Alameda County, California · Nursing home
St Anthony Care Center
5 of 5 overall from CMS
553 Smalley Avenue, Hayward, CA 94541
At a glance
- Overall rating 5 of 5 Above the state average of 3.2
- Nurse time per resident, per day 3.92 hours Below the state average of 4.52
- Nursing staff who left in a year 50.0% Above the state average of 36.7%
- Health citations, last 3 inspection cycles 21 None at the harm level or above
- Fines in 3 years $51,355 1 fine
- Certified beds in use 84.7% of 30 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
St Anthony Care Center is a 30-bed nursing home in Hayward, California (Alameda County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.92 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists 1 fine totaling $51,355 in the past three years.
- Certified beds
- 30
- Residents per day (average)
- 25.4
- Certified since
- 1978 (48 yrs)
For profit - Partnership Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask St Anthony Care Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $51,355 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 50.0%, above the California average of 36.7%. How often would the same aides care for my relative?Turnover in CMS data
- Registered nurse time is 0.32 hours per resident per day; the California average is 0.67. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 California average 3.2
- Health inspections 5 of 5 California average 2.8
- Staffing 2 of 5 California average 3.3
- Quality measures 3 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.92 h California average 4.52
- Nurse aides 2.55 h California average 2.65
- Licensed practical nurses 1.05 h California average 1.20
- Registered nurses 0.32 h California average 0.67
- All staff, weekends 3.81 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover50.0%
- California average36.7%
- Registered nurse turnoverNot reported
- California average38.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 7.4% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.3% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 1.1% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 10.0% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.4% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.0% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.0% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.6% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 21 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 24, 2024 | 4 | 9 |
| Nov 16, 2023 | 7 | 5 |
| Dec 3, 2021 | 10 | 15 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (21)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Nov 12, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 12, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 12, 2024)
-
BPotential for minimal harm, pattern
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Nov 12, 2024)
Show 16 more
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 10, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Dec 10, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 10, 2023)
-
BPotential for minimal harm, pattern
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Dec 10, 2023)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jan 27, 2022)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Jan 27, 2022)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Jan 27, 2022)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 27, 2022)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 27, 2022)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jan 27, 2022)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Jan 27, 2022)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 27, 2022)
-
BPotential for minimal harm, pattern
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental · Deficient, Provider has date of correction (Jan 27, 2022)
-
BPotential for minimal harm, pattern
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Jan 27, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 12, 2024 | Fine | $51,355 |
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
Common questions
What is the CMS star rating for St Anthony Care Center?
St Anthony Care Center has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 2 and quality measures is 3.
How many beds does St Anthony Care Center have?
St Anthony Care Center has 30 certified beds. It averages 25.4 residents per day, about 84.7% of its certified beds.
How much nursing care do residents get at St Anthony Care Center?
The home reports 3.92 hours of nurse staffing per resident per day, including 0.32 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has St Anthony Care Center been fined?
Yes. CMS lists 1 fine totaling $51,355 in the past three years.
Does St Anthony Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Bethesda Home 40beds 2.5%in use –nurse hours a day
- 5 of 5 We Care Skilled Nursing Facility 28beds 95.4%in use 3.90nurse hours a day
- 5 of 5 Serenethos Care Center, LLC 36beds 88.6%in use 3.99nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Alameda County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 055809. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.