Quick answer: A serious bedsore (stage 3 or 4) in a Contra Costa County nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message. Contra Costa County has 30 skilled nursing facilities, and most rate well, 21 carry four or five stars. But a few homes pair low ratings with thin staffing and fines, and those are the homes where a serious pressure ulcer is most likely, because a bedsore is a repositioning failure and repositioning fails where there are too few aides.
If your loved one developed a bedsore in a Concord, San Pablo, or Richmond nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. We changed sides after years defending nursing homes, and you pay nothing unless we win.
Nursing home records in Contra Costa County
Contra Costa County has 30 federally certified nursing facilities with 2,916 licensed beds. Since 1997, state inspectors have issued 218 citations against Contra Costa County facilities, including 5 class AA citations and 45 class A citations. Facilities in the county have been assessed $941,887 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
11 of those enforcement actions were connected to a resident's death.
2 Contra Costa County facilities currently carry the federal abuse warning icon.
The county's facilities average 3.7 of 5 stars on the federal rating system. 6 of 30 facilities hold a 1 or 2 star overall rating.
Contra Costa County facilities have been assessed $310,655 in federal fines.
The most cited nursing homes in Contra Costa County
- Legacy Post Acute Care (26 citations)
- Vale Healthcare Center (24 citations)
- Rosewood Post Acute (21 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in Contra Costa County
In the CMS data, these are the homes in the county reporting the fewest nursing hours per resident. In Richmond, Shields Richmond Nursing Center reports 3.71 nursing hours per resident per day, where the state average is 4.52, with a 4 star overall rating and a 2 star health inspection rating. Its record also shows a 5 star staffing rating. In Concord, Bayberry Skilled Nursing & Healthcare Center reports 3.79 nursing hours per resident per day, where the state average is 4.52, with a 4 star overall rating and a 3 star health inspection rating. It carries a 4 star staffing rating as well. In Concord, Concord Post Acute reports 3.87 nursing hours per resident per day, where the state average is 4.52, with a 2 star overall rating and a 2 star health inspection rating. Its record also shows a 4 star staffing rating, $30,820 in federal fines across 1 federal penalty and the federal abuse warning icon. 6 of the county's 30 homes hold a 1 or 2 star overall rating.
A strong county-wide average does not protect a resident at one of these homes, and staffing is the number that matters most when a pressure sore develops.
Before you accept a facility's explanation for a bedsore, check its record in our Contra Costa County nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How Contra Costa County families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the Contra Costa County Long-Term Care Ombudsman (Empowered Aging) at (925) 685-2070, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact Contra Costa County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
A single phone call can tell you whether you have a case. It is free and confidential. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. They have since recovered millions of dollars for families in elder abuse cases across California. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. At a home with one-star staffing, an abuse flag, and fines, that gap is the first thing to check. As Contra Costa County nursing home abuse lawyers, we handle these cases across Concord, San Pablo, Richmond, and the county and throughout California.
Talk to a Contra Costa County bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We serve Contra Costa County and all of California, you deal directly with the attorneys, and there is no fee unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
If Contra Costa County rates well, can a bedsore still be neglect?
Yes. A strong county-wide average does not tell you whether your specific parent was repositioned as their care plan required, and the county has homes with one-star staffing, fines, and an abuse flag. If a serious ulcer developed, the records for that resident answer the question.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in Contra Costa County?
Contra Costa County has 30 federally certified nursing facilities with 2,916 licensed beds. Every one of them is listed in our Contra Costa County nursing home directory with its ratings, staffing, citations and fines.
Do Contra Costa County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 218 citations against Contra Costa County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our Contra Costa County nursing home directory with its ratings, staffing, citations and fines.
Which Contra Costa County nursing homes carry a one-star overall CMS rating or the highest published fine totals?
By the current CMS data, these are the homes in Contra Costa County with the lowest overall CMS ratings. Pittsburg Skilled Nursing Center in Pittsburg carries a 1 star overall rating and a 2 star health inspection rating and $10,793 in federal fines across 1 federal penalty. Diablo Valley Post Acute in Concord carries a 2 star overall rating and a 1 star health inspection rating, $141,245 in federal fines across 2 federal penalties and the federal abuse warning icon. Diamond Ridge Healthcare Center in Pittsburg carries a 2 star overall rating and a 2 star health inspection rating and $42,033 in federal fines across 1 federal penalty. Every Contra Costa County home's full record, with its ratings, staffing, citations and fines, is in our Contra Costa County nursing home directory.
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Disclaimer: facility ratings, staffing figures, fines, and the CMS abuse icon above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.