Here are 30 Nursing Homes in Contra Costa County, CA
Nursing homes across Contra Costa County, California, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
The Reutlinger Community runs high on direct care: 4.83 nurse hours per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But the weekend dips about 16% below its own weekday staffing, and turnover sits at 55.4%, nearly ten points above the national figure, so consistency is the weak spot. Inspections from November 2024 produced 19 deficiencies, none at the harm or jeopardy level, though one was abuse-related. For a 60-bed nonprofit in Contra Costa County, that reads as a well-staffed home on weekdays with a thinner weekend crew and steady churn to watch.
Moraga Post Acute runs 4.10 nurse hours per resident day, about 6% above the national average, and its staff turnover of 39.3% sits below the national 45.8%, meaning people tend to stay. But weekend staffing drops roughly 9% below its own weekday levels, so the coverage your family sees Monday may not be what shows up Saturday. The current record carries 28 deficiencies, including one at the harm level and one abuse-related, and the staffing star rating is only 2 of 5 despite the decent hours on paper. Inspections were last done in November 2024, so the picture is fairly current.
Richmond Post Acute Care is a 35-bed for-profit in Contra Costa County, and its record splits in an unusual way. Inspectors have been inside recently, January 2025, and found 22 deficiencies across surveys, but none rose to the level of actual harm or jeopardy, and nothing was abuse-related. The quality measures look strong. The problem is staffing: on that measure this home sits at the bottom of the federal scale, and seven fines totaling $31,405 suggest the paperwork and care-process side has been a recurring issue rather than a one-time lapse. For a family weighing a small home with a decent inspection history, the question worth asking on a tour is who's actually on the floor overnight, and how long they've been there.
San Pablo Healthcare & Wellness Center runs 108 certified beds under corporate ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average. Weekend coverage dips about 8% below its own weekday levels, so the weekday numbers look better than a Saturday actually does.
The inspection record is where the picture sours. Forty-three deficiencies are on file, including nine tied to abuse and one serious enough to involve harm or jeopardy. A single fine totaling $10,036 has been levied, and the most recent inspection was June 26, 2025. All three CMS star ratings land at 3 out of 5. Solid staffing, but that abuse count and harm-level finding are what a family should ask about directly.
Orinda Care Center runs 47 beds under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average. That's the strongest part of the picture. Weekends drop about 11% below weekday coverage, and turnover matches the national rate almost exactly at 45.8%, so consistency is the issue rather than raw hours. The current record carries 32 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2025. Federal ratings land at 2 of 5 for both health inspections and quality measures, 3 of 5 for staffing. Plenty of direct-care time, but the inspection and quality numbers are where the concern sits.
Shadelands Post Acute runs 59 beds in Walnut Creek under for-profit LLC ownership, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average. That average hides a pattern worth knowing: weekends run about 12% leaner than weekdays, so the weekday coverage you might observe isn't what your family member gets on a Saturday. Staff turnover of 45.2% is essentially the national rate, meaning nearly half the workforce turns over in a year. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026.
Pittsburg Skilled Nursing Center runs 49 beds in Contra Costa County under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.97 nurse hours per resident day. Turnover is better than most too, at 37.5% against a national 45.8%. But the inspection record tells a harder story: 39 deficiencies on file, three tied to abuse, plus a $10,793 fine. CMS rated its quality measures 1 out of 5 and its health inspections 2 out of 5, with the last visit in August 2024. Weekend staffing also dips about 7% below its own weekday level. The care numbers are mediocre even where the staffing looks solid.
Diablo Valley Post Acute runs 190 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day against a national average of 3.86, with turnover at 39.8% versus 45.8% nationally. Weekends dip about 10% below weekday coverage, so ask how that plays out on a Sunday. The trouble sits in inspections: 40 deficiencies on the current record, three serious enough to cause harm, four tied to abuse, and a $30,420 fine, all reflected in a 1-out-of-5 health inspection rating. Quality measures score 5 out of 5 and staffing 4 out of 5, which makes the inspection record the real question to press on when you visit.
Bayberry runs 3.79 nurse hours per resident day, a bit under the national average, and weekends dip about 14% below its own weekdays, so your visit timing may matter more than the annual number suggests. Staff turnover is 35.1%, better than the 45.8% national rate, which means more familiar faces than at many homes this size, though 23 deficiencies on the current record, including one at harm level and one abuse-related, are worth asking about directly. The last inspection was January 2026, so the record is recent. This is a for-profit LLC with 99 beds.
Concord Post Acute runs 190 beds under for-profit LLC ownership, and its staffing picture is genuinely mixed. Total nurse coverage sits at 3.87 hours per resident day, essentially dead even with the national average, while weekend staffing dips about 6% below its own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The real strength is retention: 28.4% turnover against a national 45.8% means far fewer unfamiliar faces than at most homes. The inspection record is the problem. Thirty-eight deficiencies, four tied to abuse and one serious enough to reach harm or jeopardy level, with the most recent survey in April 2025. A 2/5 inspection rating against 4/5 for staffing and quality measures tells you where the trouble lives.