Federal inspection record · CMS data as of October 1, 2026

Creekside Healthcare Center

1900 Church Lane, San Pablo, CA · (510) 235-5514

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
80
Residents per day
68
Ownership
For-Profit
Chain
Mariner Health Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 11, 1970

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among California homes

Creekside Healthcare Center carries 52 inspection points. That is fewer than 77% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 52 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

23 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 9 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

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

    August 5, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected August 25, 2026

Everything else, by area of care

Pharmacy Service6E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 8, 2025 · Standard · F755 · Corrected September 7, 2025

  2. E

    Ensure medication error rates are not 5 percent or greater.

    May 24, 2024 · Standard · F759 · Corrected June 19, 2024

  3. E

    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.

    May 24, 2024 · Standard · F761 · Corrected June 19, 2024

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 24, 2024 · Standard · F755 · Corrected June 19, 2024

  5. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    May 24, 2024 · Standard · F758 · Corrected June 19, 2024

  6. E

    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.

    May 5, 2022 · Standard · F761 · Corrected June 4, 2022

Resident Assessment and Care Planning3E
  1. E

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 8, 2025 · Standard · F644 · Corrected September 7, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 11, 2024 · Complaint · F657 · Corrected May 2, 2024

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 5, 2022 · Standard · F657 · Corrected June 4, 2022

Nutrition and Dietary3E
  1. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    May 5, 2022 · Standard · F803 · Corrected June 4, 2022

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 5, 2022 · Standard · F804 · Corrected June 4, 2022

  3. E

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

    May 5, 2022 · Standard · F812 · Corrected June 4, 2022

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 5, 2026 · Complaint · F580 · Corrected August 25, 2026

  2. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    February 23, 2026 · Complaint · F573 · Corrected March 18, 2026

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    August 8, 2025 · Standard · F880 · Corrected September 7, 2025

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    May 5, 2022 · Standard · F883 · Corrected June 4, 2022

Administration2E
  1. E

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    May 24, 2024 · Standard · F847 · Corrected June 19, 2024

  2. D

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    May 24, 2024 · Standard · F836 · Corrected June 19, 2024

Quality of Life and Care2D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 24, 2024 · Standard · F684 · Corrected June 19, 2024

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 24, 2024 · Standard · F689 · Corrected June 19, 2024

Environmental1F
  1. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    May 24, 2024 · Standard · F925 · Corrected June 19, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    May 5, 2022 · Standard · F600 · Corrected June 4, 2022

Inspection history

  1. 2025-08-08

    6 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  2. 2024-05-24

    9 health deficiencies · 10 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2022-05-05

    8 health deficiencies · 9 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 32 min of nursing staff time a day, 2 h 10 min of it from a registered nurse.

This home

5 h 32 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 38% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse2.52.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse2.61.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better98.5%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse1.8%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms4 pts better3.6%7.6%13.5%
Percentage of long-stay residents who lose too much weight2.2 pts worse6.3%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts better6.1%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.3 pts better12.0%12.3%15.4%
Percentage of long-stay residents who were physically restrained1.1 pts worse1.4%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.3 pts better7.6%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse11.3%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts better0.9%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts better4.8%9.8%18.3%
Percentage of long-stay residents with pressure ulcers11.1 pts worse15.4%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better100.0%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts better8.3%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same1.3%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.7 pts better97.8%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse26.0%22.6%23.4%

