Compiled from official CMS federal data
WILLOW PASS HEALTHCARE CENTER, CONCORD, CA — Violations & Inspection Reports
Does WILLOW PASS HEALTHCARE CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WILLOW PASS HEALTHCARE CENTER (CCN 055241), in CONCORD, CA, has federal inspection findings.
In its current inspection cycle, CMS cited the facility for 25 deficiencies; the most severe is rated F — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2022-10-14. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $45,702 in civil money penalties on file against the facility. The record also includes 4 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Mar 2026). This page restates the federal record and draws no conclusion of its own.
Abuse-, fall-, and care-related findings on the federal record
- 4 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Mar 2026.
- 1 citation for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2024.
- 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent Feb 2020.
- 13 findings on file from complaint-triggered inspections.
Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.
FOR FAMILIES
What brings you to this record?
The Federal Record
CMS has $45,702 in civil money penalties on file against this facility.
Below is this facility's federal inspection record as on file with CMS.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$45,702
CMS also records 27 days of payment denial.
Have a lawyer review this record →
About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
Deficiency timeline
Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
48 more citations on file — Abuse & neglect 3 · Pressure ulcers 1 · Medication & pharmacy 6 · Resident rights 9 · Other citations 28 (expand)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Protect each resident from the wrongful use of the resident's belongings or money.
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.
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.
Provide a bathroom in or located near each resident’s room.
Keep residents' personal and medical records private and confidential.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide safe and appropriate respiratory care for a resident when needed.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Ensure medication error rates are not 5 percent or greater.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Allow residents to self-administer drugs if determined clinically appropriate.
Ensure each resident receives an accurate assessment.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide routine and 24-hour emergency dental care for each resident.
Ensure 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.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Keep residents' personal and medical records private and confidential.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide safe and appropriate respiratory care for a resident when needed.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Assure that each resident’s assessment is updated at least once every 3 months.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Assess the resident when there is a significant change in condition
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Overall CMS star rating
This facility: 3 · CMS state average: 3.2
Both figures as published by CMS.
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
Your federal record — tap to preview
Federal record
WILLOW PASS HEALTHCARE CENTER — Federal Record
Your answers below fill this section.
- —
- —
- —
- —
- —
- —
SECTION 7 — CASE CONTEXT
Add what you saw at WILLOW PASS HEALTHCARE CENTER to this record
No call centers, no auctions. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. The federal record is a point-in-time inspection record and may understate what actually occurred. CareSentinel is operated by Nodal Logics LLC.
Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.
If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.
How to read this record
Making sense of a CMS inspection record
CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.
Three questions to ask on a tour
- How is the home staffed on nights, weekends, and holidays?
- What happens when a resident’s condition changes suddenly?
- How, and how quickly, are families told about an incident?