Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12024-11-211115.69.5-4.6 better
22023-12-012217.49.8+4.6 worse
32022-03-111817.19.3+0.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning1
Resident rights1
Nutrition and dietary2
Pharmacy service2
Environmental2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.6345.8%
RN staffing (reported)1.1645.5%
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)

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. EF0814Dispose of garbage and refuse properly.2024-11-21 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  9. DF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  10. 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

  11. 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

  12. 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

  13. 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

  14. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-12-01 · Health · corrected 2024-01-19

    Potential for more than minimal harm

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. DF0641Ensure each resident receives an accurate assessment.2023-12-01 · Health · corrected 2024-01-19

    Potential for more than minimal harm

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. EF0759Ensure medication error rates are not 5 percent or greater.2023-12-01 · Health · corrected 2024-01-19

    Potential for more than minimal harm

  28. 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

  29. 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

  30. 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

  31. FF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2024-01-19

    Potential for more than minimal harm

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-03-11 · Health · corrected 2022-04-11

    Potential for more than minimal harm

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. EF0880Provide and implement an infection prevention and control program.2022-03-11 · Health · corrected 2022-04-11

    Potential for more than minimal harm

  47. 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

  48. 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

  49. 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

  50. CF0888Ensure staff are vaccinated for COVID-192022-03-11 · Health · corrected 2022-04-11

    Potential for minimal harm

  51. 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

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-30
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
OLSON, JONIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-30
APT, FREDERICKIndividualCORPORATE OFFICER2023-06-30
HANCOCK, MARKIndividualCORPORATE OFFICER2023-06-30
MITCHELL, JOHNIndividualCORPORATE OFFICER2023-06-30
MURRAY, JASONIndividualCORPORATE OFFICER2023-06-30
OLSON, JONIndividualW-2 MANAGING EMPLOYEE2023-06-30

Other facilities in MARTINEZ

NameOverallBeds
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.