Total health inspections
4
California average 12.5
Last Health inspection on Feb 2025
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.
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Nursing Home in California
CMS overall rating
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.
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.
Acacia Creek – Union City
Nursing Home in California
CMS overall rating
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.
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.
Acacia Creek – Union City
Acacia Creek is a continuing care retirement community located in Union City, CA. It offers various levels of care including independent living, assisted living, memory care, and skilled nursing. The community focuses on successful aging and provides a vibrant lifestyle with numerous amenities and services.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
376
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.7%
Residents per day (avg)
76
Occupancy rate
62.7%
Residents per day (avg)
76
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$68.6M
Operating deficit
-$6.7M
Voluntary non-profit community
Operated by a church.
Home revenue
$68.6M
Operating deficit
-$6.7M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$31.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$43.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$75.3M
376-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
20 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeRcfe-continuing Care Retirement Community
StatusLicensed
IssuanceMay 20, 2010
CountyALAMEDA
License NumberCOA #246
CMS Certification Number555843
RCFE Number015601302
Owner NameMASONIC HOMES CAL & ACACIA CREEK, MASONIC SEN LIV
Staffing
Key information about the people who lead and staff this community.
Total Employees
1
Full-Time Employees
1
Rehabilitation Services
Respite Care
Skilled Nursing
Fitness Center
Indoor Pool And Spa
Library
Nail And Hair Salon
Garden
Dance Floor
Lounge & Bar
Specific ProgramsDining, Successful Aging, Memory Care and Assisted Living, Classes, Events, Membership
Food DescriptionAcacia Creek offers a rotating menu of fresh, nourishing, and great-tasting food in a restaurant-style setting, including made-to-order breakfast, delicious luncheons, and private dining options.
Special DietsHeart-healthy, vegetarian, low-sodium, and low/no-sugar menu selections
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.
5 visits
California average: 16 visits
Breakdown by visit type
0 total complaint visits
0 other visits
Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.
California average
13 total complaint visits
7 other visits
6 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
California average: 14 complaints
Health Inspection History
Inspections
Total health citations
15
California average 50.2
Citations per inspection
3.75
California 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 3 years)
Critical Health citations
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
0 critical citations
0 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 06, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 06, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 06, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around California The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
Acacia Creek – Union City
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Union City
229
62.7%
-26%
5.00
+18%
2
15
3.8
0
76
Adamson, Larry
$13.2M
$31.4M
237.6%
555843
A & J Assisted Living
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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53
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0
0
0.0
0
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A1 Del Monte Stockton
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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158
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0
0
0.0
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Aaa Kindness Care II
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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32
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0
0
0.0
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Abbey Road Villa
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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78
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0
0
0.0
0
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283.0 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
119
Employees
101
Contractors
18
Staff to resident ratio
119.00:1
118999900% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
56
Average shift
7.7 hours
0% compared with California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
39,188
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9.4%
3,675 contractor hours this quarter
Respiratory Therapy Technician: 6
Speech Language Pathologist: 4
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Diagnostic X-ray Services Staff: 1
Staff by category
| Certified Nursing Assistant | 52 | 0 | 52 | 19,338 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 21 | 0 | 21 | 6,598 | 91 | 100% | 7.6 |
| Registered Nurse | 19 | 0 | 19 | 5,800 | 91 | 100% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,390 | 89 | 98% | 7.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,128 | 76 | 84% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 808 | 62 | 68% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 744 | 71 | 78% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 605 | 61 | 67% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 573 | 73 | 80% | 5.9 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 560 | 86 | 95% | 3.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 434 | 51 | 56% | 8.5 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 162 | 24 | 26% | 6.8 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 65 | 41 | 45% | 1.6 |
52 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
19 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
98%
4 Speech Language Pathologist
% of Days
84%
2 Clinical Nurse Specialist
% of Days
68%
3 Physical Therapy Assistant
% of Days
78%
2 Physical Therapy Aide
% of Days
67%
2 Qualified Social Worker
% of Days
80%
6 Respiratory Therapy Technician
% of Days
95%
1 Administrator
% of Days
71%
1 Other Social Services Staff
% of Days
64%
1 Nurse Practitioner
% of Days
56%
1 Occupational Therapy Assistant
% of Days
26%
1 Diagnostic X-ray Services Staff
% of Days
45%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
1 resident
Residents by payment source
Medicare
1 resident (100%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
25.8
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 averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
41.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
41.7
268% worse than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
35.5%
Percent of long-stay residents whose need for help with daily activities has increased
35.5%
222% worse than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
62.2%
Percent of long-stay residents whose ability to move independently worsened
62.2%
419% worse than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
142% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
43% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
29% worse than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.1%
Percent of long-stay residents with a urinary tract infection
6.1%
389% worse than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
23.7%
Percent of long-stay residents who lose too much weight
23.7%
463% worse than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
92% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.5%
Percent of long-stay residents who received an antipsychotic medication
16.5%
64% worse than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
7% worse than California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with California averageCalifornia average: 98.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.6%
39% worse than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
71% worse than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.3%
27% worse than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
94% lower than California averageCalifornia average: $55K
Number of fines
2
15% fewer fines than California averageCalifornia average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$3K
California average
$55K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 20, 2023
$2K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2023
$1K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Acacia Creek – Union City based on CMS SNF Cost Reports.
Occupancy Rate
62.7%
↓ 5.2pp vs 2022
Net Income
-$6.7M
↑ ~$179.9M vs 2022
Total Payroll
$38.5M
↑ ~$3.6M vs 2022
Profit Margin
-50.9%
↑ 1,469.2pp vs 2022
Loading trend charts...
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