Acacia Creek – Union City

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Union City, CA

CMS overall rating

34400 Mission Blvd, Union City, CA 94587 View map

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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

Acacia Creek in Union City, California, accommodates independent living, assisted living, memory care, and skilled nursing care. Independent apartments suit seniors seeking a private residence without routine personal assistance, whereas assisted living programs aid with daily activities like bathing, dressing, and managing medication. Memory care operates within secure quarters designed for individuals facing cognitive decline, and respite admissions provide temporary stays while a family caregiver takes time off.

Leadership rests with administrator Chuck Major, alongside operators Masonic Homes California and Acacia Creek Masonic Senior Living. Records indicate a capacity of 376 beds with a 47% occupancy rate. Residents have access to specialized programs including Successful Aging, Assisted Living, and Memory Care. Facilities feature a fitness center, an indoor pool and spa, a garden area, and a hair and nail salon.

Dining choices encompass restaurant-style service with custom breakfast options, private dining, and dietary accommodations such as heart-healthy, low-sodium, low-sugar, and vegetarian meals. Pets are welcomed on campus. Surrounding neighborhoods carry a 58 walk score, permitting some errands to be managed without driving. Financial options cover Medicare, Medicaid, and private payment.

Interested individuals exploring continuous care options can contact Acacia Creek to inquire about active waitlists, verify coverage choices, or arrange a campus tour.

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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

Total nursing care This nursing home is ranked 71st out of 289 nursing 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)

57m

LPN / LVN

53m

Nurse Aide

2h 46m

Weekend Total Nursing

4h 18m

Physical Therapist

Weekend RN

39m

2 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count 376

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

Years of operating

28 years

Walk Score

63 / 100

Occupancy rate

46.5% This home usually has availability

Lower than the California average: 82.6%

Avg. Length of Stay

87 days

BBB Rating

A+ Not Accredited

How BBB ratings work

About this community

IssuanceMay 20, 2010

CountyAlameda

License NumberCOA #246

CMS Certification Number555843

RCFE Number015601302

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

Owner NameMasonic Homes Cal & Acacia Creek, Masonic Sen Liv

Rehabilitation Services

Respite Care

Pets Allowed

Fitness Center

Swimming Pool

Spa

Library

Salon

Garden

Lounge

Bar

Dance Floor

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.

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 Scorecard 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

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	CA Average	vs. CA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	2	12.0	This facility has 83% fewer total citations than a typical California nursing home (2 vs. CA avg 12).↓ 83% better
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.	1	3.0	This facility has 67% fewer serious citations (type a) than a typical California nursing home (1 vs. CA avg 3).↓ 67% better Rank #1 / 290 Serious citations (Type A) — State benchmarked This nursing home is ranked 1st out of 290 nursing homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among the 290 nursing homes in the ranking pool. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Moderate citations (Type B) Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.	1	4.0	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 Average citations per inspection.	0.1	0.7	This facility has 86% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 0.7).↓ 86% better

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.	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.	14	16.0	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 On-site visits triggered by formal complaints filed by residents, families, or staff.	6	13.0	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
Other visits Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.	2	7.0	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 Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.	6	4.0	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 Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	CA Average	vs. CA Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	6	14.0	This facility has 57% fewer total complaints than a typical California nursing home (6 vs. CA avg 14).↓ 57% better

Show Inspection Reports

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 12.1

Last Health inspection on Feb 2025

Total health citations

State average 49.8

Citations per inspection

3.75

State average 4.75

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 7 years)

Critical health citations

100% better than State average

State average: 0.3

Serious health citations

100% better than State average

State average: 0.9

0 critical citations State average: 0.3

0 serious citations State average: 0.9

15 moderate citations State average: 47

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

Total staff 120

Employees 103

Contractors 17

Staff to resident ratio 120.00 : 1

Avg staff/day 64

Average shift 7.5 hours

0% compared with California average

Total staff hours (quarter) 44,237

Nursing staff breakdown

8 hours

7.5 hours

7.7 hours

Contractor staffing

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


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

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

Total fines amount $3K

94% lower than California average

California average: $55K

Number of fines 2

15% fewer fines than California average

California average: 2.4

Payment Denials 0

100% fewer payment denials than California average

California average: 0.5

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.

