Stonebrook Post Acute
4367 Concord Boulevard · Concord, CA · 94521 · 9256897457
120 certified beds For profit - Corporation
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | 1 · $12,735 |
Inspection citations (27 in the current record)
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Actual harm · G March 23, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 13, 2026 · Quality of Life and Care
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Potential for harm · D December 29, 2025 · found via complaint
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.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D December 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 22, 2025 · 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 January 30, 2026 · Resident Rights
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Potential for harm · D March 6, 2025
Ensure each resident receives an accurate assessment.
Corrected April 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 8, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 8, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide and implement an infection prevention and control program.
Corrected April 8, 2025 · Infection Control
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Potential for harm · D January 16, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 17, 2025 · Resident Rights
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Potential for harm · D August 27, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 9, 2024 · Pharmacy Service
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Potential for harm · D March 5, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2023 · 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 September 21, 2023 · Resident Rights
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Potential for harm · D August 30, 2023 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 21, 2023 · Pharmacy Service
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Potential for harm · F June 28, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 28, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 10, 2023 · Quality of Life and Care
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Potential for harm · D June 28, 2023
Provide appropriate foot care.
Corrected July 10, 2023 · Quality of Life and Care
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Potential for harm · D June 28, 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 July 7, 2023 · Quality of Life and Care
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Potential for harm · F June 28, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected July 7, 2023 · Nutrition and Dietary
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Potential for harm · F June 28, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 21, 2023 · Nutrition and Dietary
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Potential for harm · F June 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 28, 2023 · Nutrition and Dietary
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Potential for harm · D May 9, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 24, 2019 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 24, 2019 · Quality of Life and Care
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Potential for harm · D May 9, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2019 · Quality of Life and Care
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Potential for harm · D May 9, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 24, 2019 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 23, 2026 | Fine | $12,735 |
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 555421 · certified since May 24, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.