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Complaint Investigation

Diablo Valley Post Acute

May 26, 2026 · Concord, CA · 3806 Clayton Road
Citations 3
CMS Rating 2/5
Beds 190
Provider ID 055150
Healthcare Facility
Diablo Valley Post Acute
Concord, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

DIABLO VALLEY POST ACUTE in CONCORD, CA — inspection on May 26, 2026.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0812
Nutrition and Dietary Deficiencies

serve food in accordance with professional standards.

observations and interviews, the facility failed to store food in accordance with professional

open to the air were found on the shelves in the dry storage area of the facility kitchen, and when ceiling tiles throughout the facility kitchen were found to be stained, separating, peeling and had significant gaps between tiles.This failure could have resulted in resident's being served contaminated food causing potentially serious illness.FindingsDuring a concurrent observation and interview on 5/26/26 at 12:10 p.m. with Dietary Supervisor 1(DS1) in the dry storage area of the facility kitchen , a can of [NAME] pears with a dented rim and a package of pasta open to the air, were found on the shelf in the dry storage area of the facility. DS1 stated dented cans and unsealed packages of pasta are at risk for contamination and should not be used.During a concurrent observation and interview on 5/26/26 at 1:10 p.m. with Director of Maintenance 1(DM1) in the facility kitchen, ceiling tiles throughout the facility kitchen were observed.

Ceiling tiles above the dishwashing area were observed to be peeling, there were gaps between tiles throughout the kitchen and on the ceiling by the coffee maker and a preparation counter, there was a separated ceiling tile exposing the area above the tile.

Along the back wall of the kitchen by a fire sprinkler, ceiling tiles were observed to be heavily stained and one tile next to the stained tiles was missing. DM1 stated there should be no gaps, loose tiles, missing tiles, stained tile or peeling tile in the kitchen to keep debris and pests from falling into the food.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

055150 05/26/2026

Diablo Valley Post Acute 3806 Clayton Road Concord, CA 94521

Based on interview and record review, the facility failed to notify the California Department of Public

closure by local public health.

This failure had the potential to put the facility at risk for providing meals which would have threatened the well-being of medically fragile residents.

During an interview on 5/22/26 at 12:30 p.m. with Registered Dietician (RD1), RD1 stated the facility did not report the kitchen closure to the California Department of Public Health (CDPH), because RD1 thought local public health would notify CDPH.During a concurrent interview and record review on 5/26/26 at 4:00 p.m. with the Administrator (ADM) in the ADM's office, files of incidents reported to CDPH were reviewed.

The ADM stated he could not locate verification that the kitchen closure was reported to CDPH.

The ADM stated the last facility reported incident to CDPH was on 3/19/26, and the kitchen closure qualified as an unusual occurrence which had the potential to harm residents.

The ADM stated the facility did not report the kitchen closure to CDPH as required.A review of the facility's policy and procedure titled Unusual Occurrences dated 12/2007 indicated, As required by federal or state regulations, our facility reports unusual occurrences or other reportable events which affect the health, safety, or welfare of our residents, employees or visitors.

Our facility will report the following events to appropriate agencies: .Other occurrences that interfere with facility operations and affect the welfare, safety or health of residents, employees and visitors.

Unusual occurrences shall be reported via telephone to appropriate agencies and required by current law and/or regulations within 24 hours of such incident or as otherwise required by federal and state regulations. A written report detailing the incident and actions taken by the facility after the event shall be sent or delivered to the state agency (and other appropriate agencies as required by law) within forty-eight (48) hours of reporting the event or as required by federal and state regulation.

055150 05/26/2026

Diablo Valley Post Acute 3806 Clayton Road Concord, CA 94521

During an interview on 5/26/26 at 1:30 p.m. with Cook(CK1), CK1 stated he had seen an occasional live roach prior to the 5/20/26 pest control visit.

During an interview on 5/26/26 at 1:55 p.m. with Cook(CK2), CK2 stated prior to 5/20/26 he did see live roaches in the kitchen. CK2 stated he had not seen any new traps or pest control going through the kitchen for several months until the pest control visit on 5/20/26.During a telephone interview on 6/2/26 at 11:34 a.m. with Registered Environmental Health Specialist (REHS1), REHS1 stated she observed live cockroaches and cockroach remains under the steam table, (area of the kitchen used to keep food warm while serving), and issued a red tag closure, (an emergency shut down of a kitchen by a public health department for serious safety concerns), of the facility kitchen. REHS1 stated the kitchen will remain closed until pest control provider services the kitchen and the kitchen is deep cleaned.

The REHS1 stated cockroaches spread disease and are unacceptable in a commercial kitchen due to food safety risk.

During a review of Food Facility Routine Inspection Report dated 5/20/26, the report indicated there were two live cockroaches observed under the active steam table in the cooks line (area in a commercial kitchen where all the cooking and plating takes place during meal service).

The report stated there were three live cockroaches under the dirty side counter of the dish machine (commercial dishwasher), and there were two dying cockroaches (one under the steam table and one on the pre-wash ware-wash sink [the first basin in a multi-basin commercial sink used to manually clean, rinse and sanitize dishware, utensils and cookware]), and there were four dead cockroaches (three under the steam table and one under the pre-rinse ware-wash sink).

The report indicated there were five to eight dead/dying cockroaches inside monitor traps (a device used to detect, trap, track, and identify insect populations).

Three traps were located under back preparation area, (food preparation area).

During a review of Eco-Guard Pest Management invoice, dated 5/20/26, the invoice stated .upon arrival I did a full inspection around the affected areas.

Found multiple old insect monitors, around the kitchen. got all the old monitors out and place new ones around the kitchen. I also added gel bait around the cracks and crevices for the perimeter I spray all around the baseboard around the kitchen and under appliances and cabinets.service was completed and everything was properly treated.

During a review of the facility's policy and procedure titled Pest Control, dated 5/2028, indicated, This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CONCORD, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DIABLO VALLEY POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.