Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
140
102 employees · 38 contractors · 55 on an average day Piedmont Gardens
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Oakland, CA
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Piedmont Gardens
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Oakland, CA
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Piedmont Gardens accepts Medicare, Medicaid, and private pay.
Piedmont Gardens offers independent living, assisted living, memory care, and skilled nursing in Oakland, California. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks. Memory care offers a secured, supervised setting, and skilled nursing provides licensed nursing care on site around the clock.
The range of care levels may suit a resident whose needs grow over time, since moving between levels can happen within the community. Piedmont Gardens has 321 beds, with studio, alcove, one-bedroom, and two-bedroom layouts. A studio provides one private living space, while the larger layouts can suit a couple moving together or someone who wants a companion.
Total nurse staffing is 4 hours and 33 minutes per resident per day, representing that amount of nurse time allocated to each resident daily. Short-stay rehabilitation provides a temporary setting for recovery, while respite care suits a family whose usual caregiver needs to travel or recover. Medicare and private pay are accepted, pets are allowed, Daniel Wittman serves as the administrator, and Humangood & Humangood Norcal operates the community; with a Walk Score of 99, the area is a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 83rd out of 291 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 33m
This nursing home is ranked 83rd out of 291 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 33mStandout metric: Registered nurse (RN) is +72% above California average
2 of 6 metrics below California average
Daily care time per resident, by role
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 7.7-hour shifts
1h 6m
↑ 72% · CA 38mThis facility: 1h 6m per resident per day, 72% above the California average of 38m (among California facilities reporting a recent figure).
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 7.7-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 7.7-hour shifts
41m
↓ 40% · CA 1h 7mThis facility: 41m per resident per day, 40% below the California average of 1h 7m (among California facilities reporting a recent figure).
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 7.7-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 62 are the facility's own employees; no agency contractors work in this role.
62 staff · 7.1-hour shifts
2h 47m
↑ 7% · CA 2h 36mThis facility: 2h 47m per resident per day, 7% above the California average of 2h 36m (among California facilities reporting a recent figure).
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. All 62 are the facility's own employees; no agency contractors work in this role.
62 staff · 7.1-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
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.
6m
↓ 7% · CA 6mThis facility: 6m per resident per day, 7% below the California average of 6m (among California facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 17m
↑ 9% · CA 3h 56mThis facility: 4h 17m per resident per day, 9% above the California average of 3h 56m (among California facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
53m
↑ 69% · CA 32mThis facility: 53m per resident per day, 69% above the California average of 32m (among California facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
140
102 employees · 38 contractors · 55 on an average day
140 total staff / 53 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.64 : 1
↑ 51% · CA 1.75This facility: 2.64 staff per resident, 51% above the California average of 1.75 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
140 staff ÷ 53 residents
See full California ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.2 h
↓ 6% · CA 7.7 hThis facility: 7.2 h, 6% below the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
36,056 staff hours this quarter
See full California ranking →87.2% of staff hours were worked by the facility's own employees
California average: 95.5% · Contractors this quarter: Physical Therapy Assistant (10), Speech Language Pathologist (8), Respiratory Therapy Technician (7), Physical Therapy Aide (5), Qualified Social Worker (4), Occupational Therapy Aide (4)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
415
Rank #35 / 344Bed count — State benchmarked This nursing home is ranked 35th out of 344 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. 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.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
415
Rank #35 / 344Bed count — State benchmarked This nursing home is ranked 35th out of 344 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. 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.High-capacity home · May provide extensive amenities, services and programs.
94 nursing-home beds (CMS) + 321 state-licensed beds.
Years of operating
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.
Rank #50 / 198Years in operation — State benchmarked This nursing home is ranked 50th out of 198 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff. 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.
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.
Rank #50 / 198Years in operation — State benchmarked This nursing home is ranked 50th out of 198 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff. 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.
33
years
Walk Score
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #1 / 343Walk Score — State benchmarked This nursing home is ranked 1st out of 343 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. 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.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #1 / 343Walk Score — State benchmarked This nursing home is ranked 1st out of 343 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. 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.
99
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #215 / 302Occupancy rate — State benchmarked This nursing home is ranked 215th out of 302 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 302. Higher occupancy signals strong local demand and financial stability. 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.
Occupancy lower than 85% suggests more openings may be available.
