The Trousdale

Nursing Home, Assisted Living, Independent Living & Memory Care · Burlingame, CA

CMS overall rating

1600 Trousdale Dr, Burlingame, CA 94010 View map

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The Trousdale accepts Medicare and private pay.

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The Trousdale accepts Medicare and private pay.

Overview of The Trousdale

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.

Facility Direct Line (650) 443-3700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to California state averages

Total nursing care / resident

3h 18m per day

This facility California avg (4h 13m per day)

vs California avg

-22%

3 of 6 metrics below state avg

Standout metric Physical Therapist is +128% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	38m per day	▼ 7% State avg: 40m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 40m per day	▲ 38% State avg: 1h 12m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 26m per day	▼ 8% State avg: 2h 39m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	4h 8m per day	■ Avg State avg: 4h 5m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	14m per day	▲ 128% State avg: 6m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	26m per day	▼ 16% State avg: 31m per day · National avg: 29m per day

Capacity and availability

23 days

140-bed community

A larger shared setting that may offer more common spaces and organized community services.

7 years in operation

An established community with some operational experience and growing routines.

Walk Score: 85 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

91%

Higher than the California average: 72.8%

Occupied beds

127 / 140

Average occupied beds in California homes 87 beds

Facility TypeResidential Care Elderly

StatusLicensed

IssuanceDecember 21, 2018

CountySan Mateo

The Trousdale is legally operated by Peninsula Health Care Dist Fin; Eskaton Properties, and administered by Salvador Gomez-Orozco.

Since 2021 · 5 years of data 11 citations 15 total visits 7 complaint visits 4 official inspections 5 complaint investigations

Inspection Score

6 points below the California average for assisted living residences (81/100)

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.

Since 2021 vs. California state average

Overall vs. CA average

Latest Inspection December 10, 2025

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	CA Average	vs. CA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	11	10	This facility has 10% more total citations than a typical California assisted living residence (11 vs. CA avg 10).↑ 10% worse
Serious citations (Type A) Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.	10	3	This facility has 233% more serious citations (type a) than a typical California assisted living residence (10 vs. CA avg 3).↑ 233% worse Rank #1058 / 1164 Serious citations (Type A) — State benchmarked This home is ranked 1058th out of 1164 homes in California. Shows this facility's # of serious citations compared to the California average among 1164 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Moderate citations (Type B) Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.	1	4	This facility has 75% fewer moderate citations (type b) than a typical California assisted living residence (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 assisted living residence (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 assisted living residence (0.7 vs. CA avg 3.3).↓ 79% better

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.	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 assisted living residence (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 assisted living residence (7 vs. CA avg 13).↓ 46% better Rank #719 / 1397 Complaint visits — State benchmarked This home is ranked 719th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
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 assisted living residence (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 assisted living residence (5 vs. CA avg 10).↓ 50% better

Show Inspection Reports

Inspections since 2020

Total health inspections 7

California average 12.5

Last Health inspection on Oct 2024

Total health citations

California average 50.2

Citations per inspection

6.29

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.

Breakdown of citation severity (last 6 years)

Critical health citations

100% better than California average

California average: 0.4

Serious health citations

In line with California average

California average: 1

0 critical citations California average: 0.4

1 serious citation California average: 1

43 moderate citations California average: 47.2

0 minor citations California average: 1.5

Citations history (last 6 years)

Administration moderate citation Oct 18, 2024

Corrected

Administration moderate citation Oct 18, 2024

Corrected

Infection Control moderate citation Oct 18, 2024

Corrected

Nutrition moderate citation Oct 18, 2024

Corrected

Total staff 138

Employees 129

Contractors 9

Staff to resident ratio 2.46 : 1

36% more staff per resident than California average

Avg staff/day 52

Average shift 7.6 hours

0% compared with California average

Total staff hours (quarter) 36,329

Nursing staff breakdown

8.5 hours

7.8 hours

7.6 hours

Contractor staffing

147 contractor hours this quarter

Licensed Practical Nurse: 6 Certified Nursing Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


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

49 Certified Nursing Assistant

% of Days 100%

30 Licensed Practical Nurse

% of Days 100%

11 Registered Nurse

% of Days 100%

8 Physical Therapy Assistant

% of Days 88%

5 Speech Language Pathologist

% of Days 85%

4 Dental Services Staff

% of Days 73%

3 Physical Therapy Aide

% of Days 87%

9 Respiratory Therapy Technician

% of Days 91%

3 Qualified Social Worker

% of Days 71%

4 RN Director of Nursing

% of Days 82%

2 Clinical Nurse Specialist

% of Days 78%

2 Administrator

% of Days 67%

1 Dietitian

% of Days 70%

1 Nurse Practitioner

% of Days 67%

1 Occupational Therapy Aide

% of Days 75%

1 Therapeutic Recreation Specialist

% of Days 68%

1 Other Dietary Services Staff

% of Days 59%

1 Physical Therapist

% of Days 13%

1 Medical Director

% of Days 29%

1 Occupational Therapy Assistant

% of Days 2%

View All Staffing Data in San Mateo County

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Short-stay resident measures

Pneumococcal Vaccine 100.0%

6% better than California average

California average: 94.0%

Antipsychotic medication increase 0.1%

94% better than California average

California average: 1.5%

Influenza Vaccine 98.3%

5% better than California average

California average: 93.2%

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

59% of new residents, often for short stays.

