20 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Concord, CA
3-star overall rating with 2-star inspections with $45,702 in total fines with 20 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
3318 Willow Pass Road, Concord, CA
(925) 689-9222
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
81
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pratap Poddatoori
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.52
Registered nurse staffing
LPN hours / resident day
0.81
Licensed practical nurse staffing
Aide hours / resident day
2.60
Nurse aide staffing
Weekend hours
3.75
Weekend nurse staffing
RN turnover
50%
Annual RN turnover
Total nurse turnover
59%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
98.2%
0.4 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
1.6%
1.2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
6.8%
6.3 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 1.8% |
4.1%
2.3 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.7% |
13.7%
5 pts better
|
19.6%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.2% |
14.2%
8 pts better
|
16.7%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.9% |
11.0%
2.1 pts better
|
16.3%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.4% |
10.7%
5.3 pts better
|
14.9%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
1.0%
1.2 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.7% |
10.9%
8.8 pts worse
|
19.8%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.7%
0.9 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
94.0%
3.5 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
93.2%
3.8 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (5 deficiencies)
26 fire-safety deficiencies
Top issue: Emergency Preparedness (12 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2022-10-31
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-10-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-10-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-31
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-10-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-31
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-10-31
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-10-31
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-31
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-10-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-31
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-10-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-03-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-23
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2020-03-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-03-23
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-03-23
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-03-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-23
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2020-03-23
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-03-23
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2020-03-23
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2020-03-23
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2020-03-23
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-03-23
Fire Safety
List the names and contact information of those in the facility.
Corrected 2020-03-23
Fire Safety
Provide emergency officials' contact information.
Corrected 2020-03-23
Fire Safety
Provide primary/alternate means for communication.
Corrected 2020-03-23
Fire Safety
Provide family notifications of emergency plan.
Corrected 2020-03-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-03-23
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-03-23
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2020-03-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-03-23
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 2020-03-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-03-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-04-04
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-04-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-04-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-04-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-04
Inspection history
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 2025-12-29
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 2024-08-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-30
Health
Provide a bathroom in or located near each resident’s room.
Corrected 2024-04-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-30
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-28
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-07-14
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-01
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 2022-12-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-12-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-12-01
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 2022-12-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-12-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-12-01
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 2022-12-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-12-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-01
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-12-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-12-01
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-12-01
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-12-01
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-03-27
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2020-03-27
Health
Keep residents' personal and medical records private and confidential.
Corrected 2020-03-27
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 2020-03-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-03-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-03-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-03-27
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2020-03-27
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2020-03-27
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2019-02-09
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2019-02-09
Health
Assess the resident when there is a significant change in condition
Corrected 2019-02-09
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-02-09
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2019-02-09
Penalties and ownership
Fine · fine $45,702
Fine
Payment Denial · denial start 2024-05-03 · 27 days
27 day denial
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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Concord, CA
5-star overall rating with 4-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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Concord, CA
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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