Hearth Record

Highland Hospital

An acute care hospital in Oakland, California 94602

1411 East 31st Street, Oakland, California 94602. (510) 437-4800.

  • Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Aug 14, 2025: a complaint inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Apr 10, 2025: complaint inspection1 deficiency

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 1,263 words

    “RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 44823 Based on interviews, observations, and record reviews, the facility did not ensure three patients (Patient 14, Patient 16, and Patient 25) received complete pain management care when: 1. Patient 16 was not given pain medication on 9/15/23 at 8:18 p.m. for a pain level of 7 (0 being the least and 10 being the worst) and was not given pain medication on 9/18/26 at 8:30 a.m. for a pain level of 8. 2. Patients 16 and 25 were not reassessed after pain medication was administered. 3. Patient 14 was not given pain medication on 3/8/25 at 8:28 a.m. for a pain level of 9 (with 0 being the least and 10 being the worst) and at 4:28 p.m. for a pain level of 6. Patient 14 was given pain medication on 3/8/25 at 2:06 a.m. and at 10:03 a.m. and did not have pain reassessment. This failure resulted in inadequate pain management care for Patient 14, Patient 16, and Patient 25 which potentially affected their physical and psychosocial well-being. Findings: 1. A review of Patient 16’s History and Physical (H&P), dated 9/10/23, indicated diagnoses included paraplegia and a suprapubic catheter (a thin, flexible tube inserted directly into the bladder through a small incision in the abdomen, allowing for continuous drainage of urine). Patient 16 was hospitalized on 8/8/23 and 9/6/23 for urosepsis (a serious condition where a urinary tract infection spreads to the bloodstream). Then again, Patient 16 was admitted on 9/9/23, for abdominal pain and altered mental state. Patient 16’s x-ray showed obstruction in the colon. The H&P further indicated Patient 16 did not receive continued antibiotic order when he discharged from last hospitalization. In the evening of 9/11/23, Patient 16 worsened and developed fevers. This resulted in Patient 16 to have emergency surgery. During a review of the “Medication Administration Record” (MAR), the physician order of oxycodone (medication that acts on the central nervous system to relieve pain) had a start date 9/12/23 at 8:18 p.m., dose of 10 mg (milligrams), frequency every 4 hours PRN (as needed) for moderate pain 4-6. The “Pain Assessment” score dated 9/15/23 at 8:18 p.m. was: 7 and was given the oxycodone (a narcotic) 10 mg. Review of the record indicated Patient 16’s “Pain Assessment” score dated 9/18/2023 at 0830 a.m. was: 8 and was given the oxycodone 10 mg. During a concurrent interview and document review on 4/8/25 at 1:53 p.m. with the Nurse Manager (NM) for the Step-down unit (SDU), the NM stated Patient 16 did not have physician’s order for the pain level of 7 and 8. NM said the assigned nurses should’ve had a conversation for action with the physician which would match Patient 16’s pain level. During a review of the hospital’s policy and procedure (P&P) titled, “Pain Assessment and Management,” dated 8/20/21, the P&P indicated, “Offer pain medication or interventions per physician orders based on pain scale and frequency ...Request further intervention orders if pain management is ineffective.” 2. During a review of Patient 16’s History and Physical (H&P), dated 9/10/23, the H&P indicated diagnoses including paraplegia and a suprapubic catheter (a thin, flexible tube inserted directly into the bladder through a small incision in the abdomen, allowing for continuous drainage of urine.) Patient 16 experienced increased abdominal pain, an altered mental state, developed fevers, and Patient 16’s abdominal x-ray showed obstruction in the colon. This resulted in Patient 16 having emergency surgery. During a record review on 4/8/25, at 1:53 p.m., with the Nurse Manager (NM) for the Step-down unit (SDU), the “Medication Administration Record” (MAR), was reviewed. The MAR included pain assessment dates 9/15/23 at 8:18 p.m., a pain score: 7 and was given oxycodone (a narcotic) 10 mg and on 9/18/23 at 8:30 a.m. pain score was: 8 and was given oxycodone 10 mg. Reassessments following the administration times of the pain medication were not documented in the MAR, Pain Assessment flow sheet or in nursing progress notes. These were requested from the facility; however facility did not provide documents that reassessments were documented in Patient 16’s medical record. During a review of Patient 25’s Face Sheet, undated, indicated Patient 25 was admitted to the facility 4/6/25 with a chief complaint: suicide and diagnosis of stimulant use disorder. During a review of the Patient 25’s “Flowsheet Data”, pain assessment score on 4/6/23 at 11:31 p.m. was: 5 (moderate pain). Patient 25 was administered the physician order of acetaminophen tablet 650 milligrams (mg) PRN (as needed) for moderate pain (4-6). Reassessment following the administration of pain medication was not documented within 1 hour in the MAR, Pain Assessment flow sheet or in a nursing progress note. During an interview on 4/9/25, at 4:24 p.m., with Registered Nurse (RN) 2, RN 2 stated after giving a pain medication, the patient needs reassessment within 1 hour to evaluate if pain improves or worsens and is documented in the progress notes. During a review of the hospital’s policy and procedure (P&P) titled, “Pain Assessment and Management,” dated 8/20/21, the P&P indicated, “Offer pain medication or interventions per physician orders based on pain scale and frequency ...document the reassessment of the pain score in the medical record.” 3. A review of Patient 14’s Face Sheet, undated, indicated Patient 14 was admitted to the facility on 3/25/25 with diagnosis of major depressive disorder. During a concurrent interview and record review on 4/10/25, at 12:45 p.m., with Unit Manager (UM)1, the facility document “Medication Administration Report” (MAR) was reviewed. During a review of Patient 14’s MAR, the physician order of acetaminophen (Tylenol - medication to treat pain) had a start date of 3/5/25 at 7:52 p.m., dose of 650 mg (milligrams), frequency every four hours PRN (as needed) for moderate pain (4-6). During a concurrent interview and record review on 4/10/25, at 12:45 p.m., with Unit Manager (UM) 1, the facility document “Flowsheet Data” for pain assessment was reviewed. On 3/8/25 at 2:06 a.m., the flowsheet indicated Patient 14 had a pain level score of 5 (out of 10). On the MAR, the patient was given acetaminophen at 2:06 a.m.. Per Unit Manager (UM) 1, there was no pain assessment follow-up documented. On 3/8/25 at 8:28 a.m., the flowsheet indicated Patient 14 had a pain level score of 9 (out of 10). On the MAR, the patient was not given any pain medication. UM 1 stated the Mental Health Specialist (MHS - healthcare professional providing care to individuals in mental health settings) should have notified the nurse. NM 1 stated the pain level score of 9 was not addressed and there was no medication given. Per NM 1, Patient 14 did not have pain medication coverage for pain level of 7 and up. A review of Patient 14’s flowsheet on 3/8/25, at 10:03 a.m., indicated Patient 14 had a pain level score of 5 (out of 10). The MAR indicated acetaminophen was given at 10:03 a.m. Per UM 1, there was no pain assessment follow-up. A review of Patient 14’s flowsheet on 3/8/25, at 4:28 p.m., indicated Patient 14 had a pain level score of 6 (out of 10). The MAR indicated there was no pain medication given. During a review of the facility’s policy and procedure (P&P) titled, “Pain Assessment and Management,” dated 8/20/21, the P&P indicated, “Offer pain medication or interventions per physician orders based on pain scale and frequency ... Document the reassessment of the pain score in the medical record.””

