San Pablo Healthcare & Wellness Center Complaints, Violations and Inspection Records

March 30, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

February 19, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

February 2, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for not hire anyone with a finding of abuse, neglect, exploitation, or theft.

• F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (scope and severity E)

December 30, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

June 26, 2025, standard inspection

7 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, ensure services provided by the nursing facility meet professional standards of quality, and ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity C)

June 17, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

April 1, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for respond appropriately to all alleged violations and provide or get specialized rehabilitative services as required for a resident.

• F0610Respond appropriately to all alleged violations. (scope and severity D)
• F0825Provide or get specialized rehabilitative services as required for a resident. (scope and severity D)

January 2, 2025, complaint inspection

3 deficiencies cited. Surveyors cited the facility for honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice, protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, and make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

• F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (scope and severity D)
• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity D)

October 9, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable and make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity D)

October 4, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

July 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)

June 20, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

• F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (scope and severity D)

April 24, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide safe, appropriate pain management for a resident who requires such services and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)

February 13, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for respond appropriately to all alleged violations.

• F0610Respond appropriately to all alleged violations. (scope and severity D)

February 2, 2024, standard inspection

7 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, allow residents to self-administer drugs if determined clinically appropriate, and honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity J)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity E)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

August 16, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)

June 4, 2021, standard inspection

9 deficiencies cited. Surveyors cited the facility for plan the resident's discharge to meet the resident's goals and needs, provide safe, appropriate dialysis care/services for a resident who requires such services, and provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

• F0660Plan the resident's discharge to meet the resident's goals and needs. (scope and severity E)
• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity E)
• F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
• F0760Ensure that residents are free from significant medication errors. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0584Honor 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. (scope and severity D)

• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)