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Oakland Heights Nursing And Rehabilitation

Anthony C. Lanzone, Founding Partner

NOTABLE CONCERNS

Oakland Heights Nursing and Rehabilitation is a nursing home in Oakland, California, that provides both short-term and long-term senior care. Public data raises concerns about the quality of care residents receive at the facility. Here’s what you need to know before placing your loved one in this facility’s care:

  • Oakland Heights has a 60% registered nurse turnover rate, significantly higher than California’s average of 40.6%. 
  • An 85-year-old woman reportedly developed bedsores at the facility in 2022 after struggling to get the staff’s attention. She was later transferred to the hospital with pneumonia and severe sepsis before her death six months later. 
  • A 2023 inspection found that the staff failed to provide regular showers or bed baths to multiple residents. 
  • Federal officials fined Oakland Heights $7,409 in September 2023 for serious health citations.
  • Other inspections and online reviews suggest ongoing patterns of unsanitary conditions, non-responsive staff, medication errors, and failure to meet residents’ basic needs. 

Oakland Heights Nursing and Rehabilitation Ratings and Reviews

Oakland Heights Nursing and Rehabilitation has received a 5-star overall rating from the U.S. Centers for Medicare and Medicaid Services, but the underlying details tell a more nuanced story.

Staffing Rates

Medicare has given Oakland Heights a 3-star rating for staffing. Registered nurse turnover at the facility is 60%, well above the California average of 40.6%. This number reflects the percentage of staff who left the facility over a 12-month period, suggesting possible issues with care consistency. 

Each resident at Oakland Heights receives around 32 minutes of Registered Nurse care per day, which is below the state average of 39 minutes. That time drops to just 19 minutes on the weekend, which is still well below average. 

Health Data

Oakland Heights has above-average pressure ulcer rates: 3% of short-stay residents and 6.4% of long-stay residents developed new or worsened pressure injuries. Pressure ulcers primarily develop when staff fail to frequently reposition immobile residents, suggesting staffing-level issues. 

Additionally, only 13.65% of the facility’s staff received a flu vaccination this season. This number is much lower than the national average of 42% and may place residents at higher risk of serious illness. 

Online Reviews

Oakland Heights holds a 3.8-star rating on Yelp based on 62 total reviews from residents and loved ones, including 15 1-star reviews. Negative reviewers describe residents being suddenly discharged without a transfer plan, nurses failing to respond to residents’ requests, and medication errors. Other complaints mention unsanitary living conditions, residents left in soiled diapers for hours, and staff not meeting residents’ basic nutritional and hydration needs. 

Recent Care Failures at Oakland Heights Nursing and Rehabilitation

Public records and news reports have identified multiple care and safety violations at the Oakland Heights Nursing and Rehabilitation facility in recent years. Reported issues include failures regarding hygiene care, staff attentiveness, food safety practices, medication handling, and responses to resident complaints. 

Penalties and Citations

In September 2023, the U.S. Centers for Medicare and Medicaid Services fined Oakland Heights $7,409. Nursing homes receive these types of penalties only for serious health citations or failures to fix previous citations. 

The facility has also received 10 fire safety and emergency preparedness citations in recent years—significantly higher than the United States average of 4.6. Additionally, the Oakland Heights Nursing and Rehabilitation nursing home has received five health citations over the last three years. 

May 2024 Inspection Deficiencies

A May 2024 inspection found that Oakland Heights failed to timely report a resident’s allegation of rape to the California Department of Public Health. The resident reported the incident to staff members late on April 6, but the facility did not notify regulators until April 8, despite a requirement to report within two hours. The delay had the potential to hinder the investigation and negatively affect the resident’s physical and psychological well-being. 

November 2023 Inspection Deficiencies

Another federal inspection report from November 2023 noted that Oakland Heights failed to provide regular hygiene care to two residents who depended on the staff for bathing and personal grooming. One resident appeared unkempt and reported that the staff only showered them “when they think of it.” Records showed that the resident was scheduled for twice-weekly showers, but staff couldn’t find documentation confirming that they received showers for much of the month. 

A second resident reported not receiving a shower or bed bath for two weeks. Documentation confirmed that staff did not record any showers or bed baths during that period. 

November 2022 Neglect Allegations

In November 2022, an 85-year-old woman entered Oakland Heights after a fall at her home. Her condition reportedly declined rapidly during the month she spent at the facility. 

According to her daughter and granddaughter, the woman was bedbound and depended entirely on caregivers to meet her basic needs. Despite this, she struggled to get the staff’s attention, often receiving no response when she pushed the help button. Her medical records showed that she developed bedsores, likely due to the facility’s failure to reposition her frequently. 

