Willow Pass Healthcare Center
WILLOW PASS HEALTHCARE CENTER in CONCORD, CA — inspection on March 26, 2026.
Found 2 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
During an interview on 3/30/26 at 3:06 p.m., CNA 2 stated on 2/8/26, she was at the nursing station down the hall from the tv dining room when she heard loud voices, like screaming. CNA 2 stated one of the staff members was walking down the hallway and stated to her, Hey [CNA 1] is in here fighting with a resident. CNA 2 stated she went into the room and saw CNA 1 and Resident 1 arguing. CNA 2 stated CNA 1 was upset; Resident 1 was visibly upset, frustrated and crying after the incident. CNA 2 stated they have had complaints about CNA 1 in the past involving, CNA 1 was a little aggressive with the residents.
During a record review of Resident 1's progress notes dated 2/08/26, Licensed Vocational Nurse 1 (LVN 1) documented, Resident [Resident 1] noted in a verbal exchange with a CNA [CNA 1]. [Resident 1] stated that he perceived the [CNA 1]'s tone as rude and loud and verbalized, He [CNA 1] was rude to me.
When I asked him to move the other resident who was yelling, he [CNA 1] talked to me in a loud voice.
That's not the way they can talk to me.
During a record review of the facility policy and procedure (P&P) titled, Abuse, Prevention, dated, 01/01/24, the P&P indicated, Each resident has the right to be free from verbal, sexual, physical, and mental abuse.Residents must not be subjected to abuse by anyone, including, but not limited to, facility staff.
055241 03/26/2026
Willow Pass Healthcare Center 3318 Willow Pass Road Concord, CA 94519
During an interview and record review on 3/26/26 at 12:59 p.m. with the ADM, facility's investigation
separated from Resident 1 immediately after the incident and that he did not think CNA 1 was doing
because he was a big guy. ADM stated facility investigation report indicated the incident occurred on 2/8/26 at around 12 noon. ADM then stated if the incident happened around noon, CNA 1 should have been sent home immediately after the incident and suspended until the investigation was completed for the safety of all residents.
The ADM also stated facility's P&P indicated .if the suspected perpetrator is an employee: i. remove employee immediately from the care or vicinity of the resident.
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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.