Piedmont Gardens

    110 41st St, Oakland, CA, 94611
    4.3 · 84 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    4.0

    Warm staff, excellent care, pricey

    I live at Piedmont Gardens and overall I'm very happy - the staff are warm, skilled and resident-centered, activities are abundant and engaging, the dining and rehab services are excellent, and the Piedmont Avenue location and gardens are lovely. The building is clean, bright and secure with roomy apartments and friendly, active residents. Management has been responsive and is making improvements, but there are real issues: occasional lapses in assisted-living/memory care, language/translator and visitor-parking problems, elevator delays, and it's on the pricey side with extra fees. Despite that, I recommend it for the quality of care and strong sense of community.

    Pricing

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    Amenities

    Healthcare services

    • 24-hour nursing
    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Diabetes care
    • Medication management
    • Mental wellness program
    • Physical therapy
    • Preventative health screenings
    • Rehabilitation program
    • Respite program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Internet
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Parkinson's care

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Continuing learning programs
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.33 · 84 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      3.7
    • Amenities

      3.3
    • Value

      2.5

    Pros

    • Caring, attentive and often cheerful staff
    • Active, engaged resident community with plentiful activities and clubs
    • Prime, walkable location on/near Piedmont Avenue with nearby shops and restaurants
    • Robust calendar of musical programs, lectures, outings and fitness classes
    • Skilled nursing, physical and occupational therapy and successful rehab outcomes
    • Clean, well-kept common areas and some spotless units
    • Comfortable apartments with good natural light, large windows and attractive views (including a roof terrace garden)
    • Responsive maintenance and wellness departments
    • Good security and safe building entry procedures
    • Open and communicative administration for many residents/families
    • Personalized assistance (mail reading, walking help, escorting to events)
    • Family communication and regular updates from some departments
    • High-quality dietary care in many cases (fresh vegetables/fruit, multiple choices)
    • Strong sense of community and resident-to-resident support
    • Multiple levels of care available on site (independent living, assisted living, memory care, skilled nursing)
    • Convenient services on-site (library, beauty salon, gym)
    • Renovated apartments and attractive landscaping/gardens
    • Many residents highly satisfied and would recommend the community

    Cons

    • Reports of understaffing in assisted living, memory care and nursing units
    • Inconsistent care quality with documented incidents of neglect and medical errors
    • Allegations of discriminatory behavior and racial bias by some staff
    • Poor training and language-barrier issues; initial lack of translators
    • Serious lapses reported (missed bathroom assistance, catheter left in, delays in treatment, failure to follow medical orders)
    • Instances of theft and mishandled laundry/personal items
    • Food quality described as institutional or bland by some residents
    • Perceived budget-conscious or nickel-and-dimed management practices
    • High cost and affordability concerns; some find pricing excessive
    • Visitor and guest parking severely limited or unavailable
    • Elevator delays and reliability issues in the multi-story building
    • Uneven apartment quality: some small rooms and older sections
    • Poor phone access and difficulties getting transfers or messages relayed
    • Assisted living units lacking features (e.g., no showers) in some cases
    • Variability in staff competence — some staff described as feeble or demotivated
    • Past health department complaint and ongoing quality concerns from families
    • Some units/building areas feel bland or lacking in personality
    • Inconsistent dining service adjustments and occasional shortages (e.g., soy milk, utensils not provided)

    Summary review

    Overall sentiment across reviews is mixed but leans positive for independent living and rehabilitation services, while showing significant concerns about care consistency and management in assisted living, memory care, and some nursing services. Many reviewers praise Piedmont Gardens as a vibrant, well-located senior community with an active social life, strong programming, and skilled rehabilitation services. At the same time, a recurring cluster of complaints points to staffing, training, and operational issues that have led to serious resident safety and dignity concerns for some families.

    Care quality: Reviews cluster into two distinct experiences. A substantial number of families and residents report excellent clinical care, especially in skilled nursing and rehab: responsive physical and occupational therapy, successful recoveries after hospitalization, attentive nursing staff, detailed charting, and good communication with families. Conversely, serious allegations exist about neglect and medical mismanagement in assisted living and memory care — including missed bathroom assistance, infected wounds, prolonged catheters, failure to call physicians in a timely way, and at least one report alleging a death following delayed treatment. These negative reports also include theft of personal items and poor handling of resident belongings. The pattern suggests that while the health center and rehab services are often strong, assisted living/memory care staffing, training, and oversight have been inconsistent and, in some cases, dangerous.

