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

Danville Post-Acute Rehab

336 Diablo Road, Danville, CA · (925) 837-4566

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
54
Residents per day
43
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1989

1

How this home got 4 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

    no change

    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

    +1 star

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

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Danville Post-Acute Rehab carries 66 inspection points. That is fewer than 66% 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 · 66 pts · 3★

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

17 health citations on record since 2019. 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 9 8 pts
F 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care5E
  1. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 11, 2024 · Standard · F677 · Corrected October 31, 2024

  2. D

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

    October 11, 2024 · Standard · F684 · Corrected October 31, 2024

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 11, 2024 · Standard · F690 · Corrected October 31, 2024

  4. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    October 11, 2024 · Standard · F694 · Corrected October 31, 2024

  5. D

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

    May 20, 2024 · Complaint · F689 · Corrected May 29, 2024

Pharmacy Service4E
  1. E

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

    October 11, 2024 · Standard · F755 · Corrected October 31, 2024

  2. E

    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.

    October 11, 2024 · Standard · F758 · Corrected October 31, 2024

  3. E

    Ensure medication error rates are not 5 percent or greater.

    October 11, 2024 · Standard · F759 · Corrected October 31, 2024

  4. 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.

    October 11, 2024 · Standard · F761 · Corrected October 31, 2024

Resident Rights2D
  1. D

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

    December 30, 2024 · Complaint · F573 · Corrected January 11, 2025

  2. D

    Keep residents' personal and medical records private and confidential.

    October 11, 2024 · Standard · F583 · Corrected October 31, 2024

Resident Assessment and Care Planning2E
  1. E

    Ensure each resident receives an accurate assessment.

    October 11, 2024 · Standard · F641 · Corrected October 31, 2024

  2. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 11, 2024 · Standard · F842 · Corrected October 31, 2024

Nutrition and Dietary2E
  1. E

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

    October 11, 2024 · Standard · F812 · Corrected October 31, 2024

  2. E

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

    February 13, 2019 · Standard · F812 · Corrected March 13, 2019

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.

    June 11, 2025 · Complaint · F600 · Corrected June 27, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    October 11, 2024 · Standard · F880 · Corrected October 31, 2024

Inspection history

  1. 2024-10-11

    13 health deficiencies · 6 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  2. 2022-11-04

    2 health deficiencies · 4 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2019-02-13

    2 health deficiencies · 7 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 21 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

4 h 21 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 21% of nursing staff and 0% 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.
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 experiencing one or more falls with major injury2.3 pts worse3.9%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms3.5 pts better4.1%7.6%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts better2.7%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.6 pts worse26.3%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.6 pts better8.7%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.8 pts better5.1%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better6.9%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse1.4%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinenceAbout the same9.8%9.8%18.3%
Percentage of long-stay residents with pressure ulcers4.3 pts better0.0%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 visit2.9 pts better8.2%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better0.5%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.2 pts better94.3%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts better17.3%22.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Burnam, SoonCorporate Officer · Individual0%353 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Kyros In-Home Care & Registry IncOperational/Managerial Control · Organization0%1 facilities
Malani, NarendraManaging Control - Governing Body · Individual0%3 facilities
Malani, NarendraOperational/Managerial Control · Individual0%3 facilities
Malani, NarendraAdp Of The SNF · Individual0%3 facilities
Monette, CoryCorporate Officer · Individual0%10 facilities
Port, BarryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%203 facilities
Sato, AmiCorporate Officer · Individual0%151 facilities
Valle, LeonManaging Control - Governing Body · Individual0%1 facilities
Valle, LeonOperational/Managerial Control · Individual0%1 facilities
Valle, LeonAdp Of The SNF · Individual0%1 facilities
Willits, AdamCorporate Director · Individual0%77 facilities

·

Fire safety

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

Smoke8F
  1. F

    Properly provide smoke detection systems in areas open to corridors.

    October 11, 2024 · K347 · Corrected November 13, 2024

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    October 11, 2024 · K353 · Corrected November 13, 2024

  3. D

    Provide properly protected cooking facilities.

    October 11, 2024 · K324 · Corrected November 13, 2024

  4. D

    Install corridor and hallway doors that block smoke.

    November 4, 2022 · K363 · Corrected November 28, 2022

  5. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 13, 2019 · K345 · Corrected May 20, 2019

  6. D

    Provide properly protected cooking facilities.

    February 13, 2019 · K324 · Corrected May 20, 2019

  7. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 13, 2019 · K355 · Corrected May 20, 2019

  8. D

    Install corridor and hallway doors that block smoke.

    February 13, 2019 · K363 · Corrected May 20, 2019

Emergency Preparedness4E
  1. E

    Provide primary/alternate means for communication.

    October 11, 2024 · E32 · Corrected November 13, 2024

  2. C

    List the names and contact information of those in the facility.

    October 11, 2024 · E30 · Corrected November 13, 2024

  3. D

    Establish procedures for tracking staff and patients during an emergency.

    November 4, 2022 · E18 · Corrected November 28, 2022

  4. D

    Establish roles under a Waiver declared by secretary.

    February 13, 2019 · E26 · Corrected May 20, 2019

Gas, Vacuum, and Electrical Systems2D
  1. D

    Meet requirements for the use of electrical equipment.

    October 11, 2024 · K919 · Corrected November 13, 2024

  2. D

    Ensure proper usage of power strips and extension cords.

    November 4, 2022 · K920 · Corrected November 28, 2022

Miscellaneous2D
  1. D

    Have simulated fire drills held at unexpected times.

    February 13, 2019 · K712 · Corrected May 20, 2019

  2. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    February 13, 2019 · K761 · Corrected May 20, 2019

Construction1D
  1. D

    Use approved construction type or materials.

    November 4, 2022 · K161 · Corrected November 28, 2022

·

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