Diablo Valley Post Acute
3806 Clayton Road · Concord, CA · 94521 · 9256892266
190 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.84 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 1 · $46,800 |
Inspection citations (36 in the current record)
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Potential for harm · E April 22, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 20, 2026 · Resident Rights
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Potential for harm · E April 22, 2026 · found via complaint
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 May 20, 2026 · Resident Rights
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Potential for harm · E April 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 22, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 20, 2026 · Infection Control
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Actual harm · G March 17, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 17, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · E December 23, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D December 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 19, 2025 · Pharmacy Service
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Potential for harm · D December 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 19, 2025 · Infection Control
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Potential for harm · D April 18, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D April 18, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 14, 2025 · Infection Control
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Potential for harm · D August 9, 2024 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected September 9, 2024 · Resident Rights
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Potential for harm · D February 6, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 6, 2024 · Quality of Life and Care
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Potential for harm · D September 14, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 14, 2023 · Resident Rights
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Potential for harm · D September 14, 2023
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 October 14, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected October 14, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023
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.
Corrected October 14, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 3, 2025 | Fine | $46,800 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055150 · certified since November 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.