    Staff and culture: Staff are frequently described as caring, cheerful, respectful, and helpful; many reviews single out individuals (e.g., Georgia, Kenyada) or leadership (Daniel, Kevin) for positive actions. Multiple comments note personalized attention from staff — from reading mail to escorting residents to events — and many residents say staff availability and responsiveness are strengths. Yet other reviews report feeble, demotivated, or poorly trained staff, language barriers with non-English-speaking employees, badges worn incorrectly, and discriminatory behavior or bias by some employees. Several families described initial resistance to addressing bias or poor conduct, though others noted that executive leadership subsequently engaged, arranged translators, and promised improvements. These polarized accounts indicate variability across shifts, units, and time periods and underscore that staff quality is a primary determinant of resident experience.

    Facilities, apartments and location: Piedmont Gardens scores well for location and setting. Reviewers consistently praise its walkable location on or near Piedmont Avenue with easy access to restaurants, shops, bookstores, and cultural life. The property’s gardens, roof terrace and bright apartments with large windows earn positive comments; many residents enjoy bay and hill views. That said, some apartments are small and older sections of the complex feel dated or bland. Practical concerns include elevator wait times in the 15-story building, inconsistent outside access from some assisted living units, and lack of guest parking. Visitors should be prepared for variability in apartment layouts, finishes and building age between different wings.

    Activities and community life: This is one of Piedmont Gardens’ strongest themes. Reviews repeatedly highlight a rich schedule of activities — music programs, discussion groups, lectures, fitness classes, walking groups, theater outings, clubs, and well-run social events. Many residents describe an intellectually stimulating environment with welcoming, engaged neighbors and a strong resident fund to supplement activities. Social life and programming are consistent selling points, especially for mobile and independent residents.

    Dining and dietary services: Opinions on dining are mixed. Several reviewers praise fresh food, varied menus, and generous servings; some highlight excellent dietary care (weight maintained, individualized attention, successful meal adjustments). Others find the food institutional or bland and note occasional service lapses (missing soy milk or utensils). Dining seems broadly acceptable but inconsistent; tastes and expectations vary among residents.

    Management and operations: Reviews frequently mention budget-conscious or nickel-and-dimed management decisions and occasional operational shortfalls (poor phone access, unclear visitor policies, and issues with transfers and message relays). Several negative incidents triggered health department involvement or formal complaints. At the same time, multiple reviewers say executive leadership has been responsive and visible, with named leaders actively addressing problems, promising improvements, and engaging translators or family meetings. Reviews indicate that management responsiveness has improved in some cases but that systemic challenges (staffing levels, budget pressures) persist.

    Safety, security and ethics concerns: Many reviewers praise the building’s security and safe environment, yet there are serious ethical concerns raised by families: allegations of racial discrimination, biased parking enforcement, unhelpful supervisory responses, and individual reports of neglect leading to harm. These issues elevate the stakes beyond typical operational criticisms and suggest the need for strong oversight, transparent complaint resolution, culturally competent staff training, and clearer accountability mechanisms.

    Patterns and recommendations for prospective residents and families: The overall picture suggests Piedmont Gardens is a strong choice for independent living residents who value location, programming, community engagement, and good rehab services. Prospective residents should, however, perform targeted due diligence for assisted living or memory care: ask about staffing ratios, training programs, turnover, incident reporting and resolution, translator/language services, and recent health department findings. Tour specific units (not just model apartments), observe meals, ask about visitor parking and elevator reliability, and request references from families with relatives in the level of care you require. Families with members needing memory care or high-dependency assistance should verify how the community handles medical orders, behavioral health and psychiatric support, and what safeguards exist to prevent missed care.

    In summary, reviews portray Piedmont Gardens as a largely vibrant and well-located senior community with many concrete strengths — excellent programming, caring staff in many areas, strong rehab and clinical capabilities, and an engaged resident population — alongside troubling and well-documented shortcomings in parts of its long-term care operations. Recent leadership engagement and specific corrective actions are noted by some reviewers, but the presence of serious care and discrimination complaints means prospective residents and families should investigate current staffing, training, and oversight practices before committing, especially when higher-acuity care is anticipated.

