Nursing homeActive

Golden Harbor Healthcare Center

442 Sunset Boulevard, Hayward, CA 94541510582831199 certified beds · 96 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
45
0441
Penalties · 3 yrs
$22,777
1 fine
Last survey
2025-08-29
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-08-29Standard0160CMS-2567 (Care Compare)
2025-03-06Complaint020CMS-2567 (Care Compare)
2024-11-13Complaint010CMS-2567 (Care Compare)
2024-05-17Standard051CMS-2567 (Care Compare)
2022-03-24Standard0200CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-08-29Standard survey · 16 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F554
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F578
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F583
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F584
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F605
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F658
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F676
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F689
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F757
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 056471-20250829-F919
2025-03-06Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 056471-20250306-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 056471-20250306-F755
2024-11-13Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity FStandard
Care planningFalls
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-25Record 056471-20241113-F689
2024-05-17Standard survey · 6 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-20Record 056471-20240517-F689
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 056471-20240517-F656
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 056471-20240517-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 056471-20240517-F755
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 056471-20240517-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 056471-20240517-F761
2022-03-24Standard survey · 20 deficienciesOfficial report
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F565
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F580
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F684
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F726
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F740
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F770
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F802
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F842
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-24Record 056471-20220324-F881

Penalties & enforcement

DateActionAmountSource
2024-05-17Civil money penalty$22,777CMS · Penalties
2023-08-28Civil money penalty$4,545CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.57
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day3.97
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.68
Facility
California
National
California 4.09 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.1%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.9%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
20.4%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
1.1%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.6%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
3.8%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Spyglass Healthcare LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Mccormack, Ryan
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST20%
O'shea, Brady
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
Barton, Linda Blue
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Duatin, Dikko Fred
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gupta, Sanjay
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Macaspac, Victor
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mariano, Sabiniano
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mitchell, Hunter
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pascua, Cami Ann
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Patel, Mandakini
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sigua, Joel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ventocilla, Lina
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vismonte, Nollie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Barton, Linda Blue
Individual
ADP OF THE SNFNOT APPLICABLE
Brandi, Robert
Individual
CORPORATE OFFICERNOT APPLICABLE
Duatin, Dikko Fred
Individual
ADP OF THE SNFNOT APPLICABLE
Gupta, Sanjay
Individual
ADP OF THE SNFNOT APPLICABLE
Macaspac, Victor
Individual
ADP OF THE SNFNOT APPLICABLE
Mariano, Sabiniano
Individual
ADP OF THE SNFNOT APPLICABLE
Mccormack, Ryan
Individual
CORPORATE OFFICERNOT APPLICABLE
Mccormack, Shane
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mitchell, Hunter
Individual
ADP OF THE SNFNOT APPLICABLE
Oscherowitz, Avishai
Individual
CORPORATE OFFICERNOT APPLICABLE
Pascua, Cami Ann
Individual
ADP OF THE SNFNOT APPLICABLE
Patel, Mandakini
Individual
ADP OF THE SNFNOT APPLICABLE
Sigua, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Spyglass Healthcare LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ventocilla, Lina
Individual
ADP OF THE SNFNOT APPLICABLE
Vismonte, Nollie
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Spyglass Healthcare9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Alameda.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Morton Bakar Center
Hayward
0.3 mi2024-09-18000
Bethesda Home
Hayward
0.6 mi2024-10-250110
We Care Skilled Nursing Facility
Hayward
0.6 mi2025-02-281190
St Anthony Care Center
Hayward
0.6 mi2025-05-23290
Serenethos Care Center, LLC
Hayward
0.8 mi2025-06-200140
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01