3/5
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.
3/5
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.
Bethesda Christian Retirement is a nursing home, assisted living, and independent living community in Hayward, CA. Its nursing home care is for residents who need ongoing nursing support, while assisted living provides help with daily tasks such as bathing, dressing, and medication. Independent living offers people a private living arrangement without daily care.
With 28 beds, Bethesda Christian Retirement is a smaller community where staff and residents can get to know each other. Private rooms and cottages are available. Having independent living, assisted living, and nursing home care on one campus may suit a resident whose needs could grow over time without requiring a move to a different community.
Shaded garden paths, fruit trees, flowers, a gazebo, an atrium, and gardens give residents outdoor and shared spaces to use. Summer barbecues, birthday celebrations, sing alongs, and holiday themed parties provide scheduled opportunities for group activities. Christian religious services are available for residents who wish to participate.
Bethesda Christian Retirement is operated by Christian Retirement Center Of Northern California. Payment options include Medicare, Medicaid, and private pay.
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.
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.
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.
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.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
28Smaller home · May offer a more intimate, personalized care environment.
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.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
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.
Bethesda Christian Retirement is legally operated by Christian Retirement Center Of Northern California.
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.
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.
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.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 16 | 11.0 | This facility has 45% more total citations than a typical California nursing home (16 vs. CA avg 11).↑ 45% worse |
|
Serious citations (Type A)
Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 5 | 3.0 | This facility has 67% more serious citations (type a) than a typical California nursing home (5 vs. CA avg 3).↑ 67% worse |
|
Moderate citations (Type B)
Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 11 | 4.0 | This facility has 175% more moderate citations (type b) than a typical California nursing home (11 vs. CA avg 4).↑ 175% worse |
|
Citations per inspection
Average citations per inspection.
| 0.6 | 0.7 | This facility has 14% fewer citations per inspection than a typical California nursing home (0.6 vs. CA avg 0.7).↓ 14% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
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.
| 27 | 16.0 | This facility has had 69% more total inspections than the California average (27 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↑ 69% more |
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Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 8 | 13.0 | This facility has had 38% fewer complaint visits than the California average (8 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 38% fewer |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 14 | 7.0 | This facility has had 100% more other visits than the California average (14 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 100% more |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 5 | 4.0 | This facility has had 25% more official inspections than the California average (5 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
California average 12.2
Last Health inspection on Oct 2024
California average 49.9
California average 4.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
100% better than California averageCalifornia average: 0.3
100% better than California averageCalifornia average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
101 total staff / 34 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q2 2025).
66% more staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
6 total: 5 full-time employees and 1 contractor.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
17 total: 8 full-time employees and 9 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
61 total: 27 full-time employees and 34 contractors.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
1,771 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 27 | 34 | 61 | 9,271 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 8 | 9 | 17 | 2,895 | 91 | 100% | 7.6 |
| Registered Nurse | 5 | 1 | 6 | 1,306 | 87 | 96% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 3 | 3 | 6 | 489 | 84 | 92% | 4.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 463 | 70 | 77% | 6.6 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Dietitian | 1 | 0 | 1 | 303 | 38 | 42% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 237 | 38 | 42% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 17 | 19% | 2.5 |
| Qualified Social Worker | 0 | 1 | 1 | 37 | 12 | 13% | 3.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 4 | 4% | 7.8 |
| Medical Director | 0 | 1 | 1 | 18 | 8 | 9% | 2.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
96% worse than California averageCalifornia average: 5.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
49% worse than California averageCalifornia average: 10.0
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
134% worse than California averageCalifornia average: 10.2%
Percent of long-stay residents whose ability to move independently worsened
14.6%
49% worse than California averageCalifornia average: 9.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.2%
39% better than California averageCalifornia average: 10.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
53% worse than California averageCalifornia average: 1.6%
Percent of long-stay high risk residents with pressure ulcers
4.8%
12% worse than California averageCalifornia average: 4.3%
Percent of long-stay residents with a urinary tract infection
5.0%
311% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
11.9%
196% worse than California averageCalifornia average: 4.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 7.3%
Percent of long-stay residents who received an antipsychotic medication
2.1%
82% better than California averageCalifornia average: 12.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
9% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
68% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Bethesda Christian Retirement from 2023, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 05/2023.
Based on CMS SNF Cost Report for fiscal year ending in 05/2023.
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."
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."
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."
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."
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.
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.
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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (68% of admissions), and a typical Medicaid stay runs around 5 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from Hayward's city center to Bethesda Christian Retirement's address, calculated via Google Maps.
Add your location
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.
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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.
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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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 60.8% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hayward Gardens Post Acute | NH SNF | Hayward | 75
Facility
75
CA AVG
148
Rank
#231 / 319 |
95.2%
Facility
95.2%
CA AVG
83%
Rank
#54 / 281 | +15% | 3.69
Facility
3.69
CA AVG
4.31
Rank
#208 / 280 | +48% | -14% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 284 | 32
Facility
32
CA AVG
49.9
Rank
#100 / 281 | 4.6
Facility
4.6
CA AVG
4.7
Rank
#169 / 281 | 1 | 71 | A |
75
Facility
75
CA AVG
60
Rank
#100 / 344 | Matthew Hadley | $11.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 50.3%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 55434 | ||||
| Bethesda Christian Retirement | NH AL IL | Montgomery Hayward | 28 | - | - | - | -34% | - | $0 | 20 | 6.7 | - | 1 | - | - | Christian Retirement Center Of Northern California | $5.3MFiscal year ending 05/2023 | $4.2MFiscal year ending 05/2023 | 78.4%Fiscal year ending 05/2023 | 56370 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
Bethesda Christian Retirement is located in Montgomery Hayward, California.
Here are the financial assistance programs available to residents in California.
Bethesda Christian Retirement is legally operated by Christian Retirement Center Of Northern California.
Bethesda Christian Retirement has been operating for approximately 52 years, based on available licensing and registration records.
No, Bethesda Christian Retirement has a no-pet policy.
The team at Bethesda Christian Retirement can be reached at info@bethesdaca.org.
Bethesda Christian Retirement is registered as a non-profit in CA.
Bethesda Christian Retirement received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Bethesda Christian Retirement has 28 beds.
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