Rank #215 / 302Occupancy rate — State benchmarked This nursing home is ranked 215th out of 302 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 302. Higher occupancy signals strong local demand and financial stability. 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.
77.3%
This home usually has availability
Lower than the California average: 82.2%
Avg. Length of Stay
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.
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.
64
days
About This Community
IssuanceMarch 25, 1993
CountyAlameda
License Number011400514
Best Continuing Care Retirement Community (CCRC) 2025
Piedmont Gardens is legally operated by Humangood & Humangood Norcal, and administered by Daniel Wittman.
Resident Council
Short-Term Rehab
Short-Term Rehabilitation
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Housekeeping
Transportation
Beauty Services
Pets Allowed
Continuing Care Retirement Community (CCRC)
Touring HoursMonday-Friday: 8:30 AM - 6:00 PM
Building TypeHigh-rise
Room Sizes
375 sq. ft
540-560 sq. ft
740-1120 sq. ft
1250 sq. ft
Room Types
Studio
Alcove
1 Bed
2 Bed
Two inspection records, one community. California inspects its 321 state-licensed beds; CMS inspects its 94 nursing-home beds.
Inspection History and the Inspection Scorecard below are the state record. CMS Health Inspection History, further down, is the federal record. Each covers only its own beds, visits and dates, so the totals are not meant to match, and nothing is counted twice.
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.
ALM Inspection Grade
97 / 100
Combined grade: CMS inspection data for this community's nursing-home beds and
California inspection data for its
state-licensed beds, weighted by bed count
How the two records combine
Nursing-home beds (CMS) · 23% of the grade
A+ · 97/100
15 points above the California average for CMS-certified facilities (82/100).
94 certified beds, 23% of the grade. Graded with CMS-certified facilities on the national scale.
Citations
Strong
26 severity-weighted points (11 citations) · 4× lower than the typical CMS-certified CA facility (median: 95)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
15 days to fix issues · faster than the typical CMS-certified CA facility (median: 25)
California state-licensed beds · 77% of the grade
A+ · 97/100
14 points above the California average for state-licensed facilities (83/100).
321 licensed beds, 77% of the grade. Graded with California state-licensed facilities on the California scale.
Serious citations
Strong
No serious citations on record
Moderate citations
Strong
0 moderate citations per inspection · better than the typical state-licensed CA facility (median: 0.15)
Complaint visits
Strong
1.2 complaint visits per 100 resident beds (4 across 321 beds) · 6× fewer than the typical state-licensed CA facility (median: 7.9)
How the final grade is calculated
A+ · 97/100
97 × 23% + 97 × 77% = 97 / 100
The two grades are combined in proportion to the beds each record covers: 94 CMS-certified nursing-home beds (23%) and 321 California state-licensed beds (77%). The result, 97 out of 100, is an A+ on the same scale every ALM Inspection Grade uses.
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
0 Worse
No metrics in this bucket.
1 Better
Metrics better than California average:
• Total citations (100% below)
• Total citations (100% below)
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 7.0 | This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 7).↓ 100% 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.