    Location

    Map showing location of Piedmont Gardens

    About Piedmont Gardens

    Piedmont Gardens sits in a lively part of Oakland at 110 41st St, right near bookstores, cafes, shops, and a cinema on Piedmont Avenue, and the place is easy to spot because of the high-rise buildings and modern apartments with nice views of the city and hills, plus there's a courtyard and well-kept gardens where residents relax or meet friends. The community serves up to 94 residents and offers a full range of care from independent living for self-sufficient seniors, to assisted living for those needing help with daily tasks, to specialized memory care for people with Alzheimer's and dementia, and then on to skilled nursing and short-stay rehabilitation services in a dedicated health center for folks recovering after surgery or illness, all the way to respite or short-term stays when needed. Residents get around-the-clock access to a caring team and can take part in activities like weekly concerts, volunteer programs, lectures, club meetings, and fitness classes in the fully equipped fitness center, with devotional and recreational events happening both on and off site. Apartments have options for privacy with studios, alcoves, and one- or two-bedroom layouts, all designed for easy access and some with wheelchair-friendly showers and bath tubs, and residents can bring pets-cats and dogs-if they meet weight limits, with pet care support when needed. The place puts a lot of focus on connection, well-being, and security, offering amenities like beauty services, housekeeping, exercise programs, parking, transportation, and vegetarian meal options, plus there's medication management, non-ambulatory care staff, incontinence and memory support, and high-acuity care among the health services. Weekly events, common spaces both inside and outside, a beautiful garden, and a walkable area offer ways to stay active and social, and residents can get guidance about long-term care insurance and family caregiving. Piedmont Gardens runs as a nonprofit Life Plan Community, accepting Medicaid for certain programs, and received the Best Continuing Care Community award from U.S. News in 2024, with a 4.5-star rating based on 45 reviews, so people get long-term security and support as their needs change, all on a campus that feels balanced between the city bustle and quieter spots to call home.

    People often ask...

