Home / California / Concord
1800 Adobe Street, Concord, CA 94520 · Contra Costa County · (925) 825-1300
99 certified beds, about 83 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 056260 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 8, 2026, inspectors cited 11 health deficiencies (the California average is 15.6, the national average 9.2).
Of 24 health citations since November 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.79 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
35.1% of nursing staff left within the year CMS measured (California average 36.7%).
CMS links it to Generations Healthcare, an affiliated group of 27 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 24 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure six of 15 sampled residents (Resident 2, Resident 3, Resident 4, Resident 6, Resident 7 and Resident 8) were free from physical abuse when: 1. Resident 1 pushed and punched Resident 2;2. Resident 3 spat on Resident 4, after Resident 4 called Resident 3 a racial slur;3. Resident 5 punched Resident 6 four times;4. Resident 7 and Resident 8 hit each other. This failure had the potential to result in physical, mental and emotional harm for Resident 2, Resident 3, Resident 4, Resident 6, Resident 7 and Resident 8. 1. [...]
Inspectors wroteBased on observation, interview and record review, for one of two sampled residents (Resident 6) who were reviewed for accidents, the facility failed to ensure two staff were present and bed rails were provided during incontinent care (providing support for individuals who cannot control their bladder or bowels) when Certified Nursing Assistant (CNA) 2 let go of Resident 6, with no bed rail to hold onto. Resident 6 fell out of bed and sustained fracture of the surgical neck of the left humerus with fracture line extension to the greater tuberosity (left shoulder fracture). [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accurate coding of the Minimum Data Set (MDS, a resident assessment tool to drive resident care plan) for four of seven sampled residents (Resident 42, 49, 52, and 64) when residents' tobacco use was incorrectly coded as No on the MDS despite evidence of tobacco use. This failure resulted in an inaccurate reflection of the residents' smoking status and had the potential to affect the development and implantation of resident-centered care plans. During a review of the admission Records (ARs) for Resident 42, 49, 52, and 64, printed on 1/7/25, the records indicated that these residents were admitted to the facility on [DATE], 12/3/25, 5/16/24, and 11/7/24, respectively. [...]
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to provide an accurate and complete diet manual reference for all diets provided in the facility. This failure had the potential to result in residents receiving diets that do not match physicians' orders.
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to provide mechanically altered foods according to the menu for SB6 diets (a therapeutic, texture-modified eating plan for individuals with swallowing difficulties, weak chewing muscles, or high choking risks). This failure had the potential to result in decreased satisfaction with food and/or decreased nutrient intake for one out of six (Resident 26) residents receiving SB6 diets.
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to prepare foods in a form designed to meet individual needs, as hard candy was found on resident's meal tray with a physician's order for SB6 diet (a therapeutic, texture-modified eating plan for individuals with swallowing difficulties, weak chewing muscles, or high choking risks). These failures had the potential to result in difficulty swallowing, chewing, and a decrease in food and nutrient intake in one out of six (Resident 26) residents receiving SB6 diets.
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to ensure food was stored and prepared in a safe and sanitary environment when:1. Gloves were not used appropriately;2. Food preparation equipment and utensils were not clean or in good working condition;3. Ice machine bin was dirty and not cleaned per manufacturer instructions;These failures had the potential to result in contamination of food, food preparation equipment, and utensils used for food and/or leading to food borne illness for 78 residents who received food from the kitchen with a total census of 78.1. During an observation on 1/06/2026 at 12 p.m. in the kitchen during meal tray line, Dietary Aide (DA) used his gloved hands to touch a container of oil, handles on refrigerator, dial on stove and then touched ready to eat hamburger buns and cheese. [...]
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to ensure:Residents had a location to safely store perishable foods. Residents' food was separated from facility food. This failure had the potential to cause foodborne illnesses from unsafe food storage, decreased food intake and did not provide a homelike environment for 78 residents who consumed food out of a total census of 78.