| 20 | 19.0 | This facility has had 5% more total inspections than the California average (20 vs. CA avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 5% more |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 4 | 6.0 | This facility has had 33% fewer complaint visits than the California average (4 vs. CA avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 12 | 5.0 | This facility has had 140% more other visits than the California average (12 vs. CA avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↑ 140% more |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4.0 | This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 4 | 8.0 | This facility has had 50% fewer complaint investigations than the California average (4 vs. CA avg 8). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
3
↓ 75% · CA 12This facility: 3, 75% below the California average of 12 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
13
Rank #9 / 294Health citations — State benchmarked This nursing home is ranked 9th out of 294 nursing homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 294 CA facilities. Lower citation counts earn a better rank. 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.↓ 74% · CA 49.7This facility: 13, 74% below the California average of 49.7 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.33
Rank #150 / 294Citations per inspection — State benchmarked This nursing home is ranked 150th out of 294 nursing homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 294 facilities with citation data. Lower is better. 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.↓ 9% · CA 4.77This facility: 4.33, 9% below the California average of 4.77 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
13 of 13 citations corrected
Critical
J–L
0
↓ 100% · CA 0.3This facility: 0, 100% below the California average of 0.3 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · CA 0.9This facility: 0, 100% below the California average of 0.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
13
↓ 72% · CA 47.1This facility: 13, 72% below the California average of 47.1 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · CA 1.5This facility: 0, 100% below the California average of 1.5 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 04, 2026 · 5 citations, all corrected
Most cited category: Infection Control, 4 of 13 citations · 6 categories in total
Citations history
Most recent first
Jun 04, 2026
5 citations
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Jan 30, 2025
3 citations
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nov 17, 2022
5 citations
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Top deficiency categories
Share of 13 citations
Infection Control
4 deficiencies (31%)
Resident Rights
2 deficiencies (15%)
Quality of Life & Care
2 deficiencies (15%)
Nutrition & Dietary
2 deficiencies (15%)
Pharmacy Services
2 deficiencies (15%)
Resident Assessment & Care Planning
1 deficiency (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 13 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
CA avg $57KCalifornia average: $56,949. Average among the 478 California facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
CA avg 1.85California average: 1.85. Average among the 478 California facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
CA avg 0.59California average: 0.59. Average among the 478 California facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.2
Score · lower is better
↑ 43% · CA 5.7This facility: 8.2, 43% above the CA average of 5.7 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
14.7
Score · lower is better
↑ 55% · CA 9.5This facility: 14.7, 55% above the CA average of 9.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 3 better, 5 worse, 3 near CA average
3 short-stay measures: 2 better, 1 near CA average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
11.2%
↑ 10% · CA 10.2This facility: 11.2, 10% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
11.2%
↑ 10% · CA 10.2This facility: 11.2, 10% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
21.4%
↑ 141% · CA 8.9This facility: 21.4, 141% above the CA average of 8.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
21.4%
↑ 141% · CA 8.9This facility: 21.4, 141% above the CA average of 8.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
↑ 19% · CA 9.8This facility: 11.6, 19% above the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
↑ 19% · CA 9.8This facility: 11.6, 19% above the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.2%
↓ 3% · CA 1.2This facility: 1.2, 3% below the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.2%
↓ 3% · CA 1.2This facility: 1.2, 3% below the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
↓ 64% · CA 1.6This facility: 0.6, 64% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
↓ 64% · CA 1.6This facility: 0.6, 64% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.8%
↑ 11% · CA 4.3This facility: 4.8, 11% above the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.8%
↑ 11% · CA 4.3This facility: 4.8, 11% above the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.9%
↓ 29% · CA 4.1This facility: 2.9, 29% below the CA average of 4.1 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.9%
↓ 29% · CA 4.1This facility: 2.9, 29% below the CA average of 4.1 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
1.3%
↓ 83% · CA 7.6This facility: 1.3, 83% below the CA average of 7.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.3%
↓ 83% · CA 7.6This facility: 1.3, 83% below the CA average of 7.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
13.3%
↑ 8% · CA 12.3This facility: 13.3, 8% above the CA average of 12.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
13.3%
↑ 8% · CA 12.3This facility: 13.3, 8% above the CA average of 12.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
≈ 0% · CA 98.7This facility: 98.8, level with the CA average of 98.7 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
≈ 0% · CA 98.7This facility: 98.8, level with the CA average of 98.7 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · CA 97.9This facility: 100.0, 2% above the CA average of 97.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · CA 97.9This facility: 100.0, 2% above the CA average of 97.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
↓ 71% · CA 1.3This facility: 0.4, 71% below the CA average of 1.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
↓ 71% · CA 1.3This facility: 0.4, 71% below the CA average of 1.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
↑ 5% · CA 94.6This facility: 98.9, 5% above the CA average of 94.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
↑ 5% · CA 94.6This facility: 98.9, 5% above the CA average of 94.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
↑ 3% · CA 93.1This facility: 95.9, 3% above the CA average of 93.1 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
↑ 3% · CA 93.1This facility: 95.9, 3% above the CA average of 93.1 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Piedmont Gardens’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 289 California nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
1.9% operating margin
−1.5 pts vs prior year
Positive margin in 8 of the last 8 reported years. Net income $1.3M after other income.
Does it invest in staff?
Spends less on payroll than most California homes
50.2% payroll share of revenue
CA average 61.6%Rank #196 / 289Payroll % of net patient revenue — State benchmarked This nursing home is ranked 196th out of 289 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. 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.
