Overview

Address
25919 GADING ROAD, HAYWARD, CA 94544
Phone
5107828424
Certified beds
99
Avg daily residents
88 (89% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-10-02
Setting
Urban
4 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.25 3.75 4.38 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.49 0.66 0.50 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.94 0.83 0.96
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.82 2.26 2.91
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.42
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.09

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.59
hrs / resident / day
RN (weekend)
0.42
hrs / resident / day
Total nurse (adjusted, weekend)
3.70
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
39.2%
annual
RN turnover
27.3%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.33
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-12-11 3 2 1 24 1 24
Cycle 2/3 (prior) 2024-06-27 17 7 10 88 1 88
Total weighted health score
40.0
lower is better

Deficiencies (29)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

29 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
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. D 2025-12-22 2025-12-26
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-12-11 2026-01-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-12-11 2026-01-04
0693 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. E 2024-08-16 2024-08-19
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2024-06-27 2024-07-16
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-06-27 2024-07-16
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-06-27 2024-07-16
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-06-27 2024-07-16
0687 Provide appropriate foot care. D 2024-06-27 2024-07-16
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-06-27 2024-07-16
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-06-27 2024-07-16
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-06-18 2024-07-06
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-06-06 2024-06-26
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-06-06 2024-06-26
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-04-23 2024-05-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-04-23 2024-05-02
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-03-27 2024-04-18
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-01-12 2024-02-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-01-11 2024-02-08
0573 Let each resident or the resident's legal representative access or purchase copies of all the resident's records. D 2023-11-09 2023-11-15
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2022-02-18 2022-04-11
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2022-02-18 2022-04-11
0638 Assure that each resident’s assessment is updated at least once every 3 months. E 2022-02-18 2022-04-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2022-02-18 2022-04-11
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. D 2022-02-18 2022-04-11
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-02-18 2022-04-11
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2022-02-18 2022-04-11
0814 Dispose of garbage and refuse properly. D 2022-02-18 2022-04-11
0880 Provide and implement an infection prevention and control program. E 2022-02-18 2022-04-11

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 6.9% Medicaid 74.1% Other 19.0%

Operating performance

Operating Margin
-7.4%
Total Margin
-5.8%
Occupancy Rate
86.0%
Cost per Resident Day
$42

Revenue & costs

Net Patient Revenue
$12.4M
Total Costs
$1.3M
Net Income
-$734K

Balance sheet

Total Assets
$22.5M
Total Liabilities
$21.0M
Fund Balance
$1.5M
Current Ratio
0.40

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: WINDSOR

Chain ID
566
Facilities in chain
19
Legal business name
WINDSOR HAYWARD ESTATES LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.1
Staffing
2.8
QM
3.8

Owner / manager organizations (6)

Organization Role Association
WINDSOR HAYSAC HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/30/2010
9560 PICO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
ANTELOPE HOLDINGS I, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
PICO AR LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
WINDSOR OXFORD HOLDING COMPANY, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
NEWGEN ADMINISTRATIVE SERVICES, LLC OPERATIONAL/MANAGERIAL CONTROL since 06/30/2023

Owner / manager individuals (7)

Name Role Association
ROBIN, AARON 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
TRESS, AVROHOM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
ABUDAYEH, NABIL OPERATIONAL/MANAGERIAL CONTROL since 12/01/2024
PRESTON-FOO, CARMEN OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
SHAW, PAMELA OPERATIONAL/MANAGERIAL CONTROL since 06/30/2023
ROBIN, AARON CORPORATE OFFICER since 08/14/2023
TRESS, AVROHOM CORPORATE OFFICER since 08/14/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $42 metrics.cost_per_resident_day
Cost Report Current Ratio 0.40 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 74.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.9% metrics.medicare_day_share
Cost Report Net Income ($) $-733,867 metrics.net_income
Cost Report Net Patient Revenue ($) $12,383,193 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 86.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -7.4% metrics.operating_margin
Cost Report Total Assets ($) $22,511,320 metrics.total_assets
Cost Report Total Costs ($) $1,318,052 metrics.total_costs
Cost Report Total Fund Balances ($) $1,544,593 metrics.fund_balance
Cost Report Total Liabilities ($) $20,966,727 metrics.total_liabilities
Cost Report Total Margin (%) -5.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.96378 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.91098 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.50406 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.37882 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.70136 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 88.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.83129 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.25926 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65524 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.74578 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.30151 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.8 Chain Average Staffing Rating
Provider Information Chain ID 566 Chain ID
Provider Information Chain Name WINDSOR Chain Name
Provider Information City/Town HAYWARD City/Town
Provider Information CMS Certification Number (CCN) 555398 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Alameda County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1989-10-02 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 37.6468 Latitude
Provider Information Legal Business Name WINDSOR HAYWARD ESTATES LLC Legal Business Name
Provider Information Location 25919 GADING ROAD,HAYWARD,CA,94544 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -122.08 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 99 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 19 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.32696 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.96321 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 25919 GADING ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Hayward Post Acute Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 000 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 24 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 2 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-11 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 24 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-06-27 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 88 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 10 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.42297 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 27.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.42406 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.93504 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.82416 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.09016 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.48903 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.24822 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 5107828424 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.59097 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 39.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 40.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 94544 ZIP Code