Typical stay 19 days

Total residents 56

Medicare

42.9% of residents

Private pay or other

57.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for The Trousdale from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 43.2% ↓ 12.2pp vs 2022

Net Patient Income $5.0M ↑ ~$836.2K vs 2022

Payroll Costs $10.9M ↑ ~$1.3M vs 2022

Operating Margin 21.8% ↑ 0.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	46.1%	45.0%	60.6%	53.3%	48.4%	76.3%	70.5%	69.7%	74.2%	70.3%	85.3%	55.4%	43.2%
Beds	84	81	62	62	62	62	62	62	62	62	62	62	140
Net Income	-$25,871,905	-$17,590,078	-$11,294,532	-$748,363	$269,482	$3,012,876	$1,595,867	$1,359,945	$1,707,021	$2,210,402	$5,503,020	$4,365,152	$5,013,968
Gross Revenue	$49,957,127	$46,485,697	$39,539,207	$42,450,754	$5,815,634	$17,451,870	$16,680,317	$16,409,881	$17,225,132	$11,651,712	$15,938,610	$23,388,791	$27,636,135
Operating Expenses	$8,452,830	$8,000,068	$11,063,981	$9,934,189	$4,149,448	$10,410,009	$10,906,424	$10,915,853	$11,692,374	$12,246,476	$13,227,038	$15,634,961	$18,016,537
Net Patient Income	-$1,027,661	$1,625,908	-$11,299,381	-$748,491	$269,482	$3,011,182	$1,595,867	$1,357,372	$1,705,806	$1,960,057	$4,128,473	$4,170,603	$5,006,814
Net Patient Revenue	$7,425,169	$9,625,976	-$235,400	$9,185,698	$4,418,930	$13,421,191	$12,502,291	$12,273,225	$13,398,180	$14,206,533	$17,355,511	$19,805,564	$23,023,351
Payroll Costs	$6,550,280	$6,199,244	$7,877,704	$6,863,436	$2,188,642	$5,487,541	$5,960,228	$5,745,004	$6,412,188	$6,912,942	$8,519,009	$9,575,342	$10,884,351
Operating Margin %	-13.8%	16.9%	N/A	-8.2%	6.1%	22.4%	12.8%	11.1%	12.7%	13.8%	23.8%	21.1%	21.8%
Medicare %	58.8%	58.1%	58.2%	58.2%	57.5%	58.2%	55.9%	54.8%	60.5%	60.8%	56.2%	92.6%	50.5%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%
Private %	41.2%	41.9%	41.8%	41.8%	42.5%	41.8%	44.1%	45.2%	39.5%	39.2%	43.8%	7.4%	49.5%
Net Patient Revenue/Day	$525	$722	N/A	$762	$795	$775	$784	$779	$798	$890	$899	$1,580	$1,044
Cost/Day	$598	$600	$807	$824	$747	$601	$683	$693	$696	$768	$685	$1,247	$817
Avg Length of Stay	13.3 days	15.8 days	17.4 days	17.3 days	23.2 days	26.6 days	22.5 days	24.9 days	26.6 days	28.3 days	22.6 days	14.3 days	23.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$23.0M

Net patient income

$5.0M

For-profit Operated by a single business entity.

Net patient revenue

$23.0M

Net patient income

$5.0M

Other income

$7.2K

Payroll costs

$10.9M 47.3% of net patient revenue

Other operating costs

$7.1M

Total costs

$18.0M

What does this home offer?

Pets Allowed

Housing Options: Studio / 1 Bed / 2 Bed

Building Type: Mid-rise

Beauty Services

Housekeeping Services

Social and Recreational Activities

Exercise Programs

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 19 days.

Coverage residents most often arrive under.

Medicare 41%

Private pay 59%

Coverage residents most often leave under.

Medicare 40%

Private pay 60%

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+

General California resident, Medi-Cal eligible, nursing home risk.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

Benefits

In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+

General California resident, Medicaid-eligible or low-income.

Income Limits ~$1,732/month individual, Medi-Cal threshold

Asset Limits $2,000 individual

Can hire family as caregivers.

Benefits

Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+

General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 38 counties; waitlists common.

Benefits

Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+

General California resident, own and live in home, 40% equity.

Income Limits (2025) ~$51,500/year household, adjusted annually

Asset Limits Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits

Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled

General California resident, Medi-Cal-eligible, nursing home-eligible.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits

Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —

General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.

Asset Limits Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

What neighborhood is The Trousdale in?

The Trousdale is in the Mills Estates neighborhood of Burlingame.

Who is the owner of The Trousdale?

The legal owner and operator of The Trousdale is Peninsula Health Care Dist Fin; Eskaton Properties.

Is The Trousdale in a walkable area?

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.

What is the occupancy rate at The Trousdale?

The Trousdale's occupancy is 91%.

Does The Trousdale operate as a for-profit or non-profit?

The Trousdale is registered as a for-profit in CA.

Who is the administrator of The Trousdale?

Salvador Gomez-Orozco is the administrator of The Trousdale.

How many beds does The Trousdale have?

The Trousdale has 140 beds.

Guides for Better Senior Living

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The Trousdale

Overview of The Trousdale

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact The Trousdale

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

49 Certified Nursing Assistant

30 Licensed Practical Nurse

11 Registered Nurse

8 Physical Therapy Assistant

5 Speech Language Pathologist

4 Dental Services Staff

3 Physical Therapy Aide

9 Respiratory Therapy Technician

3 Qualified Social Worker

4 RN Director of Nursing

2 Clinical Nurse Specialist

2 Administrator

1 Dietitian

1 Nurse Practitioner

1 Occupational Therapy Aide

1 Therapeutic Recreation Specialist

1 Other Dietary Services Staff

1 Physical Therapist

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near The Trousdale

Calculate Travel Distance to The Trousdale

Financial Assistance for Independent Living in California

Multipurpose Senior Services Program

In-Home Supportive Services (IHSS)

Multipurpose Senior Services Program (MSSP)

Property Tax Postponement Program (PTP)

Assisted Living Waiver (ALW)

California CARES Program

Guides for Better Senior Living

Financial Assistance for
Independent Living in California