.2

Citations per inspection
3.75 Rank #129 / 291Citations per inspection — State benchmarkedThis home is ranked 129th out of 291 homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 291 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.65

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 15 citations resulted from standard inspections; and 1 of 15 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than State average

State average: 0.4

Serious health citations
0
100% better than State average

State average: 1

0 critical citations State average: 0.4
0 serious citations State average: 1
15 moderate citations State average: 47.2
0 minor citations State average: 1.5
Citations history (last 7 years)
Environmental moderate citation Feb 06, 2025
Corrected
Environmental moderate citation Feb 06, 2025
Corrected
Nutrition moderate citation Feb 06, 2025
Corrected
Nutrition moderate citation Feb 06, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 120
Employees 103
Contractors 17
Staff to resident ratio 120.00 : 1
6522% more staff per resident than California average
California average ratio: 1.81 : 1 California average ratio: 1.81 : 1See full California ranking
Avg staff/day 64
Average shift 7.5 hours
0% compared with California average
California average: 7.7 hours California average shift: 7.7 hoursSee full California ranking
Total staff hours (quarter) 44,237

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 18 RN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 18 LPN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 49 CNA Staff are full-time employees. No contractors work on this role. 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.2%

3,605 contractor hours this quarter

Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Diagnostic X-ray Services Staff: 4 Physical Therapy Assistant: 2 Qualified Social Worker: 1 Physical Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4904922,18092100%7.7
Licensed Practical Nurse180186,98092100%7.5
Registered Nurse180186,33792100%8
Other Dietary Services Staff4041,49192100%7.3
Clinical Nurse Specialist3031,2966267%8
Speech Language Pathologist0441,1068997%7.3
Physical Therapy Assistant0221,0087177%7.8
Physical Therapy Aide0114876470%7.6
Qualified Social Worker0114836470%7.5
Respiratory Therapy Technician0554737986%4.2
Other Social Services Staff1014485661%8
Administrator1014165257%8
Nurse Practitioner1014165257%8
Dental Services Staff1014165257%8
RN Director of Nursing1012883639%8
Mental Health Service Worker1011772729%6.5
Occupational Therapy Assistant1011462224%6.6
Diagnostic X-ray Services Staff448903538%1.5
49 Certified Nursing Assistant
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $3K Rank #174 / 294Federal fines — State benchmarkedThis home is ranked 174th out of 294 homes we track in California for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the California average among facilities with fines, and where it ranks among 294 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
94% lower than California average

California average: $55K

Number of fines 2
15% fewer fines than California average

California average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than California average

California average: 0.5

Fines amount comparison
Fines amount comparison
This facility $3K
California average $55K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 25.8
288% worse than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 41.7
268% worse than California average

California average: 11.3

Long-stay resident measures
Significantly below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 35.5%
222% worse than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 62.2%
419% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.3%
142% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.0%
43% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.4%
29% worse than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.1%
389% worse than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 23.7%
463% worse than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.5%
92% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.5%
64% worse than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.9%
7% worse than California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
In line with California average

California average: 98.2%

Short-stay resident measures
Significantly below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 57.6%
39% worse than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
71% worse than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 68.3%
27% worse than California average

California average: 93.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

48% of new residents, often for short stays.

Typical stay 1 years

Medicaid

30% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 1
Medicare
1
100% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 10/2023.

Nonprofit
Operated by a nonprofit corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$62.1M
Nonprofit Operated by a nonprofit corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.8M Rank #165 / 260Net patient revenue — State benchmarkedThis home is ranked 165th out of 260 homes we track in California. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$62.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$55.4M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #1 / 260Payroll costs — State benchmarkedThis home is ranked 1st out of 260 homes we track in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$37.7M 318.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #1 / 260Payroll % of net patient revenue — State benchmarkedThis home is ranked 1st out of 260 homes we track in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$36.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$73.9M
How we calculate these figures

This home is administered by Chuck Major.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 555843

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 1 years.

Admissions
203 total

Coverage residents most often arrive under.

Medicare 22%
Private pay 48%
Medicaid 30%
Discharges
235 total

Coverage residents most often leave under.

Medicare 20%
Private pay 47%
Medicaid 33%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.1 miles from city center Info Estimated distance in miles from Union City's city center to Acacia Creek – Union City's address, calculated via Google Maps.

