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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Trousdale is a highly regarded retirement community in Burlingame, CA, that offers comprehensive care options, ranging from independent living to memory care. Promoting a comfortable and welcoming environment, the community ensures older adults can find a home away from home in their later years. Restaurant-style dining, life-enrichment programs, and maintenance services are among the high-quality services offered to improve residents’ quality of life. With its relationship-driven environment, the community ensures residents gain meaningful connections while receiving the utmost attention for their needs through personalized services.
Exercise classes, like Tai Chi and yoga, as well as art activities and social gatherings, provide residents with more opportunities to explore new hobbies and remain active. Pet-friendly spaces, a wellness center, and a cafe bistro ensure residents can relax and freely interact with their surroundings. Located near the San Francisco International Airport, scenic beaches, and state parks, the community has easy access to various local amenities. As one of the finest options for senior living in California, this retirement community ensures older adults have convenient access to higher levels of care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 319th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 19m per day |
Similar to the California average: 72.8%The Trousdale is administrated by Salvador Gomez-Orozco.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 10 | This facility has 10% more total citations than a typical California nursing home (11 vs. CA avg 10).↑ 10% worse |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 10 | 3 | This facility has 233% more serious citations (type a) than a typical California nursing home (10 vs. CA avg 3).↑ 233% worse |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 1 | 4 | This facility has 75% fewer moderate citations (type b) than a typical California nursing home (1 vs. CA avg 4).↓ 75% better |
|
Citations per year
Average citations per year since 2021.
| 2.2 | 2 | This facility has 10% more citations per year than a typical California nursing home (2.2 vs. CA avg 2).↑ 10% worse |
|
Citations per inspection
Average citations per inspection.
| 0.7 | 3.3 | This facility has 79% fewer citations per inspection than a typical California nursing home (0.7 vs. CA avg 3.3).↓ 79% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 15 | 16 | This facility has 6% fewer total visits than a typical California nursing home (15 vs. CA avg 16).↓ 6% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 7 | 13 | This facility has 46% fewer complaint visits than a typical California nursing home (7 vs. CA avg 13).↓ 46% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 4 | 7 | This facility has 43% fewer other visits than a typical California nursing home (4 vs. CA avg 7).↓ 43% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | 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.
| 5 | 10 | This facility has 50% fewer complaint investigations than a typical California nursing home (5 vs. CA avg 10).↓ 50% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Oct 2024
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 44 citations resulted from standard inspections; and 7 of 44 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
In line with California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
36% better than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
147 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 1 | 49 | 13,219 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 24 | 6 | 30 | 8,162 | 92 | 100% | 7.8 |
| Registered Nurse | 11 | 0 | 11 | 2,233 | 92 | 100% | 8.5 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,752 | 81 | 88% | 7.4 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,465 | 78 | 85% | 7.5 |
| Dental Services Staff | 4 | 0 | 4 | 1,373 | 67 | 73% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,366 | 80 | 87% | 7.5 |
| Respiratory Therapy Technician | 9 | 0 | 9 | 1,256 | 84 | 91% | 6.9 |
| Qualified Social Worker | 3 | 0 | 3 | 931 | 65 | 71% | 8.2 |
| RN Director of Nursing | 4 | 0 | 4 | 860 | 75 | 82% | 7.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 683 | 72 | 78% | 5.4 |
| Administrator | 2 | 0 | 2 | 516 | 62 | 67% | 7.7 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 463 | 69 | 75% | 6.7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 442 | 63 | 68% | 7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapist | 1 | 0 | 1 | 87 | 12 | 13% | 7.2 |
| Medical Director | 0 | 1 | 1 | 81 | 27 | 29% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.1%
94% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
5% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Trousdale based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #87 / 347Payroll — State benchmarkedThis home is ranked 87th out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Dining Services
Beauty Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
2.5 miles from city center
Estimated distance in miles from Burlingame's city center to The Trousdale's address, calculated via Google Maps.
Add your location
The Trousdale is located in Burlingame, California.
Here are the financial assistance programs available to residents in California.
| The Sequoias Portola Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Portola Valley (Portola Road) | 328 | 79.3% | -6% | 6.27 | -20% | +48% | $12.7k | 20 | 6.7 | - | 30 | 12 | Steven Herman | $33.0M | $9.3M | 28% | 55466 | ||||
| The Trousdale |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Burlingame (Mills Estates) | 140 | 75.0% | -11% | 3.30 | -10% | -22% | $0 | 44 | 6.3 | 1 | 63 | 85 | Hunter Mitchell | $27.6M | $11.3M | 41% | 555856 |
The Trousdale is in the Mills Estates neighborhood of Burlingame.
The Trousdale has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
The Trousdale's occupancy is 75%.
Salvador Gomez-Orozco is the administrator of The Trousdale.
The Trousdale has 140 beds.
The Trousdale has had 11 recently reported deficiencies.
The Trousdale is located at 1600 Trousdale Dr, Burlingame, CA 94010.
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