Payroll rose $1.4M while revenue rose $1.9M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with California homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $37.3M | +$1.9M | Trend 20172024 | CA median $15.3M | Rank in CA Rank #11 / 289Net patient revenue — State benchmarked This nursing home is ranked 11th out of 289 nursing homes we track in California for net patient revenue. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. 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. Higher than 97% of homes | Top 3% in CA Higher net patient revenue than 97% of CA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $36.6M | +$2.4M | Trend 20172024 | CA median $16.0M | Rank in CA Rank #19 / 289Operating expenses — State benchmarked This nursing home is ranked 19th out of 289 nursing homes we track in California for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other California homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. 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. Higher than 94% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.7M | −$0.5M | Trend 20172024 | CA median $0.5M | Rank in CA Rank #133 / 289Net patient income — State benchmarked This nursing home is ranked 133rd out of 289 nursing homes we track in California for net patient income. Shows net patient revenue minus operating expenses, compared with other California homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 54% of homes | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 1.9% | −1.5 pts | Trend 20172024 | CA median 3.3% | Rank in CA Rank #158 / 289Operating margin — State benchmarked This nursing home is ranked 158th out of 289 nursing homes we track in California for operating margin. Shows net patient income as a share of net patient revenue, compared with other California homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. 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. Higher than 45% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.6M | — | Trend — | CA median $0.1M | Rank in CA Rank #71 / 283Other income — State benchmarked This nursing home is ranked 71st out of 283 nursing homes we track in California for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other California homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. 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. Higher than 75% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.3M | −$0.5M | Trend — | CA median $1.1M | Rank in CA Rank #125 / 289Net income — State benchmarked This nursing home is ranked 125th out of 289 nursing homes we track in California for net income. Shows the bottom line after other income, compared with other California homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 57% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most California homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $18.7M | +$1.4M | Trend 20172024 | CA median $8.8M | Rank in CA Rank #13 / 289Payroll costs — State benchmarked This nursing home is ranked 13th out of 289 nursing homes we track in California for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. 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. Higher than 96% of homes | Top 4% in CA by size Higher payroll than 96% of CA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 50.2% | +1.2 pts | Trend 20172024 | CA median 53.8% | Rank in CA Rank #196 / 289Payroll % of net patient revenue — State benchmarked This nursing home is ranked 196th out of 289 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. 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. Higher than 32% of homes | 11.4 pts under CA average The CA average is 61.6% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · CA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the California payroll average.
% of net patient revenue
Payroll share Operating margin CA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $27.1M | $27.7M | $30.5M | $30.9M | $31.1M | $32.7M | $35.4M | $37.3M |
| Operating expenses | $25.8M | $27.4M | $28.6M | $28.9M | $29.6M | $31.4M | $34.2M | $36.6M |
| Net patient income | $1.3M | $0.3M | $1.9M | $1.9M | $1.4M | $1.3M | $1.2M | $0.7M |
| Operating margin | 4.8% | 1.0% | 6.2% | 6.3% | 4.6% | 4.1% | 3.4% | 1.9% |
| Net income | $1.8M | $0.7M | $2.3M | $3.0M | $1.8M | $3.4M | $1.8M | $1.3M |
| Payroll costs | $12.8M | $13.8M | $14.6M | $14.5M | $14.8M | $15.5M | $17.3M | $18.7M |
| Payroll share of revenue | 47.1% | 49.8% | 48.0% | 46.9% | 47.7% | 47.3% | 49.0% | 50.2% |
| Beds | 345 | 345 | 345 | 345 | 345 | 345 | 345 | 345 |
| Gross revenue | $29.6M | $30.4M | $32.6M | $31.5M | $30.9M | $32.7M | $35.5M | $38.4M |
| Salaries | $10.6M | $11.4M | $12.2M | $12.0M | $12.3M | $12.8M | $14.8M | $15.7M |
| Wage-related costs | $2.2M | $2.4M | $2.4M | $2.5M | $2.5M | $2.7M | $2.6M | $3.0M |
| Contract labor | $1.3M | $1.1M | $1.0M | $0.7M | $0.7M | $0.9M | $0.8M | $0.5M |
| Other operating costs | $13.0M | $13.6M | $14.0M | $14.4M | $14.8M | $15.9M | $16.9M | $17.9M |
| Net patient revenue per day | $253 | $264 | $289 | $299 | $287 | $335 | $301 | $312 |
| Cost per day | $241 | $261 | $271 | $280 | $274 | $322 | $291 | $306 |
| Average length of stay | 60.1 days | 56.8 days | 48.3 days | 78.5 days | 88.0 days | 71.9 days | 66.5 days | 63.6 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
387 admissions · FY2024
Residents admitted during the year.
