The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
MERCY RETIREMENT & CARE CENTER
OAKLAND, CA · Medicare-certified · 59 beds
Needs attention
Non-profit
4 of 5 overall
MERCY RETIREMENT & CARE CENTER (OAKLAND, CA) has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality ratings and a 3-star staffing rating. Reported nurse staffing is 4.60 hours per resident per day, above the federal benchmark of 4.1, but the facility has had $16,675 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.5981 hrs/resident/day
Quality measures
Last inspection: March 27, 2026Penalties, last 24 months: $16,675recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5981.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.79
- Weekend nursing
- 4.20
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%9.5%Improving
Residents with a fall causing major injury
2.6%0%Improving
Residents with pressure ulcers (bedsores)
7%3.9%Improving
Residents with a urinary tract infection
5.3%0%Improving
Residents who lost too much weight
5.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.8%7.4%Improving
Residents whose ability to walk got worse
—9.2%—
Long-stay residents on antianxiety or sleep medication
2.9%6.7%Worsening
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.9%0%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—84.4%—
Long-stay residents given the pneumonia vaccine
87.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—73.1%—
Short-stay residents given the pneumonia vaccine
79.2%97.1%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited June 2023 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $16,675 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $47,447 in total fines.
- $16,675
Federal fine
Sep 27, 2024
- $30,772
Federal fine
Jun 9, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 49.4 residents on an average day (84% of 59 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.