Inspectors wroteBased on observation, interview , and record review the facility failed to ensure safe infection prevention practices with census of 82 when: 1. Shared glucometer (device measuring blood sugar) was not cleaned and sanitized in-between resident care. 2. Licensed Nurse did not put on gloves before assessing Resident 14's swelling and redness to the Right eye. These unsafe practices could result in spread of infection among vulnerable elderly residents in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe pharmaceutical services with census of 82 residents when:Non-narcotic prescription drugs destruction was not witnessed by two licensed staff from April 2025 to August 2025. Hazardous drugs (or HD, medication that can cause harm posing risks to healthcare workers and patients through exposure during handling) were not stored and handled safely in the medication carts and during medication administration. These failed practices had the potential to result in drug diversion (unauthorized drug use) and unsafe drug handling for both staff and residents. Findings1. During an interview and record review, with Licensed Nurse (LVN 9), on 1/5/26 at 10:29 a.m., in Med Room on Station 2, LVN 9 stated non-narcotic prescription medications were disposed every 2 weeks and logged in the non-narcotic drug logbook. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure medication use parameters ordered by the doctor were followed in 3 out of 30 sampled residents (Resident 4, Resident 6, and Resident 9) when:Resident 4's blood sugar parameters for insulin (drug in shot form to treat blood sugar disease) were not followed as ordered by medical doctor. Resident 6's opioid medication use did not follow the pain level ordered by the medical doctor. Resident 9's blood pressure drug parameter was not followed. These failed practices could contribute to unsafe medication use and residents not benefiting from prescribed medication and/or experience side effects.1. During a record review of the Resident 4's Order Summary Report, dated 1/8/26, the record indicated the following orders: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe storage of medications and supplies with expired, unlabeled and comingled drugs in the medication's rooms and medication carts with resident census of 82. These unsafe practices had the potential for residents to receive medications with reduced potency and may contribute to medication errors. During an observation and concurrent interview, on 1/5/26 at 10:35 a.m., with License Vocational Nurse (LVN 9), in medication room on Station 2 , the following were observed:i. Comingled medications with different routes of administration were stored on the same shelf with no dividers. Medication included liquid prescription drugs, non-prescription pills were stored side by side with topical product such as topical head lice drug along with enema and rectal suppositories.ii. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) reviewed for allegations of abuse was free from physical abuse when Certified Nursing Assistant (CNA) 1 forcefully turned Resident 1 while on the shower chair, forcefully removed Resident 1's clothing, hitting Resident 1's hand, and pulling Resident 1's hair. This failure resulted in Resident 1 to experience physical abuse and pain.
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to ensure food was stored and prepared in a safe and sanitary environment when: 1. Kitchen Floors were not clean and maintained in good condition; 2. Chicken was not thawed safely; 3. The ice machine was not clean and was not cleaned according to manufacturer's instructions; 4. A can opener was not clean; and 5. Cutting boards were not clean and were in poor condition These failures had the potential to result in contamination of food, food preparation equipment, and utensils used for food, leading to food borne illness and/or food related illness for 80 residents who received food from the kitchen out of a census of 80. 1. An observation in the kitchen on 6/24/24 at 10:09 a.m., showed the floor between the reach in refrigerator and the warewashing sink with broken and missing tiles. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure: 1. Family members could bring in food for residents. 2. Residents had a location to safely store perishable food. 3. A policy described the safe storage of food brought in by family members. This failure had the potential to result in foodborne illness from unsafe food storage, decreased food intake, and did not create a homelike environment for 80 residents who took food by mouth out of a census of 80.
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to provide pureed vegetables according to the menu for residents receiving pureed diets. This failure had the potential to result in decreased satisfaction with food and/or decreased nutrient intake for four out of five (Residents 29, 54, 3, 30) residents who received pureed diets.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper labeling of biologicals (made from a variety of natural sources human, animal, or microorganisms and are used to treat, prevent, or diagnose diseases and medical conditions) when one opened multi-dose vial of Tuberculin Purified Protein Derivative (PPD- indicated to aid diagnosis of tuberculosis infection (TB) in persons at increased risk of developing active disease.) was unlabeled and undated with an open date. This failure had the potential for residents to receive a false test result due to Tuberculin PPD with reduced potency from being used past their discard date.