The woman was later transferred to the hospital from the facility and diagnosed with pneumonia and severe sepsis. She died six months later. The family has sued the facility’s parent company, alleging that it knowingly understaffed and underfunded Oakland Heights to maximize profits at the expense of patients’ well-being. 

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Warning Signs of Nursing Home Abuse and Neglect at Oakland Heights

The issues reported at Oakland Heights illustrate how mistreatment can appear in everyday care. Care failures may lead to many types of harm, including physical abuse, emotional abuse, sexual abuse, financial abuse, and neglect. 

If you notice any of the following common signs of nursing home abuse, trust your instincts and get immediate help:

  • Unexplained injuries, such as bruises or broken bones
  • Unusual changes in behavior, such as social withdrawal or agitation
  • Fear around certain staff members
  • Sudden weight loss
  • Poor hygiene
  • Bedsores or infections
  • Dirty bedding or soiled clothing
  • Changes in financial patterns

Report your concerns to the California Department of Public Health at (800) 554-0354 and contact our Oakland nursing home abuse lawyers for a free consultation. Our team will investigate the matter, determine if neglect has caused your loved one harm, and potentially file a lawsuit against the facility. 

Get Help From an Oakland Nursing Home Abuse Attorney Today

If you’re concerned about neglect or abuse at Oakland Heights Nursing and Rehabilitation or any other California skilled nursing facility, you have an ally in Lanzone Morgan, LLP. 

With a proven track record of holding nursing homes accountable, we’re the team you want on your side during this challenging time. Our firm has earned national recognition for its advocacy for elder abuse victims and recovered over $250 million in settlements and verdicts against negligent elder care facilities.

We’re ready to fight for the accountability and compensation your family deserves. Contact us online or call 888-887-9777 for a free consultation. 

Disclaimer: The inspection information provided above comes from public sources. Lanzone Morgan, LLP cannot ensure that this page reflects the most current data or complete findings. For the latest information, visit https://projects.propublica.org/ or medicare.gov. Deficiencies listed may have been corrected since the inspection date and the time of publication. This page is a legal advertisement and information resource. It is not endorsed by the named facility or any government agency. Lanzone Morgan, LLP, is not affiliated with the facility discussed.

Last modified: May 5, 2026
Anthony Lanzone, nursing home attorney headshot
Reviewed by:
Anthony C. Lanzone
Founding Partner

This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.

Ling, L., Kaplan, M., Reilly, S., Teitelbaum, C., & Samu, S. (2024, June 3). As investors pour in, for-profit nursing homes leave some seniors in need. CBS News. https://www.cbsnews.com/news/for-profit-nursing-homes-seniors-concerns/ 

Oakland Heights Nursing and Rehabilitation. (n.d.). Medicare.gov. https://www.medicare.gov/care-compare/details/nursing-home/555570?state=CA

Oakland Heights Nursing and Rehabilitation Report – 04/10/2025. (n.d.). Centers for Medicare & Medicaid Services. https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/555570/health/health-inspection?date=2025-04-10 

Oakland Heights Nursing and Rehabilitation Report – 05/06/2024. (n.d.). Centers for Medicare & Medicaid Services. https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/555570/health/complaint-inspection?date=2024-05-06 

Oakland Heights Nursing and Rehabilitation Report – 11/03/2023. (n.d.). Centers for Medicare & Medicaid Services. https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/555570/health/health-inspection?date=2023-11-03

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Last modified: May 5, 2026
Anthony Lanzone, nursing home attorney headshot
Reviewed by:
Anthony C. Lanzone
Founding Partner

This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.

Ling, L., Kaplan, M., Reilly, S., Teitelbaum, C., & Samu, S. (2024, June 3). As investors pour in, for-profit nursing homes leave some seniors in need. CBS News. https://www.cbsnews.com/news/for-profit-nursing-homes-seniors-concerns/ 

Oakland Heights Nursing and Rehabilitation. (n.d.). Medicare.gov. https://www.medicare.gov/care-compare/details/nursing-home/555570?state=CA

Oakland Heights Nursing and Rehabilitation Report – 04/10/2025. (n.d.). Centers for Medicare & Medicaid Services. https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/555570/health/health-inspection?date=2025-04-10 

Oakland Heights Nursing and Rehabilitation Report – 05/06/2024. (n.d.). Centers for Medicare & Medicaid Services. https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/555570/health/complaint-inspection?date=2024-05-06 

Oakland Heights Nursing and Rehabilitation Report – 11/03/2023. (n.d.). Centers for Medicare & Medicaid Services. https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/555570/health/health-inspection?date=2023-11-03

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