Medicare
156 · 40%
Medicaid
2 · 1%
Private pay & other
229 · 59%
Resident snapshot
53 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
10 · 19%
Medicaid
21 · 40%
Private pay & other
22 · 42%
Leaving
376 discharges · FY2024
Residents discharged during the year.
Medicare
143 · 38%
Medicaid
6 · 2%
Private pay & other
227 · 60%
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.
Places of interest near Piedmont Gardens
2.0 miles from city center
Estimated distance in miles from Oakland's city center to Piedmont Gardens's address, calculated via Google Maps.
Calculate Travel Distance to Piedmont Gardens
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Compare Nursing Homes around Oakland
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.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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: 61.6% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oakland Heights Nursing and Rehabilitation | NH HOS MC RC SNF | Oakland | 48
Facility
48
CA AVG
178
Rank
#318 / 344 | B+ |
85.8%
Facility
85.8%
CA AVG
82.2%
Rank
#169 / 302 | +4% | 4.12
Facility
4.12
CA AVG
4.36
Rank
#146 / 291 | -26% | -5% | $0
Facility
$0
CA AVG
$60.0k
Rank
#1 / 296 | 21
Facility
21
CA AVG
49.7
Rank
#41 / 294 | 5.3
Facility
5.3
CA AVG
4.8
Rank
#206 / 294 | - | 41 | A |
57
Facility
57
CA AVG
60
Rank
#210 / 343 | Andrew Chua | $12.0MFiscal year ending 12/2024
Facility
$12.0MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#200 / 289 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#251 / 289 | 44.9%Fiscal year ending 12/2024
Facility
44.9%Fiscal year ending 12/2024
CA AVG
61.6%
Rank
#254 / 289 | 555570 | ||||
| Bellaken Garden | NH AL PC RC SNF | Oakland (Saint Elizabeth) | 119
Facility
119
CA AVG
178
Rank
#173 / 344 | A+ |
100.0%
Facility
100.0%
CA AVG
82.2%
Rank
#1 / 302 | +22% | 3.99
Facility
3.99
CA AVG
4.36
Rank
#157 / 291 | -21% | -8% | $0
Facility
$0
CA AVG
$60.0k
Rank
#1 / 296 | 17
Facility
17
CA AVG
49.7
Rank
#22 / 294 | 4.3
Facility
4.3
CA AVG
4.8
Rank
#150 / 294 | - | 58 | A+ |
95
Facility
95
CA AVG
60
Rank
#13 / 343 | Bellaken Health Group, Inc | $12.9MFiscal year ending 12/2024
Facility
$12.9MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#180 / 289 | $7.1MFiscal year ending 12/2024
Facility
$7.1MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#197 / 289 | 55.2%Fiscal year ending 12/2024
Facility
55.2%Fiscal year ending 12/2024
CA AVG
61.6%
Rank
#128 / 289 | 555767 | ||||
| Piedmont Gardens | NH AL IL MC SNF | Oakland | 415
Facility
415
CA AVG
178
Rank
#35 / 344 | A+ |
77.3%
Facility
77.3%
CA AVG
82.2%
Rank
#215 / 302 | -6% | 4.55
Facility
4.55
CA AVG
4.36
Rank
#83 / 291 | +16% | +5% | $0
Facility
$0
CA AVG
$60.0k
Rank
#1 / 296 | 13
Facility
13
CA AVG
49.7
Rank
#9 / 294 | 4.3
Facility
4.3
CA AVG
4.8
Rank
#150 / 294 | - | 248 | - |
99
Facility
99
CA AVG
60
Rank
#1 / 343 | Humangood & Humangood Norcal | $37.3MFiscal year ending 12/2024
Facility
$37.3MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#11 / 289 | $18.7MFiscal year ending 12/2024
Facility
$18.7MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#13 / 289 | 50.2%Fiscal year ending 12/2024
Facility
50.2%Fiscal year ending 12/2024
CA AVG
61.6%
Rank
#196 / 289 | 056096 | ||||
