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

Pleasant Hill Post Acute

1625 Oak Park Boulevard, Pleasant Hill, CA · (925) 935-5222

CMS overall rating

4 of 5

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Certified beds
51
Residents per day
47
Ownership
For-Profit
Chain
Pacs Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1971

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

Pleasant Hill Post Acute carries 87 inspection points. That is fewer than 49% 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 · 87 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

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 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 11 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 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

Pharmacy Service5F
  1. F

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

    July 6, 2026 · Complaint · F755 · Corrected August 10, 2026

  2. E

    Ensure medication error rates are not 5 percent or greater.

    August 15, 2025 · Standard · F759 · Corrected September 23, 2025

  3. E

    Ensure that residents are free from significant medication errors.

    August 15, 2025 · Standard · F760 · Corrected September 23, 2025

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    August 15, 2025 · Complaint · F757 · Corrected September 23, 2025

  5. D

    Ensure medication error rates are not 5 percent or greater.

    May 16, 2024 · Standard · F759 · Corrected June 12, 2024

Resident Assessment and Care Planning5E
  1. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 15, 2025 · Standard · F658 · Corrected September 23, 2025

  2. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    August 15, 2025 · Standard · F636 · Corrected September 23, 2025

  3. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    August 15, 2025 · Standard · F638 · Corrected September 23, 2025

  4. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    May 16, 2024 · Standard · F636 · Corrected June 12, 2024

  5. E

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    May 16, 2024 · Standard · F640 · Corrected June 12, 2024

Nutrition and Dietary4E
  1. E

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

    August 15, 2025 · Standard · F812 · Corrected September 23, 2025

  2. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    August 15, 2025 · Standard · F813 · Corrected September 23, 2025

  3. E

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

    May 16, 2024 · Standard · F812 · Corrected June 12, 2024

  4. E

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

    June 16, 2022 · Standard · F812 · Corrected June 16, 2022

Environmental3D
  1. D

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

    August 15, 2025 · Standard · F919 · Corrected September 23, 2025

  2. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    August 15, 2025 · Standard · F912 · Corrected September 23, 2025

  3. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    May 16, 2024 · Standard · F912 · Corrected June 12, 2024

Resident Rights2E
  1. E

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    August 15, 2025 · Standard · F578 · Corrected September 23, 2025

  2. D

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

    August 15, 2025 · Complaint · F573 · Corrected September 23, 2025

Administration1F
  1. F

    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.

    July 6, 2026 · Complaint · F836 · Corrected August 10, 2026

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    August 15, 2025 · Standard · F880 · Corrected September 23, 2025

Quality of Life and Care1D
  1. D

    Provide activities to meet all resident's needs.

    August 15, 2025 · Standard · F679 · Corrected September 23, 2025

Nursing and Physician Services1D
  1. D

    Observe each nurse aide's job performance and give regular training.

    June 16, 2022 · Standard · F730 · Corrected June 16, 2022

Inspection history

  1. 2025-08-15

    14 health deficiencies · 4 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

  2. 2024-05-16

    7 health deficiencies · 16 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2022-06-16

    2 health deficiencies · 8 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 13 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

4 h 13 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 36% of nursing staff and 20% 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 injury6.2 pts worse7.8%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms7.6 pts better0.0%7.6%13.5%
Percentage of long-stay residents who lose too much weight4.1 pts better0.0%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.3 pts worse22.0%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.3 pts better2.0%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 need for help with daily activities has increased8.4 pts better1.8%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 infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts better6.1%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 visitAbout the same11.1%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts worse3.0%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.1 pts better97.2%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better18.9%22.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Providence Group North LLC5% Or Greater Direct Ownership Interest · Organization100%12 facilities
Apt, FrederickCorporate Officer · Individual0%258 facilities
Bills, CraigW-2 Managing Employee · Individual0%2 facilities
Jergensen, JoshuaCorporate Officer · Individual0%262 facilities
Mitchell, JohnCorporate Officer · Individual0%276 facilities

·

Fire safety

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

Smoke11F
  1. F

    Install an approved automatic sprinkler system.

    May 16, 2024 · K351 · Corrected June 24, 2024

  2. E

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

    May 16, 2024 · K345 · Corrected June 24, 2024

  3. E

    Properly provide smoke detection systems in areas open to corridors.

    May 16, 2024 · K347 · Corrected June 24, 2024

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 16, 2024 · K353 · Corrected June 24, 2024

  5. D

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

    May 16, 2024 · K321 · Corrected June 24, 2024

  6. D

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

    May 16, 2024 · K355 · Corrected June 24, 2024

  7. D

    Install corridor and hallway doors that block smoke.

    May 16, 2024 · K363 · Corrected June 24, 2024

  8. D

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

    June 16, 2022 · K321 · Corrected July 28, 2022

  9. D

    Install an approved automatic sprinkler system.

    June 16, 2022 · K351 · Corrected July 28, 2022

  10. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 16, 2022 · K353 · Corrected July 28, 2022

  11. D

    Install corridor and hallway doors that block smoke.

    June 16, 2022 · K363 · Corrected July 28, 2022

Emergency Preparedness6F
  1. F

    Conduct testing and exercise requirements.

    August 15, 2025 · E39 · Corrected September 4, 2025

  2. F

    Conduct testing and exercise requirements.

    May 16, 2024 · E39 · Corrected June 24, 2024

  3. D

    Establish staff and initial training requirements.

    June 16, 2022 · E37 · Corrected July 28, 2022

  4. D

    Conduct testing and exercise requirements.

    June 16, 2022 · E39 · Corrected July 28, 2022

  5. D

    Develop and maintain an Emergency Preparedness Program (EP).

    June 16, 2022 · E4 · Corrected July 28, 2022

  6. D

    Address patient/client population and determine types of services needed.

    June 16, 2022 · E7 · Corrected July 28, 2022

Gas, Vacuum, and Electrical Systems4F
  1. C

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

    August 15, 2025 · K918 · Corrected August 19, 2025

  2. F

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

    May 16, 2024 · K918 · Corrected June 24, 2024

  3. E

    Ensure that testing and maintenance of electrical equipment is performed.

    May 16, 2024 · K921 · Corrected June 24, 2024

  4. E

    Have proper medical gas storage and administration areas.

    May 16, 2024 · K923 · Corrected June 24, 2024

Construction2D
  1. D

    Use approved construction type or materials.

    August 15, 2025 · K161 · Corrected September 4, 2025

  2. D

    Use approved construction type or materials.

    May 16, 2024 · K161 · Corrected June 24, 2024

Miscellaneous2E
  1. C

    Have simulated fire drills held at unexpected times.

    August 15, 2025 · K712 · Corrected August 19, 2025

  2. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    May 16, 2024 · K741 · Corrected June 24, 2024

Egress2E
  1. E

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

    May 16, 2024 · K291 · Corrected June 24, 2024

  2. E

    Have properly located and lighted "Exit" signs.

    May 16, 2024 · K293 · Corrected June 24, 2024

Services1E
  1. E

    Meet other general requirements that are deficient.

    May 16, 2024 · K500 · Corrected June 24, 2024

·

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