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.
Acacia Creek – Union City
Nursing Home
Acacia Creek – Union City
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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 home
Church
Home revenue
$68.6M
Operating deficit
-$6.7M
Voluntary non-profit home
Church
Home revenue
$68,578,240.00
Operating deficit
$-6,709,595.00
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.
15 years in operation
A community with a solid operating history and experience delivering ongoing care.
About this community
License Status
LICENSEDFacility Type
RCFE-CONTINUING CARE RETIREMENT COMMUNITY
License Date
May 20, 2010
Additional licensing details
License number:
COA #246
CMS Certification Number:
555843
County:
ALAMEDA
RCFE Number:
015601302
Ownership & operating entity
Owner name:
MASONIC HOMES CAL & ACACIA CREEK, MASONIC SEN LIV
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Dining, Successful Aging, Memory Care and Assisted Living, Classes, Events, Membership
Dining & Nutrition
Food Description
Acacia 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 Diets
Heart-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
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.
6 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Compare Nursing Homes around California
The information below is reported by the California Department of Social Services and Department of Public Health.
Acacia Creek – Union City
+87%
+18%
-26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
CA 94587
229
No
ADAMSON, LARRY
62.7%
$13,195,572.00
$31,352,044.00
237.6%
75.90
4.9956
2
15
+87%+18%-26%
A & J Assisted Living
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
53
No
-
-
-
-
-
-
-
-
-
-
-
A1 Del Monte Stockton
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
158
No
-
-
-
-
-
-
-
-
-
-
-
Aaa Kindness Care II
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
32
No
-
-
-
-
-
-
-
-
-
-
-
Abbey Road Villa
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
78
No
-
-
-
-
-
-
-
-
-
-
-
Acacia Creek – Union City
Type of care:
SNF
AL
Community:
CA 94587
Bed Count:
229
Pets Allowed:
No
Operator:
ADAMSON, LARRY
CCN:
555843
Occupancy:
62.7%
Home Revenue:
$13,195,572.00
Payroll Costs:
$31,352,044.00
Payroll %:
237.6%
Avg Residents/Day:
75.90
Overall Rating:
Adj Nurse Hours:
4.9956
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
15
RN share vs State Avg:
+87%
+87%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
-26%
-26%Places of interest near Acacia Creek – Union City
283.0 miles from city center
UNION CITY, CA 94587
Calculate Travel Distance to Acacia Creek – Union City
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
119
Total Staff
101
Employees
18
Contractors
39,188
Total Hours (Quarter)
56
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 19 | 8 | No |
| Licensed Practical Nurse | 21 | 7.6 | No |
| Certified Nursing Assistant | 52 | 7.9 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
92 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
3 staff
8.2hs shift avg
Therapy Services ⓘ
16 staff
6.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
6.7hs shift avg
Dietary Services ⓘ
3 staff
7.7hs shift avg
Other Services ⓘ
1 staff
1.6hs shift avg
Contractor Analysis
9.4%
of total hours from contractors
3,675 contractor hours this quarter
Respiratory Therapy Technician: 6
Qualified Social Worker: 2
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Speech Language Pathologist: 4
Diagnostic X-ray Services Staff: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
15
Citations per inspection
3.75
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
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. 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
1
Total Residents
Medicare
1
(100%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
-$6,709,595
↑ ~$179.9M vs 2022
Total Payroll
$38,486,864
↑ ~$3.6M vs 2022
Profit Margin
-50.9%
↑ 1,469.2pp vs 2022
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