SNF
CONCORD POST ACUTE
CCN: 555104 · CONCORD, CA 94518 · Contra Costa County
Overview
- Address
- 1050 SAN MIGUEL ROAD, CONCORD, CA 94518
- Phone
- 9258254280
- Certified beds
- 190
- Avg daily residents
- 185 (98% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1979-02-15
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.01 | 3.25 | 4.76 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.30 | 0.57 | 0.35 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.11 | 0.72 | 1.32 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.60 | 1.96 | 3.09 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.41 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.70
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
4.39
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
28.0%
annual
RN turnover
42.1%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.15
higher acuity than avg
Case-Mix Index Ratio
0.84
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-17 | 5 | 4 | 1 | 20 | 1 | 20 |
| Cycle 2/3 (prior) | 2023-11-16 | 18 | 12 | 6 | 72 | 1 | 72 |
Total weighted health score
33.0
lower is better
Deficiencies (36)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
36 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2025-12-11 | 2025-12-26 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-17 | 2025-06-07 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-17 | 2025-06-07 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-04-17 | 2025-06-07 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-17 | 2025-06-07 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-11-16 | 2023-12-16 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-11-16 | 2023-12-16 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-11-16 | 2023-12-16 |
| 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2023-11-16 | 2023-12-16 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-16 | 2023-12-16 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-11-16 | 2023-12-16 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-16 | 2023-12-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-11-16 | 2023-12-16 |
| 0700 | 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. | D | 2023-11-16 | 2023-12-16 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-11-16 | 2023-12-16 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-11-16 | 2023-12-16 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-11-16 | 2023-12-16 |
| 0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2023-09-20 | 2023-10-20 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-09-20 | 2023-10-20 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-09-12 | 2023-10-12 |
| 0761 | Ensure 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. | D | 2023-09-05 | 2023-09-24 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-06-12 | 2023-07-03 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-03-09 | 2023-03-09 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-05-07 | 2021-08-02 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2021-05-07 | 2021-08-02 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2021-05-07 | 2021-08-02 |
| 0584 | 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. | E | 2021-05-07 | 2021-08-02 |
| 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2021-05-07 | 2021-08-02 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2021-05-07 | 2021-08-02 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-05-07 | 2021-08-02 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2021-05-07 | 2021-08-02 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-05-07 | 2021-08-02 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2021-05-07 | 2021-08-02 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-05-07 | 2021-08-02 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2021-05-07 | 2021-08-02 |
| 0908 | Keep all essential equipment working safely. | E | 2021-05-07 | 2021-08-02 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 6.6% Medicaid 6.6% Other 86.8%
Operating performance
Operating Margin
3.4%
Total Margin
3.5%
Occupancy Rate
92.3%
Cost per Resident Day
$70
Revenue & costs
Net Patient Revenue
$19.8M
Total Costs
$3.0M
Net Income
$700K
Balance sheet
Total Assets
$6.8M
Total Liabilities
$3.0M
Fund Balance
$3.7M
Current Ratio
2.15
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: PACS GROUP
- Chain ID
690- Facilities in chain
- 264
- Legal business name
- LIME RIDGE HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.6
Staffing
2.4
QM
4.2
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| PACS GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| PACS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| HANCOCK, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/15/2024 |
| MURRAY, JASON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/15/2024 |
| APT, FREDERICK | CORPORATE OFFICER | since 01/01/2024 |
| HANCOCK, MARK | CORPORATE OFFICER | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | since 01/01/2024 |
| DZERHACHOU, VASILI | CONTRACTED MANAGING EMPLOYEE | since 11/28/2022 |
| ALLEN, FORREST | W-2 MANAGING EMPLOYEE | since 11/30/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $70 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.15 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 6.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $699,539 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $19,802,607 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 92.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 3.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $6,757,205 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,001,406 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $3,707,917 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,049,288 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.32234 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.08971 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.35180 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.76384 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.39459 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 185.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.72215 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.96264 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.56921 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.25401 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.86806 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 690 | Chain ID |
| Provider Information | Chain Name | PACS GROUP | Chain Name |
| Provider Information | City/Town | CONCORD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555104 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Contra Costa | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1979-02-15 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.9572 | Latitude |
| Provider Information | Legal Business Name | LIME RIDGE HEALTHCARE LLC | Legal Business Name |
| Provider Information | Location | 1050 SAN MIGUEL ROAD,CONCORD,CA,94518 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.03 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 190 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 264 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.15275 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.83675 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1050 SAN MIGUEL ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CONCORD POST ACUTE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 060 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 20 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 4 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 20 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 12 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-11-16 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 72 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 6 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 72 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 18 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.22727 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 42.1 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.41097 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.11447 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.60402 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08905 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.29650 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.01498 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 9258254280 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.70378 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 28.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 33.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 94518 | ZIP Code |