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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.
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.
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.
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.
This home is ranked 44th out of 345 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 59m per day | ▲ 46% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
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 per day | ▼ 26% State avg: 1h 12m per day · National avg: 52m per day |
|
Nurse Aide
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 43m per day | ■ Avg State avg: 2h 39m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 15m per day | ▲ 4% State avg: 4h 5m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 3m per day | ▼ 43% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
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.
| 44m per day | ▲ 42% State avg: 31m per day · National avg: 29m per day |
Lower than the California average: 72.8%Acacia Creek – Union City is legally operated by Masonic Homes Cal & Acacia Creek, Masonic Sen Liv, and administrated by Chuck Major.
Key information about the people who lead and staff this community.
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
4 points above the California average for nursing homes (81/100)
Rank #688 / 1401 in California Inspection Score — State benchmarked This home is ranked 688th out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Inspection score: 85 out of 100. Letter grade B. 4 points above the California average for nursing homes (81/100)
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.
| 3 | 10 | This facility has 70% fewer total citations than a typical California nursing home (3 vs. CA avg 10).↓ 70% better |
|
Citations per year
Average citations per year since 2019.
| 0.4 | 1.4 | This facility has 71% fewer citations per year than a typical California nursing home (0.4 vs. CA avg 1.4).↓ 71% better |
|
Citations per inspection
Average citations per inspection.
| 0.2 | 3.3 | This facility has 94% fewer citations per inspection than a typical California nursing home (0.2 vs. CA avg 3.3).↓ 94% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 14 | 16 | This facility has 13% fewer total visits than a typical California nursing home (14 vs. CA avg 16).↓ 13% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 6 | 13 | This facility has 54% fewer complaint visits than a typical California nursing home (6 vs. CA avg 13).↓ 54% better Rank #654 / 1397 Complaint visits — State benchmarked This home is ranked 654th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 2 | 7 | This facility has 71% fewer other visits than a typical California nursing home (2 vs. CA avg 7).↓ 71% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 6 | 4 | This facility has 50% more official inspections than a typical California nursing home (6 vs. CA avg 4).↑ 50% worse |
Complaints & Investigations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 6 | 14 | This facility has 57% fewer total complaints than a typical California nursing home (6 vs. CA avg 14).↓ 57% better |
|
Complaints per year
Average complaints per year since 2019.
| 0.9 | 2 | This facility has 55% fewer complaints per year than a typical California nursing home (0.9 vs. CA avg 2).↓ 55% better |
California average 12.5
Last Health inspection on Feb 2025
California average 50.2
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.
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6522% more staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 18 RN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,605 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 22,180 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,980 | 92 | 100% | 7.5 |
| Registered Nurse | 18 | 0 | 18 | 6,337 | 92 | 100% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,491 | 92 | 100% | 7.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,296 | 62 | 67% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,106 | 89 | 97% | 7.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 1,008 | 71 | 77% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 487 | 64 | 70% | 7.6 |
| Qualified Social Worker | 0 | 1 | 1 | 483 | 64 | 70% | 7.5 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 473 | 79 | 86% | 4.2 |
| Other Social Services Staff | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Administrator | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 288 | 36 | 39% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 177 | 27 | 29% | 6.5 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 146 | 22 | 24% | 6.6 |
| Diagnostic X-ray Services Staff | 4 | 4 | 8 | 90 | 35 | 38% | 1.5 |
Includes penalties issued in 2023
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)
94% lower than California averageCalifornia average: $55K
15% fewer fines than California averageCalifornia average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 20, 2023 · $2K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 20, 2023Last updated: Jan 2026
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.
25.8
288% worse than California averageCalifornia average: 6.6
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
Percent of long-stay residents whose need for help with daily activities has increased
35.5%
222% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
62.2%
419% worse than California averageCalifornia average: 12.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
43% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
6.4%
29% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
6.1%
389% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
23.7%
463% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.5%
92% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
16.5%
64% worse than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
7% worse than California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.6%
39% worse than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
71% worse than California averageCalifornia average: 1.5%
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.
22% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
30% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
1Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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 Acacia Creek – Union City based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 346Payroll — State benchmarkedThis home is ranked 1st out of 346 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
283.0 miles from city center
Estimated distance in miles from Union City's city center to Acacia Creek – Union City's address, calculated via Google Maps.