    Rule A0395. Standard-level. From a complaint.

All 8 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Aug 14, 2025Complaint inspectionNo deficiencies cited
May 23, 2025Complaint inspectionNo deficiencies cited
May 1, 2025Complaint inspectionNo deficiencies cited
Apr 10, 2025Complaint inspection1 deficiency cited
Feb 14, 2025Complaint inspectionNo deficiencies cited
Jan 17, 2025Complaint inspectionNo deficiencies cited
Dec 12, 2024Complaint inspectionNo deficiencies cited
Oct 3, 2024Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 1 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 7; safety of care, 0 better and 1 worse of 6; readmission, 0 better and 3 worse of 9.
  • Patients rate it 3 of 5 in CMS’s patient survey (1,960 surveys completed, Oct 1, 2024 to Sep 30, 2025): 68% rated it 9 or 10 out of 10, and 70% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.8%, heart failure 13.3%, pneumonia 11.9%, COPD 6.8%, stroke 10.7%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 15.5%, heart failure 21.9%, pneumonia 16.6%, COPD 19%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 182 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 6% left before being seen.
  • 62% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 51 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: government - hospital district or authority.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • It has an inpatient rehabilitation unit of 28 beds, which CMS lists apart as a rehabilitation facility.
  • Government - Hospital District or Authority.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
  • 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

On record, newest first
DateWhatDetail
Medicare payment reduction (HAC Reduction Program)Fiscal year 2026: 1% of Medicare payments

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 2 of 5.
  • 79% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • 4 owners or officers are people: Ghassan Jamaleddine (corporate director); Luis Fonseca (corporate officer, 0%); Margaret Loomis (managing employee (on the payroll)); Delvecchio S Finley (corporate officer).
  • CMS’s Provider of Services file records 1 change of ownership, the latest on Jul 1, 1998.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 15 hospitals CMS lists in Alameda County, 11 have an overall star rating from CMS: 2 rated 5 of 5, 4 rated 4 of 5, 3 rated 2 of 5, 2 rated 1 of 5.
  • CMS rates this one 1 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

12 compared
PlaceOverall star rating
St Rose Hospital1
Alta Bates Summit Medical Center5
Kaiser Foundation Hospital - Oakland/Richmond2
Washington Hospital2
Alameda Hospital4
Stanford Health Care Tri-Valley5
Alta Bates Summit Medical Center - Alta Bates Camp4
Eden Medical Center4
Kaiser Foundation Hospital - Fremont4
Kaiser Foundation Hospital - San Leandro2
UCSF Benioff Children’s Hospital OaklandNot given
Bhc Fremont Hospital Inc.Not given

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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