| St. Paul’s Towers | NH AL HOS IL MC SNF | Oakland (Adams Point) | 363
Facility
363
CA AVG
178
Rank
#40 / 344 | A- |
74.7%
Facility
74.7%
CA AVG
82.2%
Rank
#227 / 302 | -9% | 5.19
Facility
5.19
CA AVG
4.36
Rank
#33 / 291 | +4% | +19% | $0
Facility
$0
CA AVG
$60.0k
Rank
#1 / 296 | 21
Facility
21
CA AVG
49.7
Rank
#41 / 294 | 5.3
Facility
5.3
CA AVG
4.8
Rank
#206 / 294 | - | 239 | A |
96
Facility
96
CA AVG
60
Rank
#6 / 343 | Front Porch Communities And Services | $6.1MFiscal year ending 03/2025
Facility
$6.1MFiscal year ending 03/2025
CA AVG
$17.3M
Rank
#282 / 289 | $10.9MFiscal year ending 03/2025
Facility
$10.9MFiscal year ending 03/2025
CA AVG
$9.8M
Rank
#99 / 289 | 180.3%Fiscal year ending 03/2025
Facility
180.3%Fiscal year ending 03/2025
CA AVG
61.6%
Rank
#6 / 289 | 055156 | ||||
| Mercy Retirement and Care Center | NH AL MC SNF | Oakland (Saint Elizabeth) | 219
Facility
219
CA AVG
178
Rank
#71 / 344 | B+ |
50.0%
Facility
50.0%
CA AVG
82.2%
Rank
#287 / 302 | -39% | 4.98
Facility
4.98
CA AVG
4.36
Rank
#43 / 291 | -6% | +14% | $16.7k
Facility
$16.7k
CA AVG
$60.0k
Rank
#217 / 296 | 29
Facility
29
CA AVG
49.7
Rank
#93 / 294 | 3.2
Facility
3.2
CA AVG
4.8
Rank
#62 / 294 | 3 | 80 | - |
92
Facility
92
CA AVG
60
Rank
#23 / 343 | Mercy Ret & Care Ctr And Elder Care Alliance | $11.5MFiscal year ending 06/2025
Facility
$11.5MFiscal year ending 06/2025
CA AVG
$17.3M
Rank
#216 / 289 | $12.3MFiscal year ending 06/2025
Facility
$12.3MFiscal year ending 06/2025
CA AVG
$9.8M
Rank
#67 / 289 | 107.7%Fiscal year ending 06/2025
Facility
107.7%Fiscal year ending 06/2025
CA AVG
61.6%
Rank
#18 / 289 | 555189 |
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
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in California
Piedmont Gardens is in Oakland, California. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
SSI/SSP Nonmedical Out-of-Home Care Support
California SSI/SSP — Nonmedical Out-of-Home Care (NMOHC)
- Who it is for
- SSI/SSP-eligible Californians 65+, or blind or disabled, living in licensed nonmedical residential care
- Income limit
- Countable income and living arrangement affect eligibility and payment; SSA makes the determination.
- Asset limit
- Countable-resource limits are $2,000 for an individual and $3,000 for a couple.
Eligibility
- General
- Cash support for California residents age 65+ or blind or disabled who meet SSA eligibility rules and have a qualifying nonmedical residential living arrangement.
- CA specifics
- The nonmedical out-of-home-care category must be verified.
What it provides
- Combined federal SSI and California SSP cash support. From January 1; 2026; the individual licensed-facility NMOHC maximum payment standard is $1,626.07/month before countable-income reductions. This is not an extra payment on top of regular SSI/SSP or a guarantee of full facility fees.
Cash Assistance Program for Immigrants
California Cash Assistance Program for Immigrants (CAPI)
- Who it is for
- Immigrants 65+, or blind or disabled, in California who cannot get SSI because of immigration status
- Income limit
- Income must meet the CAPI payment standard for the person’s living arrangement; the county determines the individual award.
- Asset limit
- Countable-resource limits are $2,000 for an individual and $3,000 for a couple.
