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Assisted Living Investigative

Heritage Haven

Reviewer concerns include patient neglect and inadequate monitoring (mentioned by 3 reviewers) — investigate before committing.

389 Juana Avenue, Old San Leandro · San Leandro, CA 9457727 bedsLicensed & Active
Google rating
2.7/5

based on 20 Google reviews

5
4
3
2
1
Heritage Haven Assisted Living in San Leandro, CA — Street View
Street View

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What this means for your family

This facility has shown a significant decline in quality and safety over recent years. While some older reviews speak highly of the staff, you must prioritize investigating current reports of patient neglect and the facility's ability to communicate during medical emergencies.

Google Reviews

Google Reviews

20 reviews on Google
Families should exercise extreme caution, as recent reviews highlight severe issues with patient neglect, inadequate staffing, and lack of communication regarding medical emergencies. While some long-term reviews praise specific staff members for their kindness, recent reports frequently cite unresponsiveness, hygiene concerns, and even the loss of a resident's belongings.

Quality Themes

Tap a score for details
Food2.0Staff2.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Kindness from certain nursing staff
  • Responsive administration in older reviews
  • Cleanliness in specific recent instances

Concerns

  • Patient neglect and inadequate monitoring (mentioned by 3 reviewers)
  • Poor communication and unresponsiveness to families (mentioned by 4 reviewers)
  • Staffing shortages and overwhelmed caregivers (mentioned by 2 reviewers)
  • Theft or loss of resident property

Rating Trends

Tap a year to see what changed

2345.0'15(1)5.05.0'20(2)1.03.0'22(4)2.31.0'25(3)2.3'26(3)

Distribution · 20 analyzed

5
8
4
0
3
0
2
1
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed some families have shared how kind the nursing staff can be; how do you ensure that level of compassionate care is consistent across all shifts?
  • 2What specific steps is the administration taking to ensure families are kept closely informed and updated on their loved one's well-being?
  • 3How does the care team manage resident monitoring and safety, especially during the night or during busy meal times?
  • 4Could you tell us a bit about the dining experience and how the menu is planned to ensure residents are getting nutritious, high-quality meals?
  • 5What is the protocol for handling medical emergencies or sudden changes in health after regular business hours?
  • 6What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The caretakers and nurses at SLHC are amazing! Most of them really care about their patients, and it shows!

Long-term resident's family · 2017★★★★★

My mom living in this nursing home more than ten years. Last night from hospital emergency backed to nursing home. There is no one taking care of her. Just let her with hospital clothes laying on bed with wet blanket, until my sister came.

Long-term resident's family · 2024☆☆☆☆

My mother passed away, within one week, All of her belongings were gone not to be found. No one contact me to come pic them up.

Deceased resident's family · 2024★★☆☆☆
Source: 20 Google reviews

State Inspection History

State Inspections

Source: CA Community Care Licensing Division

23total
3 Type A— immediate health risk
33 Type B— non-compliance
Clean record— no deficiencies found
May 27, 2026Other
Clean

FACILITY EVALUATION REPORT

May 27, 2026Other
Clean

FACILITY EVALUATION REPORT

Apr 28, 2026Complaint
Clean

COMPLAINT INVESTIGATION REPORT

Apr 28, 2026Other
Clean

FACILITY EVALUATION REPORT

Mar 27, 2026Other
Clean

The inspection was a Case Management visit conducted unannounced. The visit involved discussions with the Administrator and a Licensee regarding the construction timeline and funding delays. No specific deficiencies were cited in the provided report content.

Feb 17, 2026Inspection
Clean

The inspection identified four deficiencies, all classified as Type B violations. These issues relate to deficient recordkeeping across several areas, including personnel health screenings, required annual staff training, updated resident appraisal plans, and expired fire safety equipment. All deficiencies require corrective action by the specified due date of 2026-02-24.

Aug 4, 2025Other
Clean

The facility underwent an unannounced Plan of Correction (POC) visit on August 4, 2025. The Licensing Program Analysts toured the facility and discussed necessary repairs from previous POCs. The report explicitly states that there were no deficiencies found on the date of the visit.

Feb 12, 2025Other
Clean

The facility underwent a Case Management - Annual Continuation inspection on February 12, 2025. One Type B citation was issued regarding medication training compliance. The facility must complete the required 8 hours of medication training for all staff by the due date of 02/26/2025.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Juana Care Facility LLC

Administrator

FERDINAND GUTIERREZ

Source: State licensing data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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