Inspectors wroteBased on observation, interview and facility document review, the facility failed to provide the texture of food prescribed for one resident (Resident 62). This failure had the potential to cause one Resident 62 to choke on the food provided out of 80 residents who received food from the kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all equipment was maintained in good working order when one of three freezers did not maintain food frozen solid. This failure to improperly store food had the potential to result in decreased quality of food as well as foodborne illness to residents receiving food from the kitchen.
Inspectors wroteBased on observation, interview, record review, the facility failed to ensure the medication rate was less than 5% for two of 19 sampled residents (Resident 23 and Resident 317). 1. For Resident 317, Licensed Vocational Nurse 5 (LVN 5) administered inhaler medications, Incruse Ellipta and Symbicort, for chronic obstructive pulmonary (lung) disease (COPD) and DuoNeb (treats COPD or wheezing and shortness of breath caused by asthma (airways become inflamed and narrow). Resident 317 was not instructed to rinse and spit after receiving Incruse Ellipta and Symbicort which were not administered in the correct sequence. 2. LVN 4 administered Tetrahydrozoline HCI (hydrochloride) (decongestant eye drop for eye irritation and redness). However, the physician ordered Pataday Solution eye drops (antihistamine for itchy, red eyes due to allergies) for Resident 23. [...]
Inspectors wroteBased on interview and record review, the facility failed to accurately code the discharge disposition of one of 19 sampled residents (Resident 68) on the discharge MDS (Minimum Data Set- an assessment used to guide care) assessment. This failure resulted in an inaccurate reflection of Resident 68's discharge disposition on the MDS assessment. Findings During an interview and record review on 11/19/21, at 9:34 a.m., with MDS Coordinator (MDSC), MDSC stated Resident 68's Discharge summary dated [DATE] was reviewed. MDSC stated Resident 68 was discharged home on 8/18/21. During an interview following the record review of the Discharge Summary on 11/19/21, 9:35 a.m., MDSC stated Resident 68's MDS discharge assessment wasin error and indicated Resident 68 was discharged to the Acute Care Hospital (possible return to the facility after a therapeutic leave to the hospital). [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the hospice interdisciplinary team participated in the initial care plan for one (Resident 14) of nineteen sampled residents to address Resident 14's hospice care needs. This deficient practice had the potential to result in not receiving a person-centered hospice plan of care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow-up for one (Resident 62) of 19 sampled residents prescribed eyeglasses order for three months. This deficient practice resulted in Resident 62 having difficulty reading, prevented her from fully enjoying her pastime activities and seeing her surroundings clearly.
Inspectors wroteBased on interview and record review, for one of five sampled residents (Resident 24) reviewed for unnecessary medications use, the facility failed to act upon the Consultant Pharmacist's (CP) report of a medication irregularity when an approved change in medication directions was not implemented. This failure did not ensure safe medication administration and had the potential for adverse side-effects.
13 fire safety citations on file: 5 on January 8, 2026, 5 on June 28, 2024, 3 on November 19, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.79 | 4.52 | 3.86 |
| Registered nurses | 0.46 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.27 | 4.09 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 1.32 | ||
| Nursing staff turnover (share who left in a year) | 35.1% | 36.7% | 45.8% |
| Registered nurse turnover | 27.3% | 38.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.06 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.00 on weekdays and 3.27 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.19 in April to June 2025 to 3.79 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.79 | 0.46 | 4.00 | 3.27 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 4.31 | 0.44 | 4.54 | 3.71 | 0.0% | 0 of 92 | 81 |
| Jul to Sep 2025 | 4.22 | 0.43 | 4.45 | 3.63 | 0.0% | 0 of 92 | 83 |
| Apr to Jun 2025 | 4.19 | 0.38 | 4.39 | 3.68 | 0.0% | 0 of 91 | 85 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| California, all employers | |||
| CNAs (nursing assistants) | $22.90 | $22.04 to $26.35 | 110,060 |
| LPNs and LVNs | $38.34 | $35.98 to $45.06 | 82,850 |
| Registered nurses | $67.44 | $58.87 to $83.25 | 338,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.7 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.2 | 9.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 12.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.4 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Bayberry Skilled Nursing & Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (61.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
61.1% this home
No different from the national rate
US median of homes 51.5% · California: 301 better, 190 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 58 eligible stays.
