ALHAMBRA POST ACUTE
331 ILENE STREET, MARTINEZ, CA 94553 · CCN 555292
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 44
- Avg residents/day
- 39.5
- Phone
- 9252282020
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-21 | 11 | 15.6 | 9.5 | -4.6 better |
| 2 | 2023-12-01 | 22 | 17.4 | 9.8 | +4.6 worse |
| 3 | 2022-03-11 | 18 | 17.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.63 | 45.8% |
| RN staffing (reported) | 1.16 | 45.5% |
| Total nurse staffing (adjusted) | 3.92 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (51)
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- EF0758Implement 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.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-11-21 · Health · corrected 2025-01-28
Potential for minimal harm
- EF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2024-11-21 · Health · corrected 2025-01-28
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-05-03 · Health · corrected 2024-05-16
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-16 · Health · corrected 2024-05-02
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0578Honor 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.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0585Honor 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.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0758Implement 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.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- FF0761Ensure 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.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- FF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-01 · Health · corrected 2024-01-19
Potential for more than minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-12-01 · Health · corrected 2024-01-19
Potential for minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-11-07 · Health · corrected 2023-11-09
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0758Implement 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.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- DF0761Ensure 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.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-03-11 · Health · corrected 2022-04-11
Potential for more than minimal harm
- CF0888Ensure staff are vaccinated for COVID-192022-03-11 · Health · corrected 2022-04-11
Potential for minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-03-11 · Health · corrected 2022-04-11
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| OLSON, JON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-30 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2023-06-30 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2023-06-30 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2023-06-30 |
| MURRAY, JASON | Individual | CORPORATE OFFICER | — | 2023-06-30 |
| OLSON, JON | Individual | W-2 MANAGING EMPLOYEE | — | 2023-06-30 |
Other facilities in MARTINEZ
| Name | Overall | Beds |
|---|---|---|
| LEGACY POST ACUTE CARE | ★★★★★ | 96 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.