Quick answer: A fall that seriously injures a resident who was flagged as a fall risk can be grounds for a claim against a Contra Costa County nursing home, because federal rules (42 CFR 483.25) require adequate supervision and assistive devices to prevent accidents. The fall risk assessment, care plan, and alarm logs show whether the plan was followed. Free case review at (888) 999-0169 or send us a message. A fall that breaks a hip is most likely where supervision is thin. Contra Costa County has 30 skilled nursing facilities, and while most rate well, a few report one-star staffing, exactly the condition in which a resident flagged as a fall risk is left to try to get to the bathroom alone.
If your loved one broke a hip or was seriously hurt in a fall at a Concord, San Pablo, or Richmond nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 to talk it through, free and confidential. We defended these homes for years before switching sides, and there is no fee 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.
Where falls happen in Contra Costa County
A fall in a resident already flagged as high risk usually means the fall-prevention plan, supervised toileting, a bed or chair alarm, a two-person transfer, was on paper but not staffed.
The CMS file puts the county's lowest staffing ratings at these homes. Richmond Post Acute Care in Richmond carries a 1 star staffing rating, with a 4 star overall rating and a 4 star health inspection rating. It also carries $17,291 in federal fines across 4 federal penalties. CMS gives Shadelands Post Acute in Walnut Creek a 2 star staffing rating, with a 4 star overall rating and a 3 star health inspection rating. It carries 4.31 nursing hours per resident per day as well. Moraga Post Acute in Moraga carries a 2 star staffing rating, with a 5 star overall rating and a 4 star health inspection rating. It carries 4.10 nursing hours per resident per day as well. 6 of the county's 30 homes hold a 1 or 2 star overall rating.
Thin overnight coverage is where high-risk residents fall. You can compare every home in our Contra Costa County nursing home directory.
A serious fall is also frequently the first visible sign of broader neglect. For how fall cases are built and what California law requires, see our California nursing home fall page.
How Contra Costa County families can respond
Ask the facility, in writing, for the complete chart: the fall risk assessment, the care plan, incident reports, and the call-light and alarm logs. Photograph any injuries, date them, and 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.
You do not need to be certain to call. That is what a free, confidential consultation is for. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. Between them they have recovered millions of dollars for elder abuse victims and their families. We know how "resident found on floor" gets charted to imply nobody could have prevented it, and how the alarm and call-light logs, read against the staffing sheet for that shift, tell the real story. 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 nursing home fall lawyer today
Call (888) 999-0169 or send us a message for a free case evaluation. We stand with families throughout Contra Costa County and all of California, we have recovered millions for elder abuse victims, and you pay nothing 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 accident-prevention and supervision standard, 42 CFR 483.25(d): https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
How does reported nurse staffing relate to falls at Contra Costa County nursing homes?
Falls concentrate where there are too few staff to supervise high-risk residents, especially overnight, and some county homes report one-star staffing. Check each home in our Contra Costa County nursing home directory.
Can I sue a Contra Costa County nursing home for my parent's fall?
Yes. If a resident fell because the facility failed to assess their fall risk, follow the care plan, or provide adequate supervision, it can be liable under California's Elder Abuse Act, which adds attorney's fees and enhanced damages where the neglect was reckless.
What should I do first after a serious fall?
Request the complete chart in writing, photograph the injuries, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because incident reports get revised and staffing sheets get harder to find over time.
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 falls and fractures?
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.
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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.