Nursing Care Index

Avondale Villa Post-Acute

Livermore, Alameda County, California · CCN 555399 · For-profit (LLC) · part of Links Healthcare Group (32 facilities, chain average 2.9 stars)

CMS rates Avondale Villa Post-Acute 4 of 5 overall as of August 2026. 37 certified beds, 34 residents a day on average. 36 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing4.32303 hours per resident per day
Registered nurses0.35351 hours per resident per day
Weekend total3.88145 hours per resident per day
Nursing staff turnover36.4% (registered nurses 60%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-10
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-23
2025-05-16 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-19
2025-05-16 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-19
2025-05-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-19
2025-05-16 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-19
2025-05-16 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-19
2025-05-16 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-19
2025-05-16 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · tag F0813
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-19
2025-05-16 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2025-05-19
2024-03-01 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.
Nutrition and Dietary Deficiencies · tag F0801
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-01
2024-03-01 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · tag F0802
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-01
2024-03-01 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.
Nutrition and Dietary Deficiencies · tag F0803
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-01
2024-03-01 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-01
2024-03-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-01
2024-03-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-01 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · tag F0805
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-01 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-01 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.
Nutrition and Dietary Deficiencies · tag F0808
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-01 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-01 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-01 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-01 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-01 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-01 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · tag F0810
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-01 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2023-12-21
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-17
2023-12-21
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-17
2023-08-18
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-15
2023-08-18
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-15
2023-08-18
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-15
2022-03-25 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-04-11
2022-03-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-04-11
2022-03-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-04-11
2022-03-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-04-11
2022-03-25 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2022-04-11

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Forbright Bank
Organization
5% or greater security interest2020-03-01
Freanel & Sons Som LLC
Organization
5% or greater security interest2020-03-01
Eide Bailly LLP
Organization
adp of the snf2020-03-01
Freanel & Sons Som LLC
Organization
adp of the snf2020-03-01
Links Healthcare Group LLC
Organization
adp of the snf2025-07-11
Links Support Services, LLC
Organization
adp of the snf2025-07-11
Links Healthcare Group LLC
Organization
operational/managerial control2020-03-01
Links Support Services, LLC
Organization
operational/managerial control2020-03-01
Anderson, Chad
Individual
adp of the snf2020-03-01
Beardsley, Mary
Individual
adp of the snf2020-03-01
Bernholz, Victoria
Individual
adp of the snf2020-03-01
Carter, Melissa
Individual
adp of the snf2020-03-01
Deguzman, Myrna
Individual
adp of the snf2020-03-01
Frojelin, Antonette
Individual
adp of the snf2020-03-01
Kaur, Karamjit
Individual
adp of the snf2020-03-01
Malani, Narendra
Individual
adp of the snf2020-03-01
Poderoso, Isabel
Individual
adp of the snf2020-03-01
Ramirez, Sharon
Individual
adp of the snf2020-03-01
Rodriguez, Curtis
Individual
adp of the snf2020-03-01
Subia, Ellen
Individual
adp of the snf2020-03-01
Tilford, Toby
Individual
adp of the snf2020-03-01
Rodriguez, Curtis
Individual
corporate officer2020-03-01
Tilford, Toby
Individual
corporate officer2020-03-01
Anderson, Chad
Individual
operational/managerial control2020-03-01
Beardsley, Mary
Individual
operational/managerial control2020-03-01
Bernholz, Victoria
Individual
operational/managerial control2020-03-01
Carter, Melissa
Individual
operational/managerial control2020-03-01
Deguzman, Myrna
Individual
operational/managerial control2020-03-01
Frojelin, Antonette
Individual
operational/managerial control2020-03-01
Kaur, Karamjit
Individual
operational/managerial control2020-03-01
Malani, Narendra
Individual
operational/managerial control2020-03-01
Poderoso, Isabel
Individual
operational/managerial control2020-03-01
Ramirez, Sharon
Individual
operational/managerial control2020-03-01
Rodriguez, Curtis
Individual
operational/managerial control2020-03-01
Tilford, Toby
Individual
operational/managerial control2020-03-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Alameda County.