High-risk clinical events score 25.8

288% worse than California average

California average: 6.6

Functional decline score 41.7

268% worse than California average

California average: 11.3

Long-stay resident measures

Significantly below average

Need for Help with Daily Activities Increased 35.5%

222% worse than California average

California average: 11.1%

Walking Ability Worsened 62.2%

419% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence 27.3%

142% worse than California average

California average: 11.3%

Falls with Major Injury 1.0%

43% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers 6.4%

29% worse than California average

California average: 5.0%

Urinary Tract Infection 6.1%

389% worse than California average

California average: 1.2%

Lost Too Much Weight 23.7%

463% worse than California average

California average: 4.2%

Depressive Symptoms 0.5%

92% better than California average

California average: 6.7%

Antipsychotic Use 16.5%

64% worse than California average

California average: 10.1%

Pneumococcal Vaccine 91.9%

7% worse than California average

California average: 98.5%

Influenza Vaccine 96.6%

In line with California average

California average: 98.2%

Short-stay resident measures

Significantly below average

Pneumococcal Vaccine 57.6%

39% worse than California average

California average: 94.0%

Antipsychotic medication increase 2.5%

71% worse than California average

California average: 1.5%

Influenza Vaccine 68.3%

27% worse than California average

California average: 93.2%

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

Total residents 1

Medicare

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.

Financial Trends

Historical financial and operational data for Acacia Creek – Union City from 2012–2023, 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 10/2023.

Net Patient Income -$62.1M ↓ ~$6.6M vs 2022

Payroll Costs $37.7M ↑ ~$3.6M vs 2022

Operating Margin -524.5% ↓ 38.5pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	84.2%	85.1%	83.8%	81.4%	67.7%	69.4%	72.0%	68.9%	61.7%	47.9%	67.9%	62.7%
Beds	297	297	297	297	297	367	367	367	367	265	201	229
Net Income	$44,447,320	$89,764,658	$25,665,805	-$29,325,450	-$11,596,279	$101,266,147	-$38,031,929	$47,792,614	-$7,421,732	$209,600,474	-$186,643,587	-$6,709,595
Gross Revenue	$12,061,352	$12,166,970	$16,811,777	$16,379,611	$18,802,302	$20,114,735	$23,163,279	$23,035,897	$13,326,756	$11,542,901	$12,279,119	$13,195,572
Operating Expenses	$43,735,030	$36,219,388	$44,668,834	$44,591,802	$46,605,212	$51,481,603	$53,588,418	$55,835,254	$65,871,330	$65,039,993	$66,964,738	$73,931,665
Net Patient Income	-$31,842,999	-$24,294,472	-$28,392,546	-$29,152,734	-$29,500,698	-$33,197,785	-$32,327,108	-$34,262,527	-$53,413,911	-$54,465,167	-$55,537,106	-$62,092,263
Net Patient Revenue	$11,892,031	$11,924,916	$16,276,288	$15,439,068	$17,104,514	$18,283,818	$21,261,310	$21,572,727	$12,457,419	$10,574,826	$11,427,632	$11,839,402
Payroll Costs	$17,285,183	$17,606,236	$19,016,385	$20,890,192	$23,062,267	$24,414,973	$25,941,250	$27,649,421	$38,080,144	$37,824,839	$34,126,285	$37,748,218
Operating Margin %	-267.8%	-203.7%	-174.4%	-188.8%	-172.5%	-181.6%	-152.1%	-158.8%	-428.8%	-515.1%	-486.0%	-524.5%
Medicare %	1.0%	1.9%	2.6%	2.3%	5.7%	4.1%	4.4%	4.3%	3.3%	3.6%	2.8%	2.3%
Medicaid %	4.7%	4.5%	12.3%	13.7%	17.6%	16.7%	18.7%	19.3%	15.4%	24.0%	22.5%	22.1%
Private %	94.3%	93.6%	85.1%	84.0%	76.8%	79.2%	76.8%	76.5%	81.2%	72.4%	74.6%	75.6%
Net Patient Revenue/Day	$130	$129	$179	$175	$233	$197	$220	$234	$150	$228	$229	$226
Cost/Day	$478	$393	$492	$505	$634	$554	$556	$605	$795	$1,405	$1,344	$1,411
Avg Length of Stay	137.8 days	140.0 days	154.5 days	209.5 days	93.3 days	82.0 days	109.2 days	128.8 days	207.7 days	106.7 days	81.1 days	86.9 days

