The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
BANCROFT HEALTHCARE CENTER
SAN LEANDRO, CA · Medicare-certified · 39 beds
In good standing
For-profit
4 of 5 overall
Bancroft Healthcare Center has a 4-star overall rating, with strong health inspection and quality measures scores but a 1-star staffing rating. Reported nurse staffing is 3.59 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5931 hrs/resident/day
Quality measures
Last inspection: August 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5931.
Staffing detail
- Registered nurses
- 0.15
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.55
- Weekend nursing
- 3.60
Hours per resident per day.
Total staff turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.7%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
1.2%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.5%Worsening
Residents whose ability to walk got worse
20.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
3.6%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.9%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96%Steady
Short-stay residents given the pneumonia vaccine
98.9%Improving
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited March 2022 — widespread issue, potential for harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 11 days
Medicare/Medicaid payment denial
Aug 8, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 35.4 residents on an average day (91% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.