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13 Best Medicaid Nursing Homes in Contra Costa County, California

13 of the 30 Medicare-certified nursing homes in Contra Costa County, California (43%) are top-graded Medicaid-certified, and all are listed below. 13 of the 13 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 30.5%, 4 points lower than the 34.5% across all homes there. Legacy Post Acute Care in Martinez grades highest at A (94 out of 100).

How top-graded Medicaid-certified homes in Contra Costa County, California compare

This group set against every nursing home in Contra Costa County, California, from the current CMS release.

Nursing hours per resident per day

4.2

All homes in Contra Costa County, California: 4.28

Worse than the local average

Nurse staff turnover

30.5%

All homes in Contra Costa County, California: 34.5%

Better than the local average

Average ElderGrade score

88.7/100

All homes in Contra Costa County, California: 81.4/100

Better than the local average

Grade spread

A

13 grade A,

The best-graded top-graded Medicaid-certified home in Contra Costa County, California is Legacy Post Acute Care in Martinez, CA, grade A, 94/100.

Every top-graded Medicaid-certified nursing home in Contra Costa County, California

Showing 1 to 13 of 13, best-graded first.

A

94/100

Legacy Post Acute Care

Martinez, CA · Contra Costa County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
26%
Serious cites
0

Legacy Post Acute Care runs 96 certified beds in Martinez under corporate for-profit ownership, and its staffing sits at 4.30 nurse hours per resident day, about 11% above the national average of 3.86. Turnover is where this home separates itself: 26.3% annually against a national average of 45.8%, meaning the aides and nurses around your parent are more likely to still be there next year than at the typical facility. The tradeoffs are modest. Weekend coverage drops roughly 9% below weekday levels, and the current record shows 17 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Inspectors last visited in January 2025.

A

92/100

Shields Richmond Nursing Center

Richmond, CA · Contra Costa County

CMS 4/584 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
18%
Serious cites
0

Shields Richmond Nursing Center runs 84 certified beds under corporate for-profit ownership, and its staffing story is more interesting than the headline number. Total nurse staffing sits at 3.71 hours per resident day, about 4 percent under the national average, and weekends dip roughly 7 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is retention: 18.2 percent annual turnover against a national average of 45.8 percent means the same caregivers are largely still there year to year. Inspections are recent, from April 2025, and the record shows 43 deficiencies with none at the harm level, though two are abuse-related.

A

92/100

Vale Healthcare Center

San Pablo, CA · Contra Costa County

CMS 3/5202 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
34%
Serious cites
0

Vale Healthcare Center runs 202 certified beds in San Pablo, and its staffing numbers are genuinely better than they look at first glance. Nurse coverage sits at 3.95 hours per resident day, a bit above the national average, and weekend hours only dip about 6% from weekday levels. Staff turnover is 33.9%, well under the national 45.8%, which matters for whether your family sees the same faces month to month. The catch is the inspection record: 50 deficiencies on file, including 6 tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was July 25, 2025. Quality measures score well; the survey history is where the concerns live.

A

90/100

Tampico Healthcare Center

Walnut Creek, CA · Contra Costa County

CMS 4/5128 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
32%
Serious cites
0

Tampico Healthcare Center runs 128 beds in Walnut Creek under individual for-profit ownership, and its staffing is the strongest part of the story: 4.47 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping only about 10% below its own weekday level. Annual turnover sits at 32.3%, well under the 45.8% national figure, which suggests a steadier crew than most. The tradeoff is inspection history, 40 deficiencies on record, two tied to abuse, though none at the harm or jeopardy level, and the most recent survey was in March 2025. Quality measures score 5/5, staffing 4/5, inspections 3/5.

A

90/100

Danville Post-Acute Rehab

Danville, CA · Contra Costa County

CMS 4/554 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Danville Post-Acute Rehab runs 54 beds under corporate ownership, and its nurse staffing sits at 4.53 hours per resident day, roughly 17% above the national average. Weekend coverage dips about 12% below its own weekday numbers, so the hours aren't evenly spread across the week, but the overall staffing picture holds up. Turnover runs 30.6%, well below the national 45.8%, which suggests a steadier workforce than most. The record shows 17 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was October 2024, and the 5/5 quality measure score stands out against a 3/5 inspection rating, strong day-to-day care numbers, a more mixed regulatory history.

