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Masonic Home for Adults

Nursing Home Facility

34400 Mission Blvd, Union City, CA 94587

Assisted Living Memory Care Nursing Home Care Independent Living Continuing Care (CCRC) Respite Care Senior Living
Masonic Home for Adults

Located 40 miles east of San Francisco, the gated grounds are home to about 300 residents who live in comfortable studio or one bedroom apartments

With 242 beds, Masonic Home for Adults is one of the larger communities in the area, senior care communities in Union City average about 16 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 72% of its licensed beds.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in February 2025 and recorded 6 deficiencies.

Residents receive about 4.4 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 28%.

The community is located in Alameda County, CA.

Medicare five-star ratings

  • Overall 4/5
  • Health inspections 5/5
  • Staffing 5/5
  • Quality measures 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 17 problems at Masonic Home for Adults. None of them caused harm to a resident. 3 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

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

    Inspected June 2026, after a complaint. Corrected by July 2, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected June 2026, after a complaint. Corrected by July 2, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected February 2025. Corrected by February 28, 2025.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected February 2025. Corrected by February 28, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected February 2025. Corrected by February 28, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected February 2025. Corrected by February 28, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected February 2025. Corrected by February 28, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected February 2025. Corrected by February 28, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Masonic Home for Adults offers assisted living, memory care, nursing home care, independent living, continuing care (CCRC), respite care, and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 242
  • Religious affiliation Masonic
  • Occupancy 72%
  • Nursing hours per resident/day 4.4
  • Annual staff turnover 28%
  • Last health inspection February 2025

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