Stonebrook Post Acute
Inspection Findings
F-Tag F0578
F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and record review on [DATE REDACTED] at 5:30 p.m. with Medical Record Assistant (MRA), the physician progress notes titled, POLST Verbal Discussion dated [DATE REDACTED], indicated, if patient has no pulse and is not breathing. with a check mark in the box in front of Do not attempt resuscitation/DNR (Allow Natural Death) and with a check mark in the box in front of selective treatment-. It also indicated the physician's signature and verbal consent obtained from Resident 2 dated [DATE REDACTED]. When asked for an updated one, MRA stated they did not have an updated one and there was no POLST on file for Resident 2.During a review of Resident 2's physician admission note (PAN) dated [DATE REDACTED], PAN indicated Code status: with an X in front of POLST reviewed/signed. PAN also indicated Patient: with an X in the front of has capacity to understand and make medical decisions.During a review of the facility's policy and procedure (P&P) titled, Do Not Resuscitate Order revised [DATE REDACTED], the P&P indicated, Our facility will not use cardiopulmonary and related emergency measures to maintain life functions on a resident when there is a DO Not Resuscitate Order in effect.In addition to the. and DNR order form, state-specific forms may be used to specify whether to administer CPR in case of a medical emergency. Stated- specific forms include: POLST.Do not resuscitate (DNR) orders will remain in effect until the resident (or legal surrogate) provides the facility with a signed and dated request to end the DNR order.During a review of the blank POLST form, under the Directions for Health Care Provider, indicated, if found pulseless and not breathing, no defibrillator (including automated external defibrillators) or chest compressions should be used on a patient who has chosen Do Not Attempt Resuscitation.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/29/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Stonebrook Post Acute
4367 Concord Boulevard Concord, CA 94521
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
12:14 p.m. with ADM, ADM stated the new company would hold onto the investigation records for seven years. ADM stated he expected the old company to follow the regulations to keep them. He stated further, .if
they don't have documentation it didn't happen. ADM stated it was important for them to keep the investigation records to protect the patient, staff, and the building.During a review of the facility's P&P, titled, Abuse Prevention, undated, the P&P indicated, When an incident or suspected incident of resident abuse is reported, .shall utilize abuse/.investigation process as required by federal and stated law.
Event ID:
Facility ID:
If continuation sheet
Stonebrook Post Acute in CONCORD, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Stonebrook Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.