The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Stonebrook Post Acute
CONCORD, CA · Medicare-certified · 120 beds
In good standing
For-profit
4 of 5 overall
4 out of 5 stars overall. Stonebrook Post Acute has solid inspection results and staffing above the federal benchmark (4.67 vs. 4.1 hours per resident per day), with no fines in the last 24 months; staffing and quality measures are each 3 out of 5 stars.
Facility ratings
Health inspections
Staffing
4.6665 hrs/resident/day
Quality measures
Last inspection: March 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6665.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 1.56
- Nurse aides
- 2.49
- Weekend nursing
- 4.16
Hours per resident per day.
Total staff turnover: 98%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.8%8.7%Worsening
Residents with a fall causing major injury
9.6%6%Improving
Residents with pressure ulcers (bedsores)
4.3%1.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.1%2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%9.8%Improving
Residents whose ability to walk got worse
23%12%Improving
Long-stay residents on antianxiety or sleep medication
4.2%8.2%Worsening
Short-stay residents newly given an antipsychotic
0%0.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.9%30.1%Worsening
Residents with depressive symptoms
0%2.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%99.8%No change
What the inspectors found
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 102.5 residents on an average day (85% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.