Finances and operations

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

Net patient revenue

$11.8M

Net patient income

-$62.1M

Nonprofit Operated by a nonprofit corporation.

Net patient revenue

$11.8M

Net patient income

-$62.1M

Other income

$55.4M

Payroll costs

$37.7M 318.8% of net patient revenue

Other operating costs

$36.2M

Total costs

$73.9M

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.

Coverage residents most often arrive under.

Medicare 22%

Private pay 48%

Medicaid 30%

Coverage residents most often leave under.

Medicare 20%

Private pay 47%

Medicaid 33%

0.1 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.

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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.


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Windsor Skyline Care Center	★ ★ ★ ★ ☆	NH HOS RC SNF	Salinas (Laurel West)	80 Facility 80 CA AVG 148 Rank #229 / 328	75.0% Facility 75.0% CA AVG 82.6% Rank #219 / 290	-9%	4.34 Facility 4.34 CA AVG 4.22 Rank #108 / 289	★ ★ ★ ☆ ☆	★ ★ ★ ★ ☆	★ ★ ★ ★ ★	-34%	+3%	$63.9k Facility $63.9k CA AVG $56.5k Rank #265 / 294	40 Facility 40 CA AVG 50.2 Rank #141 / 290	5.7 Facility 5.7 CA AVG 4.6 Rank #223 / 290	1	60	A+	63 Facility 63 CA AVG 60 Rank #181 / 354	-	$9.8MFiscal year ending 12/2023 Facility $9.8MFiscal year ending 12/2023 CA AVG $15.7M Rank #208 / 260	$5.4MFiscal year ending 12/2023 Facility $5.4MFiscal year ending 12/2023 CA AVG $8.9M Rank #207 / 260	54.9%Fiscal year ending 12/2023 Facility 54.9%Fiscal year ending 12/2023 CA AVG 61.1% Rank #114 / 260	55871
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 82.6% Rank #281 / 290	-44%	4.60 Facility 4.60 CA AVG 4.22 Rank #71 / 289	★ ★ ★ ★ ★	★ ★ ★ ★ ★	★ ☆ ☆ ☆ ☆	+68%	+9%	$0 Facility $0 CA AVG $56.5k Rank #1 / 294	15 Facility 15 CA AVG 50.2 Rank #18 / 290	3.8 Facility 3.8 CA AVG 4.6 Rank #127 / 290	-	175	A+	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
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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 5 on this page. See how we rank facilities

Nursing Home Explorer

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.

What is the best email address for Acacia Creek – Union City?

The team at Acacia Creek – Union City can be reached at info@acaciacreek.org.

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Acacia Creek – Union City

Overview of Acacia Creek – Union City

Quality ratings

Community insights.

About this community

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Dining & Nutrition

Contact Acacia Creek – Union City

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

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

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

CMS Health Inspection History

Inspections Since 2019 · 7 years of data

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

49 Certified Nursing Assistant

18 Licensed Practical Nurse

18 Registered Nurse

4 Other Dietary Services Staff

3 Clinical Nurse Specialist

4 Speech Language Pathologist

2 Physical Therapy Assistant

1 Physical Therapy Aide

1 Qualified Social Worker

5 Respiratory Therapy Technician

1 Other Social Services Staff

1 Administrator

1 Nurse Practitioner

1 Dental Services Staff

1 RN Director of Nursing

1 Mental Health Service Worker

1 Occupational Therapy Assistant

8 Diagnostic X-ray Services Staff

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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