9.2% this home
No different from the national rate
US median of homes 10.7% · California: 10 better, 22 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 76 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · California: 8 better, 48 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 33 eligible stays.
50.0% this home
Median of homes: California59.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 28 residents counted.
0.0% this home
Median of homes: California0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 31 residents counted.
0.0% this home
Median of homes: California0.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 31 residents counted.
85.0% this home
Median of homes: California96.2% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 20 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GHC OF CONTRA COSTA LLC. CMS links this home to Generations Healthcare, a group of 27 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Life Generations Healthcare, LLC | Direct ownership interest | Organization | 07/21/2017 | |
| Mastrocola, Lois | Indirect ownership interest | Individual | 07/21/2017 | |
| Olds, Thomas | Indirect ownership interest | Individual | 07/21/2017 | |
| Smith, Fred | Indirect ownership interest | Individual | 07/21/2017 | |
| Bmo Bank, N.a. | 5% or greater security interest | Organization | 10/06/2021 | |
| Bmo Bank, N.a. | Operational/managerial control | Organization | 10/06/2021 | |
| Life Generations Healthcare, LLC | Operational/managerial control | Organization | 07/21/2017 | |
| Theragen, LLC | Operational/managerial control | Organization | 07/21/2017 | |
| Barrerro, Augusto | Operational/managerial control | Individual | 09/06/2016 | |
| Bhambra, Preet | Operational/managerial control | Individual | 02/01/2025 | |
| Dhaddey, Prabjot | Operational/managerial control | Individual | 06/27/2022 | |
| Endriga, Chona | Operational/managerial control | Individual | 11/30/2020 | |
| Fetalino, Leigh Ann | Operational/managerial control | Individual | 08/28/2019 | |
| Harrison, Dennis | Operational/managerial control | Individual | 08/13/2018 | |
| Jones, Brandin | Operational/managerial control | Individual | 07/05/2023 | |
| Mastrocola, Lois | Operational/managerial control | Individual | 07/21/2017 | |
| Mendoza, Christine | Operational/managerial control | Individual | 05/10/2021 | |
| Olds, Thomas | Operational/managerial control | Individual | 07/21/2017 | |
| Solorio, Cynthia | Operational/managerial control | Individual | 10/12/2022 | |
| Olds, Thomas | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 11/14/2025 | |
| Bmo Bank, N.a. | Adp of the SNF | Organization | 09/22/2025 | |
| Contra Costa Re, LLC | Adp of the SNF | Organization | 09/01/2017 | |
| Life Generations Healthcare, LLC | Adp of the SNF | Organization | 07/21/2017 | |
| Theragen, LLC | Adp of the SNF | Organization | 07/15/2025 | |
| Barrerro, Augusto | Adp of the SNF | Individual | 09/06/2016 | |
| Bhambra, Preet | Adp of the SNF | Individual | 02/01/2025 | |
| Dhaddey, Prabjot | Adp of the SNF | Individual | 06/27/2022 | |
| Endriga, Chona | Adp of the SNF | Individual | 11/30/2020 | |
| Fetalino, Leigh Ann | Adp of the SNF | Individual | 08/28/2019 | |
| Harrison, Dennis | Adp of the SNF | Individual | 08/13/2018 | |
| Jones, Brandin | Adp of the SNF | Individual | 07/05/2023 | |
| Mastrocola, Lois | Adp of the SNF | Individual | 07/21/2017 | |
| Mendoza, Christine | Adp of the SNF | Individual | 05/10/2021 | |
| Olds, Thomas | Adp of the SNF | Individual | 07/21/2017 | |
| Smith, Fred | Adp of the SNF | Individual | 07/21/2017 | |
| Solorio, Cynthia | Adp of the SNF | Individual | 10/12/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its California inspection record.
These are the official offices in California. NursingHomeClear cannot take or act on complaints.