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SAN MATEO MEDICAL CENTER D/P SNF

Open-data reference.

SAN MATEO MEDICAL CENTER D/P SNF is a government - county facility in SAN MATEO, CA with 345 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $104K.

222 WEST 39TH AVENUE, SAN MATEO, CA 94403

Phone: 6505733678

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
555034
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
345
Residents
295
In Hospital
Yes
County
San Mateo
Last Inspection
Jul 3, 2025

Staffing Data

RN Hours
0.56 (nat'l avg: 0.68)
LPN Hours
1.01
CNA Hours
2.55
Total Nursing Hours
4.13 (nat'l avg: 3.89)
PT Hours
0.03

What the CMS Record Reveals About SAN MATEO MEDICAL CENTER D/P SNF

SAN MATEO MEDICAL CENTER D/P SNF operates 345 certified beds in SAN MATEO, CA with approximately 295 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 10 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $104K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.13 total nursing hours per resident day (national average 3.89), with RN coverage at 0.56 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, SAN MATEO MEDICAL CENTER D/P SNF falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

K — Pattern - Jeopardy Jul 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2025

E — Pattern - Minimal harm Jul 3, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2025

F — Widespread - Minimal harm Jul 3, 2025 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: Aug 1, 2025

E — Pattern - Minimal harm Jul 3, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 1, 2025

E — Pattern - Minimal harm Mar 21, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 19, 2024

F — Widespread - Minimal harm Mar 21, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 19, 2024

F — Widespread - Minimal harm Mar 21, 2024 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 19, 2024

F — Widespread - Minimal harm Mar 21, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 19, 2024

E — Pattern - Minimal harm Mar 21, 2024 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

E — Pattern - Minimal harm Mar 21, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 19, 2024

G — Isolated - Actual harm Mar 21, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 19, 2024

E — Pattern - Minimal harm Mar 21, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2024

G — Isolated - Actual harm Mar 21, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Mar 21, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 19, 2024

G — Isolated - Actual harm Feb 15, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 26, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2024

G — Isolated - Actual harm Oct 20, 2023 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Nov 17, 2023

G — Isolated - Actual harm Oct 20, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2023

H — Pattern - Actual harm Oct 20, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2023

G — Isolated - Actual harm Oct 20, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2023

J — Isolated - Jeopardy Oct 20, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2023

J — Isolated - Jeopardy Oct 20, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2023

D — Isolated - Minimal harm May 24, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 24, 2023

E — Pattern - Minimal harm May 24, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Jun 24, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 22, 2023

E — Pattern - Minimal harm Feb 6, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 8, 2023

E — Pattern - Minimal harm Feb 6, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 8, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 8.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 90.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 83.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 83.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.7% Yes

Penalty History 2 penalties totaling $104K

Date Type Amount
Jul 3, 2025 Fine $40K
Jul 3, 2025 Payment Denial -
Jan 30, 2024 Fine $64K

Frequently Asked Questions

What is the overall CMS rating for SAN MATEO MEDICAL CENTER D/P SNF?
SAN MATEO MEDICAL CENTER D/P SNF has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at SAN MATEO MEDICAL CENTER D/P SNF?
SAN MATEO MEDICAL CENTER D/P SNF reports 4.13 total nursing hours per resident day (national average: 3.89). RN hours are 0.56 per resident day (national average: 0.68).
How many beds does SAN MATEO MEDICAL CENTER D/P SNF have?
SAN MATEO MEDICAL CENTER D/P SNF has 345 certified beds with approximately 295 residents. The facility is located at 222 WEST 39TH AVENUE, SAN MATEO, CA 94403.
Does SAN MATEO MEDICAL CENTER D/P SNF have any deficiencies on record?
Yes, SAN MATEO MEDICAL CENTER D/P SNF has 50 deficiencies on record from recent inspections. Of these, 10 are classified as causing actual harm or jeopardy.
Has SAN MATEO MEDICAL CENTER D/P SNF received any fines or penalties?
Yes, SAN MATEO MEDICAL CENTER D/P SNF has received 2 penalties totaling $104K.
Who owns SAN MATEO MEDICAL CENTER D/P SNF?
SAN MATEO MEDICAL CENTER D/P SNF is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was SAN MATEO MEDICAL CENTER D/P SNF last inspected?
The most recent health inspection for SAN MATEO MEDICAL CENTER D/P SNF was on Jul 3, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for SAN MATEO MEDICAL CENTER D/P SNF?
SAN MATEO MEDICAL CENTER D/P SNF is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial