Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BELLAKEN SKILLED NURSING CENTER

OAKLAND, CA · 61 certified beds · Last Life Safety survey November 7, 2024

CMS Certification Number 555767 · first certified January 2001

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Bellaken Garden (2780 26th Avenue). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within CA

20 citations — more than 51% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (November 2025 to April 2026). Most CA facilities have been surveyed by April 2027. This facility’s last Life Safety survey was November 2024. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility20CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
102022-0242023-1262024-11
Citations at each Life Safety survey
Survey dateCitations
February 4, 202210
December 14, 20234
November 7, 20246

Most-cited tags

Most-cited tags at this facility
K-01613K-09192K-09182K-09202K-03632K-03532K-09231K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0161Use approved construction type or materials.32024-11-07
K-0919Meet requirements for the use of electrical equipment.22024-11-07
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-11-07
K-0920Ensure proper usage of power strips and extension cords.22024-11-07
K-0363Install corridor and hallway doors that block smoke.22024-11-07
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-12-14
K-0923Have proper medical gas storage and administration areas.12022-02-04
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12022-02-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Construction Deficiencies 3
  • Services Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies7
Construction Deficiencies3
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 7, 2024 — 6 citations

Citations issued on November 7, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 22, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 22, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 22, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (January 7, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (November 22, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 22, 2024)

December 14, 2023 — 4 citations

Citations issued on December 14, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (December 29, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 29, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 29, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 29, 2023)

February 4, 2022 — 10 citations

Citations issued on February 4, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 4, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 4, 2022)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (March 4, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 4, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 4, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 4, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 4, 2022)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (March 4, 2022)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 4, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 4, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.