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. CCRC( (Continuing Care Retirement Communities (CCRC)):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Harrison Villa of Mt. San Antonio Gardens ★ ★ ★ ★ ★
NH
AL
CCRC(
IL
MC
SNF
Pomona
520
Facility 520
CA AVG 148
Rank #12 / 328
84.0%
Facility 84.0%
CA AVG 82.5%
Rank #181 / 289
+2%
6.84
Facility 6.84
CA AVG 4.22
Rank #3 / 289
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +3%+62%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
16
Facility 16
CA AVG 50.2
Rank #20 / 291
5.3
Facility 5.3
CA AVG 4.6
Rank #217 / 291
-437-
45
Facility 45
CA AVG 60
Rank #267 / 354
Congregational Homes, Incorporated
$5.9MFiscal year ending 09/2023
Facility $5.9MFiscal year ending 09/2023
CA AVG $15.7M
Rank #250 / 260
$18.0MFiscal year ending 09/2023
Facility $18.0MFiscal year ending 09/2023
CA AVG $8.9M
Rank #11 / 260
306%Fiscal year ending 09/2023
Facility 306%Fiscal year ending 09/2023
CA AVG 61.1%
Rank #2 / 260
55016
Vi at Palo Alto ★ ★ ★ ★ ★
NH
AL
CCRC(
IL
MC
SNF
Palo Alto
876
Facility 876
CA AVG 148
Rank #1 / 328
73.1%
Facility 73.1%
CA AVG 82.5%
Rank #223 / 289
-11%
5.53
Facility 5.53
CA AVG 4.22
Rank #16 / 289
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +28%+31%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
18
Facility 18
CA AVG 50.2
Rank #27 / 291
3.0
Facility 3.0
CA AVG 4.6
Rank #53 / 291
1640-
80
Facility 80
CA AVG 60
Rank #74 / 354
Cc Palo Alto LLC And Classic Res. Mgmt. Ltd. Partner
$15.0MFiscal year ending 12/2023
Facility $15.0MFiscal year ending 12/2023
CA AVG $15.7M
Rank #116 / 260
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
CA AVG $8.9M
Rank #73 / 260
70.6%Fiscal year ending 12/2023
Facility 70.6%Fiscal year ending 12/2023
CA AVG 61.1%
Rank #32 / 260
555835
Canterbury Woods ★ ★ ★ ★ ★
NH
AL
IL
SNF
Pacific Grove
190
Facility 190
CA AVG 148
Rank #57 / 328
72.6%
Facility 72.6%
CA AVG 82.5%
Rank #228 / 289
-12%
6.10
Facility 6.10
CA AVG 4.22
Rank #7 / 289
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +10%+44%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
26
Facility 26
CA AVG 50.2
Rank #72 / 291
8.7
Facility 8.7
CA AVG 4.6
Rank #282 / 291
-138A+
81
Facility 81
CA AVG 60
Rank #66 / 354
Front Porch Communities And Services
$3.2MFiscal year ending 03/2024
Facility $3.2MFiscal year ending 03/2024
CA AVG $15.7M
Rank #259 / 260
$5.7MFiscal year ending 03/2024
Facility $5.7MFiscal year ending 03/2024
CA AVG $8.9M
Rank #198 / 260
176.7%Fiscal year ending 03/2024
Facility 176.7%Fiscal year ending 03/2024
CA AVG 61.1%
Rank #5 / 260
55303
Webster House ★ ★ ★ ★ ★
NH
AL
IL
SNF
Palo Alto (Crescent Park)
54
Facility 54
CA AVG 148
Rank #282 / 328
90.7%
Facility 90.7%
CA AVG 82.5%
Rank #113 / 289
+10%
5.52
Facility 5.52
CA AVG 4.22
Rank #16 / 289
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +21%+31%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
23
Facility 23
CA AVG 50.2
Rank #53 / 291
5.8
Facility 5.8
CA AVG 4.6
Rank #239 / 291
-49-
90
Facility 90
CA AVG 60
Rank #33 / 354
Front Porch Communities And Services
$10.2MFiscal year ending 03/2024
Facility $10.2MFiscal year ending 03/2024
CA AVG $15.7M
Rank #198 / 260
$7.8MFiscal year ending 03/2024
Facility $7.8MFiscal year ending 03/2024
CA AVG $8.9M
Rank #144 / 260
76.2%Fiscal year ending 03/2024
Facility 76.2%Fiscal year ending 03/2024
CA AVG 61.1%
Rank #22 / 260
555156
Acacia Creek – Union City ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
Union City
376
Facility 376
CA AVG 148
Rank #22 / 328
46.5%
Facility 46.5%
CA AVG 82.5%
Rank #280 / 289
-44%
4.60
Facility 4.60
CA AVG 4.22
Rank #71 / 289
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ +68%+9%
$3.2k
Facility $3.2k
CA AVG $56.5k
Rank #174 / 294
15
Facility 15
CA AVG 50.2
Rank #18 / 291
3.8
Facility 3.8
CA AVG 4.6
Rank #129 / 291
-175A+
63
Facility 63
CA AVG 60
Rank #181 / 354
Masonic Sen Liv Masonic Homes Cal & Acacia Creek
$11.8MFiscal year ending 10/2023
Facility $11.8MFiscal year ending 10/2023
CA AVG $15.7M
Rank #165 / 260
$37.7MFiscal year ending 10/2023
Facility $37.7MFiscal year ending 10/2023
CA AVG $8.9M
Rank #1 / 260
318.8%Fiscal year ending 10/2023
Facility 318.8%Fiscal year ending 10/2023
CA AVG 61.1%
Rank #1 / 260
555843

Rank badges are statewide: each nursing home is ranked against every CA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about Acacia Creek – Union City

Who is the owner of Acacia Creek – Union City?

Acacia Creek – Union City is legally operated by Masonic Homes Cal & Acacia Creek, Masonic Sen Liv, and administered by Chuck Major.

Is Acacia Creek – Union City in a walkable area?

Acacia Creek – Union City has a walk score of 63. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Acacia Creek – Union City?

Acacia Creek – Union City's license number is COA #246.

What is the occupancy rate at Acacia Creek – Union City?

Acacia Creek – Union City's occupancy is 46.5%.

How long has Acacia Creek – Union City been in business?

Acacia Creek – Union City has been operating for approximately 28 years, based on available licensing and registration records.

Are pets allowed at Acacia Creek – Union City?

Yes, Acacia Creek – Union City allows residents to bring their pets.

Does Acacia Creek – Union City operate as a for-profit or non-profit?

Acacia Creek – Union City is registered as a non-profit in CA.

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