GLACIER WAY HOME
ICF/DD-N (Nursing) · 6 licensed beds · Oakley, CA
Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.
Address
GLACIER WAY HOME606 GLACIER WAYOakley, CA 94561 · Contra Costa CountyPhone: (925) 625-0313
State penalties
3
Class 1 A · 2 B
Federal surveys
36
since 2018 · 18 with deficiencies
Federal deficiencies
67
1 condition-level
Last federal survey
Apr 15, 2026
survey date
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 6
- Licensee
- RMD SERVICES INCORPORATED · Profit Corp
- Administrator
- PAJARITO, DOMINADOR D
- CDPH facility ID
- 140001320
- License number
- 140000681
- First licensed
- May 17, 2003
- Current license
- May 17, 2026 to May 16, 2027
- CDPH district office
- East Bay
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G378
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- August 5, 1989
- Last certification survey
- July 15, 2021
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Recertification
- Ownership type (CMS)
- Other (specify)
- Certified beds (CMS)
- 6
- Staffing reported to CMS
- RN 1 · LVN/LPN 1.5 · direct care 5 · all employees 7.5
State citations and penalties (CDPH)
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 Rights
Citation B (HSC 1424) · Violation Jun 27, 2009 · Penalty #020006796 · Survey 525811
Status: Closed · Appealed (received Dec 23, 2009)
$650
initially $1,000
Class BPatient Rights
Citation B (HSC 1424) · Violation May 26, 2008 · Penalty #020005305 · Survey 95T711
Status: Closed · Not appealed
$1,000
Class Afirst issued as Class AAPatient RightsDeath-related
Citation AA (HSC 1424) · Violation Mar 26, 2000 · Penalty #140002708
Status: Closed · Appealed (received Dec 18, 2000)
$16,250
initially $25,000
Federal inspections (CMS-2567)
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").
· Complaint
Event M01V11 · no deficiencies cited
· Complaint
Event WZPB11 · no deficiencies cited
· Complaint
Event 6LG511 · no deficiencies cited
· Complaint
Event MZ9N11 · no deficiencies cited
· Complaint
Event 1OBN11 · no deficiencies cited
· Complaint
Event TK3W11 · no deficiencies cited
· Complaint
Event 2IJJ11 · no deficiencies cited
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
40 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.
ReportFederal survey (recertification): 4 deficiencies(state record)
See this survey →ReportFederal survey (recertification): 5 deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (recertification): 5 deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): 1 deficiency(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no 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.