Inspection citations
7’23
2’24
9’25
5’26
23 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 25, 2026 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jun 25, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 25, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 25, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 23, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 29, 2025 | D · potential | 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. | Complaint |
| Dec 29, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 22, 2025 | E · potential | 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. | Complaint |
| Mar 6, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 6, 2025 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Mar 6, 2025 | D · potential | 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. | Routine |
| Mar 6, 2025 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Mar 6, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 16, 2025 | D · potential | 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. | Complaint |
| Aug 27, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Mar 5, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jun 28, 2023 | F · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jun 28, 2023 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jun 28, 2023 | D · potential | Provide appropriate foot care. | Routine |
| Jun 28, 2023 | D · potential | 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. | Routine |
| Jun 28, 2023 | F · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jun 28, 2023 | F · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jun 28, 2023 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Stonebrook Post Acute
4367 Concord Boulevard, Concord, CA 94521 · (925) 689-7457
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555421
- Certified beds
- 120
- Legal owner
- Morro Bay Holdings LLC
- Part of
- West Harbor Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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