Eligibility
- General
- Cash support for California residents age 65+ or blind or disabled who meet CAPI immigration rules and cannot receive SSI/SSP solely because of immigration status.
- CA specifics
- County staff review proof of SSI/SSP ineligibility. A residential payment category requires its own determination.
What it provides
- State-funded monthly cash assistance with payment standards equivalent to SSI/SSP; including a qualifying nonmedical out-of-home-care category. Actual payments vary; Medi-Cal and IHSS require separate applications.
Multipurpose Senior Services Program
MSSP (Medi-Cal Waiver)
- Who it is for
- Medi-Cal members 60+ who meet nursing-facility level of care and can be served at home
- Asset limit
- For affected non-MAGI Medi-Cal categories, the 2026 countable-asset limit is $130,000 for one person plus $65,000 for each additional eligible family member (up to ten people). Exclusions and spousal protections apply.
Eligibility
- General
- Adults age 60+ with a qualifying Medi-Cal aid code who meet nursing-facility level-of-care criteria and can be served in the community.
- CA specifics
- Enrollment and a team-developed plan are required. The current program age is 60, not 65.
What it provides
- Care management and authorized support such as adult day care; respite; personal care; meals; transportation and minor home modifications.
In-Home Supportive Services (IHSS)
California IHSS
- Who it is for
- Californians who are aged, blind or disabled and need help to stay safely at home
- Asset limit
- For affected non-MAGI Medi-Cal categories, the 2026 countable-asset limit is $130,000 for one person plus $65,000 for each additional eligible family member (up to ten people). Exclusions and spousal protections apply.
Eligibility
- General
- California residents who are aged, blind or disabled (including eligible children) and need assistance to remain safely in their own home; Medi-Cal eligibility and health certification are required.
- CA specifics
- A county social worker assesses tasks and authorized hours; the recipient generally hires and supervises a provider.
What it provides
- Authorized in-home assistance with daily needs; the approved hours depend on the county assessment and applicable program limits.
Property Tax Postponement Program (PTP)
CA PTP
- Who it is for
- California homeowners 62+, or blind or disabled, with limited income who want to defer property taxes
- Income limit
- 2026 · For the 2026–2027 application cycle, 2025 total household income must not exceed $57,002.
- Asset limit
- At least 40% equity in the home is required; a reverse mortgage disqualifies participation.
Eligibility
- General
- California homeowner age 62+ or blind or disabled who occupies the property as a principal residence and meets all program conditions.
- CA specifics
- Applications for the 2026–2027 cycle run October 1 2026 through February 10 2027; limited funding is first come, first served.
What it provides
- Deferral of eligible property taxes secured by a lien; 5% simple annual interest accrues and repayment is triggered by specified events. This is a loan-like deferral; not a grant.
Low-Income Home Energy Assistance Program (LIHEAP)
CA LIHEAP
- Who it is for
- Income-eligible California households responsible for home energy costs
- Income limit
- 2026 · Published 2026 monthly limits: $3,331.66 for one person; $4,356.83 for two; $5,382 for three; larger households use the CSD table.
Eligibility
- General
- California households meeting local LIHEAP eligibility and prioritization rules; energy costs and household vulnerability are considered.
- CA specifics
- Apply through the local provider. Funds are limited and assistance is prioritized under program rules.
What it provides
- One-time energy-bill help; eligible crisis assistance and weatherization; award amounts depend on program rules and available funds.
Know before you visit
Frequently Asked Questions about Piedmont Gardens
Quick answers from public records and the community's own listing.01 Who is the owner of Piedmont Gardens?
Piedmont Gardens is legally operated by Humangood & Humangood Norcal, and administered by Daniel Wittman.
02 Is Piedmont Gardens in a walkable area?
Piedmont Gardens has a walk score of 99. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
03 What is the license number of Piedmont Gardens?
Piedmont Gardens's license number is 011400514.
04 What is the occupancy rate at Piedmont Gardens?
Piedmont Gardens's occupancy is 77.3%.
05 How long has Piedmont Gardens been in business?
Piedmont Gardens has been operating for approximately 33 years, based on available licensing and registration records.
06 Are pets allowed at Piedmont Gardens?
Yes, Piedmont Gardens allows residents to bring their pets.
07 Does Piedmont Gardens operate as a for-profit or non-profit?
Piedmont Gardens is registered as a non-profit in CA.
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