Add your location
Acacia Creek – Union City is located in UNION CITY, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| OakView Health Center |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Thousand Oaks (Mountclef Village) | 63
Facility
63
CA AVG
103
Rank
#1063 / 1657 |
79.4%
Facility
79.4%
CA AVG
84.7%
Rank
#698 / 1530 | -6% | 5.21
Facility
5.21
CA AVG
4.22
Rank
#32 / 345 | -69% | +24% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | 89
Facility
89
CA AVG
81
Rank
#461 / 1401 | 9
Facility
9
CA AVG
50.2
Rank
#4 / 352 | 1.5
Facility
1.5
CA AVG
4.6
Rank
#2 / 352 | - | 50 | A+ |
20
Facility
20
CA AVG
57
Rank
#1846 / 2092 | Bouchard Family Revocable Trust | $15.0M
Facility
$15.0M
CA AVG
$17.0M
Rank
#208 / 346 | $8.8M
Facility
$8.8M
CA AVG
$7.0M
Rank
#162 / 346 | 58.7%
Facility
58.7%
CA AVG
45.2%
Rank
#80 / 346 | 555857 | ||||
| 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 | 376
Facility
376
CA AVG
103
Rank
#32 / 1657 |
46.5%
Facility
46.5%
CA AVG
84.7%
Rank
#1398 / 1530 | -45% | 5.00
Facility
5.00
CA AVG
4.22
Rank
#44 / 345 | +68% | +18% | $3.2k
Facility
$3.2k
CA AVG
$56.5k
Rank
#189 / 352 | 85
Facility
85
CA AVG
81
Rank
#688 / 1401 | 15
Facility
15
CA AVG
50.2
Rank
#21 / 352 | 3.8
Facility
3.8
CA AVG
4.6
Rank
#147 / 352 | - | 175 | - |
63
Facility
63
CA AVG
57
Rank
#951 / 2092 | Larry Adamson | $68.6M
Facility
$68.6M
CA AVG
$17.0M
Rank
#4 / 346 | $38.5M
Facility
$38.5M
CA AVG
$7.0M
Rank
#1 / 346 | 56.1%
Facility
56.1%
CA AVG
45.2%
Rank
#107 / 346 | 555843 | ||||
| Bayshire Carlsbad |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Carlsbad (Palamai) | 125
Facility
125
CA AVG
103
Rank
#526 / 1657 |
93.6%
Facility
93.6%
CA AVG
84.7%
Rank
#224 / 1530 | +11% | 3.24
Facility
3.24
CA AVG
4.22
Rank
#327 / 345 | +54% | -23% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | 79
Facility
79
CA AVG
81
Rank
#881 / 1401 | 26
Facility
26
CA AVG
50.2
Rank
#82 / 352 | 4.3
Facility
4.3
CA AVG
4.6
Rank
#189 / 352 | - | 117 | A+ |
59
Facility
59
CA AVG
57
Rank
#1088 / 2092 | Skilled Camino LLC | $11.5M
Facility
$11.5M
CA AVG
$17.0M
Rank
#260 / 346 | $5.4M
Facility
$5.4M
CA AVG
$7.0M
Rank
#280 / 346 | 46.9%
Facility
46.9%
CA AVG
45.2%
Rank
#195 / 346 | 555745 | ||||
| Bayshire Rancho Mirage |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rancho Mirage | 135
Facility
135
CA AVG
103
Rank
#462 / 1657 |
83.7%
Facility
83.7%
CA AVG
84.7%
Rank
#495 / 1530 | -1% | 3.17
Facility
3.17
CA AVG
4.22
Rank
#327 / 345 | -51% | -25% | $15.5k
Facility
$15.5k
CA AVG
$56.5k
Rank
#252 / 352 | 75
Facility
75
CA AVG
81
Rank
#973 / 1401 | 39
Facility
39
CA AVG
50.2
Rank
#159 / 352 | 3.3
Facility
3.3
CA AVG
4.6
Rank
#85 / 352 | - | 113 | A+ |
23
Facility
23
CA AVG
57
Rank
#1811 / 2092 | Skilled Mirage LLC | $11.8M
Facility
$11.8M
CA AVG
$17.0M
Rank
#253 / 346 | $5.1M
Facility
$5.1M
CA AVG
$7.0M
Rank
#289 / 346 | 43.1%
Facility
43.1%
CA AVG
45.2%
Rank
#236 / 346 | 555775 | ||||
| Heritage Gardens |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Loma Linda | 64
Facility
64
CA AVG
103
Rank
#1051 / 1657 |
85.9%
Facility
85.9%
CA AVG
84.7%
Rank
#436 / 1530 | +1% | 4.44
Facility
4.44
CA AVG
4.22
Rank
#104 / 345 | -14% | +5% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | 71
Facility
71
CA AVG
81
Rank
#1079 / 1401 | 45
Facility
45
CA AVG
50.2
Rank
#198 / 352 | 3.8
Facility
3.8
CA AVG
4.6
Rank
#147 / 352 | 1 | 55 | A+ |
47
Facility
47
CA AVG
57
Rank
#1422 / 2092 | Cotton Family Revocable Trust | $12.9M
Facility
$12.9M
CA AVG
$17.0M
Rank
#238 / 346 | $6.7M
Facility
$6.7M
CA AVG
$7.0M
Rank
#232 / 346 | 51.9%
Facility
51.9%
CA AVG
45.2%
Rank
#146 / 346 | 55183 |
The legal owner and operator of Acacia Creek – Union City is Masonic Homes Cal & Acacia Creek, Masonic Sen Liv.
Acacia Creek – Union City has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Acacia Creek – Union City's occupancy is 47%.
Chuck Major is the administrator of Acacia Creek – Union City.
Acacia Creek – Union City has 376 beds.
Acacia Creek – Union City has had 3 recently reported deficiencies.
Yes — there are 4 photos of Acacia Creek – Union City in the photo gallery on this page.
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