AVONDALE VILLA POST-ACUTE
CCN: 555399 · LIVERMORE, CA 94550 · Alameda County
Overview
- Address
- 788 HOLMES STREET, LIVERMORE, CA 94550
- Phone
- 9254472280
- Certified beds
- 37
- Avg daily residents
- 34 (91% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-07-26
- Setting
- Urban
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.
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 | 3.86 | 4.08 | 3.65 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.49 | 0.71 | 0.47 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.92 | 0.91 | 0.87 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.44 | 2.46 | 2.31 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.42 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.03 | — | — | — |
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
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
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) | 2025-05-16 | 8 | 8 | 0 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2024-03-01 | 22 | 17 | 5 | 168 | 1 | 168 |
Deficiencies (35)
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).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-16 | 2025-05-19 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-05-16 | 2025-05-19 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-16 | 2025-05-19 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-05-16 | 2025-05-19 |
| 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. | D | 2025-05-16 | 2025-05-19 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2025-05-16 | 2025-05-19 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-05-16 | 2025-05-19 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2025-05-16 | 2025-05-19 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-03-01 | 2024-04-01 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-01 | 2024-04-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-03-01 | 2024-04-01 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-01 | 2024-04-01 |
| 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 | 2024-03-01 | 2024-04-01 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-03-01 | 2024-04-01 |
| 0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-03-01 | 2024-04-01 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2024-03-01 | 2024-04-01 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-03-01 | 2024-04-01 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-03-01 | 2024-04-01 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-03-01 | 2024-04-01 |
| 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2024-03-01 | 2024-04-01 |
| 0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-03-01 | 2024-04-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-01 | 2024-04-01 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-03-01 | 2024-04-01 |
| 0908 | Keep all essential equipment working safely. | E | 2024-03-01 | 2024-04-01 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-03-01 | 2024-04-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-21 | 2024-01-17 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-21 | 2024-01-17 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-08-18 | 2023-09-15 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-08-18 | 2023-09-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-18 | 2023-09-15 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-03-25 | 2022-04-11 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2022-03-25 | 2022-04-11 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-03-25 | 2022-04-11 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-03-25 | 2022-04-11 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2022-03-25 | 2022-04-11 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LINKS HEALTHCARE GROUP
- Chain ID
318- Facilities in chain
- 31
- Legal business name
- ISLAND CREEK HOLDINGS LLC
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| LINKS HEALTHCARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2020 |
| LINKS HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| LINKS SUPPORT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| FORBRIGHT BANK | 5% OR GREATER SECURITY INTEREST | since 03/01/2020 |
| FREANEL & SONS SOM LLC | 5% OR GREATER SECURITY INTEREST | since 03/01/2020 |
Owner / manager individuals (19)
| Name | Role | Association |
|---|---|---|
| CLAWSON, SCOTT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2020 |
| EARL, STEVEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2020 |
| RODRIGUEZ, CURTIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2020 |
| SANOFSKY, JACK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2020 |
| TILFORD, TOBY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2020 |
| ANDERSON, CHAD | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| BEARDSLEY, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| BERNHOLZ, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| CARTER, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| DEGUZMAN, MYRNA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| FROJELIN, ANTONETTE | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| KAUR, KARAMJIT | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| MALANI, NARENDRA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| PODEROSO, ISABEL | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| RAMIREZ, SHARON | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| RODRIGUEZ, CURTIS | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| TILFORD, TOBY | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2020 |
| RODRIGUEZ, CURTIS | CORPORATE OFFICER | since 03/01/2020 |
| TILFORD, TOBY | CORPORATE OFFICER | since 03/01/2020 |
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
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $40 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.12 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 58.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 21.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $187,410 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,523,009 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 85.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 3.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,500,828 | metrics.total_assets |
| Cost Report | Total Costs ($) | $461,727 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $820,868 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,679,960 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.87329 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.31047 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.46611 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.64987 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.53780 | 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 | 33.8 | 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 | 0.90565 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.46136 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.71385 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.08086 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.59685 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 318 | Chain ID |
| Provider Information | Chain Name | LINKS HEALTHCARE GROUP | Chain Name |
| Provider Information | City/Town | LIVERMORE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555399 | 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 | 1989-07-26 | 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 | 37.6729 | Latitude |
| Provider Information | Legal Business Name | ISLAND CREEK HOLDINGS LLC | Legal Business Name |
| Provider Information | Location | 788 HOLMES STREET,LIVERMORE,CA,94550 | 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 | -121.78 | 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 | 37 | 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 | 31 | 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 | 1.44567 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.04937 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | 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 | 788 HOLMES STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | AVONDALE VILLA 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 | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | 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 | 0 | 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 | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-16 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 17 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-01 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 168 | 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 | 5 | 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 | 168 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 22 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.53600 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 37.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.41569 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.92303 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.44208 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03288 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.49266 | 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 | 3.85777 | 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 | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 9254472280 | 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 | 3.73932 | 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 | 31.7 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 66.000 | 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 | 94550 | ZIP Code |