15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Walnut Creek, CA
3-star overall rating with 3-star inspections with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
130 Tampico Street, Walnut Creek, CA
(925) 933-7970
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
128
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1970-07-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.64
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.64
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.51
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.01
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.35
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
45%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
7,872
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9850
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.77% · Performance 21.38% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.49% · Performance 8.11% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.63
Performance 36.59% · Measure score 6.63 · Achievement 6.63 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.79
Baseline 4.71 hours · Performance 4.44 hours · Measure score 4.79 · Achievement 4.79 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.84% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 403 · Observed rate 10.67% · Lower 95% interval 8.53% |
| Discharge to community | 61.17% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 384 · Observed rate 55.73% · Lower 95% interval 56% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.68% |
95.27%
4.4 pts better
|
Numerator 313 · Denominator 314 |
| Falls with major injury | 0.32% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 314 |
| Discharge self-care score | 70.87% |
53.69%
17.2 pts better
|
Numerator 146 · Denominator 206 |
| Discharge mobility score | 64.56% |
50.94%
13.6 pts better
|
Numerator 133 · Denominator 206 |
| Pressure ulcers or injuries, new or worsened | 0.96% |
2.29%
1.3 pts better
|
Numerator 3 · Denominator 314 · Adjusted rate 0.86% |
| Healthcare-associated infections requiring hospitalization | 8.11% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 290 · Observed rate 8.62% · Lower 95% interval 5.88% |
| Staff COVID-19 vaccination coverage | 15.82% |
8.2%
7.6 pts better
|
Numerator 25 · Denominator 158 |
| Staff flu vaccination coverage | 65.52% |
42%
23.5 pts better
|
Numerator 95 · Denominator 145 |
| Discharge function score | 75.73% |
56.45%
19.3 pts better
|
Numerator 156 · Denominator 206 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 253 · Denominator 253 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 33.94% |
25.2%
8.7 pts better
|
Numerator 56 · Denominator 165 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
1.6%
0.6 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.2% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.5% |
6.8%
1.7 pts worse
|
11.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.0% · Q3 13.0% · Q4 5.7% · 4Q avg 8.5% |
| Percentage of long-stay residents who lose too much weight | 9.1% |
4.1%
5 pts worse
|
5.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 4.9% · Q3 12.3% · Q4 11.3% · 4Q avg 9.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
13.7%
4.1 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 9.8% · Q3 10.0% · Q4 7.9% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.4% |
14.2%
0.8 pts better
|
16.7%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 15.8% · Q3 11.6% · Q4 15.4% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.8% |
11.0%
5.8 pts worse
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 23.5% · Q3 14.7% · Q4 17.0% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
10.7%
3.8 pts worse
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 19.0% · Q3 8.8% · Q4 16.9% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.0%
About the same
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.2%
0.8 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.3% · Q3 2.5% · Q4 1.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.6% |
10.9%
7.7 pts worse
|
19.8%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 19.6% · Q3 16.3% · Q4 15.2% · 4Q avg 18.6% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
4.7%
0.2 pts worse
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.6% · Q3 4.4% · Q4 4.3% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.0%
5.8 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
11.2%
1.9 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 13.0% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.7% · Q3 0.0% · Q4 1.2% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.9% |
93.2%
4.7 pts better
|
79.7%
18.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% |
23.2%
2 pts worse
|
23.9%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 26.3% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Nutrition and Dietary (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-14
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-04-18
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-01-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-04-08
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-04-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-04-08
Inspection history
Health
Provide and implement an infection prevention and control program.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-22
Health
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.
Corrected 2025-04-24
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-24
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-04-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-24
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-04-24
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-04-24
Health
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.
Corrected 2025-04-24
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-04-24
Health
Provide or obtain dental services for each resident.
Corrected 2025-04-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-09
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-09-28
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-08-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-30
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2023-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-02
Health
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.
Corrected 2023-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-01-02
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-01-02
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-01-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-02
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-01-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-03-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-09
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-03-09
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2020-03-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2020-03-09
Health
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.
Corrected 2020-03-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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