The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
San Mateo Medical Center
Registered name: SAN MATEO MEDICAL CENTER D/P SNF
SAN MATEO, CA · Medicare-certified · 345 beds
Needs attention
Government-run
Data as of July 1, 2026
1 of 5 overall
San Mateo Medical Center has a 1-star overall rating, with a 1-star health inspection rating despite 4-star staffing and 3-star quality measures. It has $40,118 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.94 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.9399 hrs/resident/day
Quality measures
Last inspection: May 28, 2026Penalties, last 24 months: $40,118recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9399.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.40
- Weekend nursing
- 3.64
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
14.4%5.7%Improving
Residents with a fall causing major injury
1.5%1.7%No change
Residents with pressure ulcers (bedsores)
3.4%2.7%Improving
Residents with a urinary tract infection
0.4%0.4%No change
Residents who lost too much weight
5.6%0.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.3%3.4%Improving
Residents whose ability to walk got worse
7.8%3.8%Improving
Long-stay residents on antianxiety or sleep medication
10.1%11.4%Worsening
Short-stay residents newly given an antipsychotic
3%0%Improving
Residents with a long-term catheter
0.6%0.2%No change
Residents with new or worsening incontinence
12%11.7%No change
Residents with depressive symptoms
9.2%19.8%Worsening
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
—93.3%—
Long-stay residents given the pneumonia vaccine
91.3%98.6%Improving
Short-stay residents given the seasonal flu vaccine
—83.8%—
Short-stay residents given the pneumonia vaccine
80.7%96.6%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited October 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: H
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- 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 2 health deficiencies.
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- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $40,118 was recorded.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $104,000 in total fines · 1 payment denial.
- 9 days
Medicare/Medicaid payment denial
Jul 3, 2025
- $40,118
Federal fine
Jul 3, 2025
- $63,882
Federal fine
Jan 30, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 303.3 residents on an average day (88% of 345 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 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.