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ICF/DD-N (Nursing)License activeMedi-Cal certified

BRIDLE ICF/DD-N

ICF/DD-N (Nursing) · 6 licensed beds · Hayward, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

BRIDLE ICF/DD-N3336 BRIDLE DRIVEHayward, CA 94541 · Alameda County

Phone: (510) 582-2873

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
BRIDLE HOME LLC · Limited Liability Company
Administrator
REYES, EVANGELINE
CDPH facility ID
020001179
License number
020000583
First licensed
April 14, 1999
Current license
Nov 26, 2025 to Nov 25, 2026
CDPH district office
East Bay

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G263
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
June 10, 1999
Last certification survey
November 6, 2024
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership change (CMS)
April 15, 2009
Ownership type (CMS)
Other (specify)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.18 · LVN/LPN 1.4 · direct care 6.2 · all employees 7.78

State citations and penalties (CDPH)

2 penalties, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Jun 5, 2004 · Penalty #020002808

    Status: Closed · Not appealed

    $600

  • Class BAdministration

    Citation B (HSC 1424) · Violation Jul 20, 1999 – Mar 12, 2001 · Penalty #020002608

    Status: Closed · Not appealed

    $800

Federal inspections (CMS-2567)

11 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Recertification

    Event 6P1N21 · 4 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 6P1N11 · 4 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event YGWL21 · 6 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event YGWL11 · 1 deficiency

    Official 2567 ↗
  5. · Complaint

    Event L0LC11 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event H0PF21 · 1 deficiency

    Official 2567 ↗
  7. · Complaint, Recertification

    Event H0PF11 · 3 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event YHGY11 · no deficiencies cited

    Official 2567 ↗
  9. · Recertification

    Event EF0Y21 · 4 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event EF0Y11 · 4 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event 4KDD11 · no deficiencies cited

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

14 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  2. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  3. ReportFederal survey (recertification): 6 deficiencies(state record)

    See this survey →
  4. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  5. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  6. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  7. ReportFederal survey (complaint, recertification): 3 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  9. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  10. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.