A

89/100

Greenridge Post Acute

El Sobrante, CA · Contra Costa County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Greenridge Post Acute runs 4.41 nurse hours per resident day, roughly 14% above the national average of 3.86, and its weekend staffing dips only about 8% below its own weekday level, a modest drop by industry standards. Staff turnover sits at 39.5%, better than the 45.8% national figure. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none related to abuse, with its last inspection in January 2024. For a 60-bed for-profit LLC, that combination of above-average staffing, low turnover, and a clean harm-free inspection record is doing the heavy lifting behind its marks.

A

88/100

Delta View Post Acute

Antioch, CA · Contra Costa County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
24%
Serious cites
0

Delta View Post Acute runs 99 certified beds in Antioch under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover is 24.2%, well below the national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 42 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a March 2025 inspection being the most recent.

A

88/100

La Casa Via Transitional Care Center

Walnut Creek, CA · Contra Costa County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
31%
Serious cites
0

La Casa Via runs 99 certified beds in Walnut Creek under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and it holds up on weekends, the dip from weekday coverage is only about 3%, which is where a lot of homes quietly fall apart. Turnover is the standout: 30.8% against a national average near 46%, meaning the aides and nurses who know your mother are more likely to still be there next year. The inspection record shows 25 deficiencies with none at the harm level and nothing abuse-related, and the most recent survey was June 2025. Quality measures score high; health inspection and staffing hold solid. Worth a visit, with attention to that deficiency count.

A

87.5/100

Alhambra Post Acute

Martinez, CA · Contra Costa County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
36%
Serious cites
0

Alhambra Post Acute sits in Martinez with 44 certified beds and a for-profit corporate owner. The nurse staffing number is the strongest part of the picture: 4.32 hours per resident day, roughly 12% above the national average, and turnover at 36% beats the 45.8% national figure, meaning fewer caregivers are cycling out the door. The catch is weekends, when staffing drops about 16% below the home's own weekday level, so coverage isn't uniform across the week. Inspections paint a mixed picture: 53 deficiencies on record, none at the harm level but one abuse-related, with the most recent visit in November 2024. Quality measures score well even as the inspection history carries real weight against it.

A

87/100

Tice Valley Post Acute

Walnut Creek, CA · Contra Costa County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
37%
Serious cites
0

Tice Valley Post Acute runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, and its staff turnover is 36.5% against a national 45.8%, both real positives. Weekend staffing drops about 11% below its own weekday level, so coverage thins on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Inspectors last visited in December 2025, so the picture is recent.

A

85/100

Pleasant Hill Post Acute

Pleasant Hill, CA · Contra Costa County

CMS 4/551 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
30%
Serious cites
0

Pleasant Hill Post Acute runs about 51 beds under for-profit ownership, and its nurse staffing sits roughly 9% above the national average, which is the main reason its numbers hold up. Weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. The 30% annual turnover is notably lower than the 45.8% national figure, meaning the staff you meet are more likely to still be there next year. Its inspection record shows 21 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025.

A

85/100

Lone Tree Post Acute

Antioch, CA · Contra Costa County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Lone Tree Post Acute runs 4.03 total nurse hours per resident day, a bit above the national average of 3.86, and its 33% annual turnover is well below the 45.8% typical elsewhere, both signs of a steadier floor than many homes manage. The catch sits in the inspection record: 29 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was May 2026. Weekend staffing drops about 10% from weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The quality measure score is strong; the health inspection side is more mixed.

A

85/100

Diamond Ridge Healthcare Center

Pittsburg, CA · Contra Costa County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
25%
Serious cites
0

Diamond Ridge runs a for-profit operation with 120 certified beds, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, and turnover runs 24.6%, which is notably lower than the national 45.8%; keeping direct-care staff in place matters more than a single good week on paper. The concerning piece is the inspection record: 49 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a $42,033 fine. The last full inspection was August 2024. Strong staffing and quality marks coexist here with a troubled survey history, which is exactly the tension a family should weigh.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in Contra Costa County, California?
There are 13 top-graded Medicaid-certified Medicare-certified nursing homes in Contra Costa County, California, 43% of the 30 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In Contra Costa County, California they average 4.2 total nursing hours per resident per day, against 4.28 for all nursing homes in Contra Costa County, California, a difference of -0.08 hours. Staff turnover averages 30.5% against 34.5%.
Which top-graded Medicaid-certified nursing home grades best in Contra Costa County, California?
Legacy Post Acute Care in Martinez, CA, grade A, 94 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 13 graded top-graded Medicaid-certified homes in Contra Costa County, California, 13 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in Contra Costa County, California accept Medicaid?
13 of the 13 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Contra Costa County, California