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Nursing HomeMedicaid Investigative

San Mateo Medical Center D/p Snf

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

222 West 39th Avenue, Hillsdale · San Mateo, CA 94403345 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 7 Google reviews

5
4
3
2
1
San Mateo Medical Center D/p Snf Nursing Home in San Mateo, CA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 13.0)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · $104,000 in fines

Source: Medicare data

What this means for your family

While there is evidence of high-quality clinical care for dementia and memory loss, the administrative experience is deeply concerning. Families should prioritize verifying their ability to communicate with the facility and specifically ask how they ensure medication accuracy and record-keeping, as recent reviews highlight significant failures in these areas.

Google Reviews

Google Reviews

7 reviews on Google
Families should be aware of significant difficulties in communicating with this facility, as multiple reviewers report extremely long wait times and unanswered phone calls. While one reviewer highly praises their comprehensive geriatric care and memory care services, other recent feedback focuses heavily on administrative incompetence and poor customer service.

Quality Themes

Tap a score for details
FoodN/AStaff2.0CleanN/AActivitiesN/AMeds1.0Memory5.0Comms0.0ValueN/A

Strengths

  • Comprehensive geriatric assessments
  • Specialized memory care and dementia support
  • Effective case management and resource coordination

Concerns

  • Extremely long phone wait times and difficulty reaching staff (mentioned by 4 reviewers)
  • Incompetent medication management and lost records

Rating Trends

Tap a year to see what changed

2345.02018(1)1.02020(1)3.72021(3)1.02023(1)5.02025(1)1.02026(1)

Distribution · 8 analyzed

5
4
4
0
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since we want to stay closely connected to our loved one's care, what is the best way for us to reach the nursing staff directly if we have a quick question?
  • 2How does your team ensure that medication schedules are followed accurately and that all medical records are kept up to date?
  • 3We are very interested in your specialized memory care; what kind of daily activities or social engagement programs do you have planned for residents with dementia?
  • 4With the recent health inspections, what specific steps has the facility taken to improve care quality and address previous state violations?
  • 5How does the facility manage medical emergencies or sudden changes in a resident's health during the overnight hours?
  • 6We've heard great things about your comprehensive geriatric assessments; how often is a resident's care plan reviewed and updated by your case managers?

Personalized based on this facility's data


Key Review Excerpts

Their professional teams provide excellent care to seniors and comprehensive assessments especially to those with memory loss, dementia (including Alzheimer’s).

Local Guide praising geriatric services · 2021★★★★★

They do not care about their patients and are irresponsible. They don't send in my parent's medication on time, always lose records, have a minimum 20-minute wait for each phone call, and long delays at the office.

Family member of a patient · 2023☆☆☆☆

You are on hold for ever! and the few times that they answered they just put the receiver on the desk and ignored you, could hear people chatting in the background.

Caller experiencing poor service · 2021☆☆☆☆
Source: 7 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

3

measures

Mixed Results

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.1%
Worse than Avg
Here
13.1%
US
12.1%
CA
7.0%
San mateo
2.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.6%
Mixed vs Avgs
Here
10.6%
US
19.5%
CA
13.7%
San mateo
8.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
CA
10.5%
San mateo
12.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.5%
Mixed vs Avgs
Here
12.5%
US
19.4%
CA
10.7%
San mateo
13.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
CA
10.4%
San mateo
8.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility93.0%
Worse than Avg
Here
93.0%
US
93.4%
CA
98.6%
San mateo
95.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.8%
Mixed vs Avgs
Here
83.8%
US
79.7%
CA
93.2%
San mateo
89.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.5%
Mixed vs Avgs
Here
87.5%
US
81.8%
CA
94.2%
San mateo
84.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
CA
1.5%
San mateo
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
3penalties
Above state avg (15.4)
24 complaint-triggered
$104,000 in fines

This facility has concerning complaint patterns, with families filing reports leading to 23 deficiencies across abuse protection, safety supervision, and care quality issues. Recurring problems include abuse/neglect prevention, accident hazards and safety supervision, medication management, and fire safety system maintenance. While the facility corrects violations when cited, the repeated nature of serious issues like abuse protection failures and safety hazards suggests ongoing operational challenges that families should carefully consider.

Feb 19, 2026Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jul 3, 2025Complaint
2
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jul 3, 2025Routine
27
0850Potential for harm · WidespreadCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0029Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0036Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Mar 21, 2024Routine
40
0686Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0806Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0809Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0023Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0018Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0541Potential for harm · PatternCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0711Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0904Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a properly installed medical gas master alarm panel.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0945Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0346Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Mar 21, 2024Complaint
4
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 15, 2024Complaint
1
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Jul 3, 2025

$40,118

Payment Denial

Jul 3, 2025

9-day denial

Fine

Jan 30, 2024

$63,882

Ownership & Operations

Who Operates This Facility

Owner / Operator

San Mateo Medical Center D/p Snf

Organization Type

government

Ownership & Management

Owners

County of San Mateo

Owner · Organization

100%

Key personnel

Mcgrew, DavidW-2 Managing EmployeeMcgrew, DavidOfficer / DirectorMcgrew, DavidOfficer / DirectorMcgrew, DavidManager
Source: Medicare provider data

Contact

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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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