    State of California Inspection Reports

    33

    Inspections

    2

    Type A Citations

    0

    Type B Citations

    6

    Years of reports

    16 Jun 2025
    Investigated an allegation that staff were rough while helping a resident use a bedside commode and found a small skin tear on the resident's left thumb during the transfer; the resident could not recall how it happened, and staff were placed on leave during the investigation. Related documents were collected, and no deficiencies were issued.
    • § 9058
    20 May 2025
    Found the allegation that a resident was given the wrong medication; a staffing shortage led to an unfamiliar nurse assisting and administering a medication selected in the EMAR to the wrong resident. R1 was monitored; PCP and family notified; poison control contacted; no adverse reaction observed; the nurse received a reminder and in-service training occurred; no deficiencies noted.
    24 Jan 2025
    Found no deficiencies after an unannounced 1-year annual review. Observed adequate lighting, a hallway temperature of 72 degrees, hot water at 115 degrees, and proper food supplies; medications and sharps were securely stored, fire extinguishers serviced, drills up to date, the first aid kit complete, and five resident and five staff records complete, with an exit interview conducted.
    03 Apr 2024
    Investigated two allegations: neglect of a resident's basic care needs and not following discharge orders. Found no evidence to support either claim.
    03 Apr 2024
    Found no evidence to support the allegations: staff did not administer medications as prescribed; a resident’s bathroom fan was in disrepair; and staff mishandled medications.
    03 Apr 2024
    Investigated an allegation of staff misconduct from 2/14/2024 that a staff member rough-handled a resident; internal review found no intent to harm and that the handling was misinterpreted. Found the staff member was suspended on 2/14/2024 and returned on 2/19/2024; further interviews yielded no complaints, the resident could not be interviewed due to diagnosis, and there were no prior adverse actions; no deficiencies were issued.
    03 Apr 2024
    Investigated allegations of neglect in providing basic care and failure to follow physician's orders; determined both were unsupported due to lack of evidence.
    • § 9058
    22 Mar 2024
    Found no deficiencies. Observed adequate safety features, clean and well-maintained living areas, proper food storage and temperatures, trained staff, and on-site administrator oversight.
    22 Mar 2024
    Inspection found no deficiencies, with staff and residents observed to be in compliance with regulations regarding safety, cleanliness, and care provision.
    29 Sept 2023
    Identified that an Immediate Exclusion letter was delivered to the HR director, with instruction to disassociate the individual from this location. Noted that the person is not currently staff, census to be provided later, and an exit interview was conducted.
    29 Sept 2023
    Found Immediate Exclusion letter delivered during visit on 9/29/2023.
    31 Aug 2023
    Cross-reported the incident to the Home Care Services Bureau for further investigation, with the Safely You program involved and video footage reviewed but not obtainable from the site. Found that residents interviewed said they feel safe and are treated well, and that the agency caregiver was removed since the incident.
    31 Aug 2023
    Identified incident led to removal of caregiver from the facility. Residents interviewed felt safe and well-treated by staff.
    22 Feb 2023
    Identified the allegation of unlawful eviction; an amended report was delivered to the administrator; no deficiencies cited; exit interview completed.
    16 Feb 2023
    Found that the unlawful eviction allegation was unfounded; the resident was not evicted and was not readmitted until stabilized after a December 2021 hospitalization.
    22 Feb 2023
    No deficiencies were cited during the visit regarding an allegation of unlawful eviction.
    16 Feb 2023
    Investigated allegation of unlawful eviction and determined it was unfounded, as no eviction occurred and the resident was not accepted back from the hospital until stabilized.
    23 Nov 2022
    Found residents from another location living in this community; one resident reported a call button issue. Residents stated they felt safe and comfortable, supplies were adequate, and staffing was stable; no imminent health or safety concerns were identified.
    23 Nov 2022
    Visited the facility, met with residents, and observed no health or safety concerns. Residents indicated they felt comfortable and safe.
    09 Nov 2022
    Found residents were safe, well-fed, and their needs met; one resident raised a mental health concern after a fire; supplies were adequate and staffing stable; no imminent health or safety concerns were noted.
    09 Nov 2022
    Conducted unannounced case management visit to check on residents and ensure their needs were being met. Residents reported feeling safe, well-fed, and satisfied with care provided.
    02 Nov 2022
    Found 32 residents from another facility were living at this home, with one moved to a nearby facility. Six residents reported feeling safe, well-fed, and that their needs were met; adequate food, supplies, and PPE were available, staffing remained stable, and no imminent health or safety concerns were identified.
    02 Nov 2022
    Visited facility and found no health or safety concerns; residents reported feeling safe and well cared for.
    28 Oct 2022
    Found that 32 residents relocated from a prior home to a new site, including 3 admitted before the fire, and interviews with residents showed they were happy, well fed, and their needs were met. Some staff from the prior home were transferred to maintain staffing, and adequate food, supplies, and PPE were observed, with no imminent health or safety concerns.
    28 Oct 2022
    Interviews with residents indicated satisfaction at the new facility, with needs being met and happiness expressed. Staffing was found to be stable, with adequate supplies observed during the visit. No immediate health or safety concerns were identified.
    17 Oct 2022
    Identified that 20 residents evacuated due to the fire were moved to another site between 10/14/22 and 10/16/22, including 1 discharged from hospital to skilled nursing, 1 to an assisted living setting, and 18 to independent living. Also noted that 20 other residents stayed at another lodging location and 43 remained at home with family; supplies were adequate, staffing was stable, and reopening would take at least 3 months.
    17 Oct 2022
    Confirmed adequate supplies, stable staffing, and residents relocated due to evacuation.
    14 Oct 2022
    Found evacuees from another nearby community were housed in two dining halls; residents were safe and socializing, with staff assisting with clothing, medication refills, and contacting families. Most evacuees were to stay in hotels in Emeryville, with a few needing medication help possibly staying onsite; supplies were adequate, staffing remained stable, and an exit interview was conducted.
    14 Oct 2022
    Conducted unannounced visit due to evacuation; observed safe residents and adequate supplies and staffing.
    01 Mar 2022
    Identified no deficiencies during an unannounced infection control check. Entry screening, proper PPE use, hand hygiene reminders, and routine screening records for residents, staff, and visitors were in place, with adequate food and PPE supplies maintained centrally.
    01 Mar 2022
    Confirmed no deficiencies found during inspection of infection control measures and PPE supply at the facility.
    19 Dec 2019
    Reviewed death report and documentation, no citation issued, incident handled appropriately.
    14 Oct 2019
    Investigated a complaint about improper resident retention and determined the allegation was unfounded, with no evidence supporting that residents needing higher care were improperly retained.

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