Deficiency Index

St Paul's Towers

Oakland, California · CCN 055156

15 surveys since 2010. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
56
Surveys
15
Harm or worse
2
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
43
Ownership
Non profit - Corporation
Chain
FRONT PORCH
County
Alameda
Medicare-certified since
1972

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=16, floor 20).

Last survey on record

Jul 28, 2026

104 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.224.85
Registered-nurse hours per resident day1.07—
Annual nurse turnover23.3%28.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1571.4%E419.0%F29.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 56 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7583×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7562×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F8142×

    Dispose of garbage and refuse properly.

In the surveyor’s words

From the most serious findings on record at St Paul's Towers, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 12, 2024

    Based on observation, staff interview, and record review, the facility failed to store and prepare food in accordance with professional standards for safety when: 1. A braising pan, a rolling pin, three storage bins, a citrus juicer, a kitchen drawer, and a juice dispenser machine had black particles/residue or chipped paint, 2. Nine balsamic dressing containers, cut lettuce, cut tomatoes, mayonnaise, bag of bread, mozzarella cheese, burrata cheese, and a bag of prosciutto had no use-by date or had beyond use-by-dates, 3. Three compartment sink's pipe had a leak and a toilet plunger was stored under the three-compartment sink (a sink with three compartments that allows kitchen staff to wash, rinse, and sanitize dishes), and 4. […]

  • No harm, potential for more than minimal, widespreadF814Sep 12, 2024

    Based on observation, interview, and record review, the facility failed to dispose garbage and refuse properly when the dumpsters were not closed and a laundry bin was used as garbage receptacle. This failure had the potential of harborage and feeding of pest. Findings: During an observation on 9/9/24 at 11:10 a.m., with Environmental Services Manager (ESM), three dumpsters located by the side of the facility were full of trash bags and were not closed or covered. A laundry bin designated for use of the residents' soiled laundry was filled with bags of trash. During an interview on 9/09/24 at 10:53 a.m., with ESM, ESM stated the dumpsters should be covered. ESM stated the laundry bin for soiled laundry should not be used as a garbage receptacle. […]

  • No harm, potential for more than minimal, patternF812Oct 13, 2022

    Based on observation, interviews and record review, the facility failed to follow proper sanitation and food storage practices when: - The High temperature dishwasher was not within the required temperature range - Kitchen floor tiles had brownish residual discoloration - Juice dispenser had a brownish substance around the nozzle - Food prep refrigerator had brownish debris at the bottom shelf area. - One 5 LB (pound) can of creamy peanut butter was past the used-by-date 9/22/22 - Food steamer with brownish substance and crumbs at the bottom shelf area. These deficient practices had the potential to result in foodborne illness and did not ensure sanitary conditions. […]

  • No harm, potential for more than minimal, patternF563May 6, 2022

    Based on interviews and record review, the facility failed to ensure visitors are allowed indoor visitation with residents when staff members asked visitors who are fully vaccinated to provide evidence of a negative [CONDITION(S)]-CoV-2 (COVID-19) test before indoor visit with residents. This deficient practice had the potential to cause residents emotional distress. Findings: During an interview on 3/14/22 at 11:36 a.m., the Director of Nursing (DON) stated the facility required visitors who are fully vaccinated to provide evidence of a negative [CONDITION(S)]-CoV-2 test before allowed indoor visitation with residents. […]

  • No harm, potential for more than minimal, isolatedF557Jul 28, 2026

    Based on interviews and record reviews, the facility failed to ensure that one of three sampled residents (Resident 1) was treated with respect and dignity.While providing care to Resident 1, Resident 1 punched Certified Nursing Assistant (CNA) in the chest. CNA responded to Resident 1, If you hit me, I will hit you back. Resident 1's family member was in the room and heard CNA 1's comment. This failure had the potential to cause emotional distress to Resident 1 and/or Resident 1's family member. During a record review of the Resident 1's Face Sheet, dated July 28, 2026, the Face Sheet indicated diagnoses of dementia (diseased or injured brain cells that affect thinking, communication, and mood) and trouble with daily tasks. […]

Read 22 findings in full →The most serious and the most recent: 22 of 56 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 28, 2026Complaint1 finding
  • Sep 12, 2024Standard5 findings
  • Oct 13, 2022Standard9 findings
  • May 6, 2022Complaint1 finding
  • Jan 24, 2020Complaint1 finding
  • Jun 27, 2019Standard6 findings
  • Jun 5, 2019Complaint3 findings · 2 harm
  • Jul 20, 2018Standard1 finding
Show the 7 earlier surveys
  • Jul 7, 2017Standard3 findings
  • Jul 30, 2015Standard1 finding
  • May 9, 2014Standard7 findings
  • Mar 19, 2014Complaint1 finding
  • Mar 5, 2013—7 findings
  • Dec 22, 2011—5 findings
  • Oct 1, 2010—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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