·

Who owns and runs it

21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Gc Holding Company 2 LLC5% Or Greater Direct Ownership Interest · Organization99%8 facilities
Beduya, RowenaCorporate Director · Individual0%16 facilities
Beduya, RowenaAdp Of The SNF · Individual0%16 facilities
Creekside Holding Company Gp LLCGeneral Partnership Interest · Organization0%1 facilities
Dhugga, GurpreetOperational/Managerial Control · Individual0%32 facilities
Dhugga, GurpreetAdp Of The SNF · Individual0%32 facilities
Gc Holding Company 2 LLCLimited Partnership Interest · Organization0%8 facilities
Grancare LLC5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
Grunstein, Emily5% Or Greater Indirect Ownership Interest · Individual0%17 facilities
Kaur, NavjotOperational/Managerial Control · Individual0%1 facilities
Kaur, NavjotAdp Of The SNF · Individual0%1 facilities
Mariner Health Care, Inc.5% Or Greater Indirect Ownership Interest · Organization0%16 facilities
Mhc Holding Company5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
Mhc West Holding Company5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
National Senior Care, Inc.5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
Rotich, JanetCorporate Officer · Individual0%1 facilities
Rotich, JanetOperational/Managerial Control · Individual0%1 facilities
Rotich, JanetAdp Of The SNF · Individual0%1 facilities
Sarcauga, DennisCorporate Officer · Individual0%16 facilities
Sarcauga, DennisOperational/Managerial Control · Individual0%16 facilities
Sarcauga, DennisAdp Of The SNF · Individual0%16 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. F

    Have an alternate power supply for its alarm system.

    July 21, 2025 · K344 · Corrected July 29, 2025

  2. E

    Properly provide smoke detection systems in areas open to corridors.

    May 24, 2024 · K347 · Corrected June 17, 2024

  3. D

    Have an alternate power supply for its alarm system.

    May 24, 2024 · K344 · Corrected June 17, 2024

  4. D

    Install corridor and hallway doors that block smoke.

    May 24, 2024 · K363 · Corrected June 17, 2024

  5. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    May 24, 2024 · K372 · Corrected June 17, 2024

  6. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 5, 2022 · K321 · Corrected May 23, 2022

  7. D

    Provide properly protected cooking facilities.

    May 5, 2022 · K324 · Corrected May 23, 2022

  8. D

    Inspect, test, and maintain automatic sprinkler systems.

    May 5, 2022 · K353 · Corrected May 23, 2022

Gas, Vacuum, and Electrical Systems6F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 19, 2026 · K918 · Corrected March 4, 2026

  2. D

    Ensure proper usage of power strips and extension cords.

    August 8, 2025 · K920 · Corrected August 14, 2025

  3. E

    Have generator or other power source capable of supplying service within 10 seconds.

    May 24, 2024 · K918 · Corrected June 17, 2024

  4. E

    Ensure that testing and maintenance of electrical equipment is performed.

    May 24, 2024 · K921 · Corrected June 17, 2024

  5. D

    Have proper medical gas storage and administration areas.

    May 24, 2024 · K923 · Corrected June 17, 2024

  6. D

    Meet requirements for the use of electrical equipment.

    May 5, 2022 · K919 · Corrected May 23, 2022

Miscellaneous2E
  1. E

    Provide a written emergency evacuation plan.

    May 24, 2024 · K711 · Corrected June 17, 2024

  2. D

    Have simulated fire drills held at unexpected times.

    May 5, 2022 · K712 · Corrected May 23, 2022

Egress2D
  1. D

    Install emergency lighting that can last at least 1 1/2 hours.

    May 5, 2022 · K291 · Corrected May 23, 2022

  2. D

    Have properly located and lighted "Exit" signs.

    May 5, 2022 · K293 · Corrected May 23, 2022

Services1D
  1. D

    Meet other general requirements that are deficient.

    May 24, 2024 · K500 · Corrected June 17, 2024

Emergency Preparedness1D
  1. D

    Provide primary/alternate means for communication.

    May 5, 2022 · E32 · Corrected May 23, 2022

Construction1D
  1. D

    Use approved construction type or materials.

    May 5, 2022 · K161 · Corrected May 23, 2022

·

Other homes nearby

  1. Vale Healthcare Center

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    4 h 9 min
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  2. San Pablo Healthcare & Wellness Center

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    Worst citation, 3 yrs
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    Nursing / resident / day
    4 h 4 min
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  3. Worst citation, 3 yrs
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