Pittsburg Skilled Nursing Center
535 School Street · Pittsburg, CA · 94565 · 9254323831
49 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 3.66 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 1 · $10,793 |
Inspection citations (39 in the current record)
-
Potential for harm · D June 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 28, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 28, 2024 · Resident Rights
-
Potential for harm · D August 28, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 28, 2024 · Resident Rights
-
Potential for harm · E August 28, 2024
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.
Corrected September 28, 2024 · Resident Rights
-
Potential for harm · E August 28, 2024
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.
Corrected September 28, 2024 · Resident Rights
-
Potential for harm · D August 28, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 28, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2024
Ensure each resident receives an accurate assessment.
Corrected September 28, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 28, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 28, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 28, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 28, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected September 28, 2024 · Quality of Life and Care
-
Potential for harm · F August 28, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 28, 2024 · Nursing and Physician Services
-
Potential for harm · D August 28, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 28, 2024 · Pharmacy Service
-
Potential for harm · E August 28, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 28, 2024 · Pharmacy Service
-
Potential for harm · E August 28, 2024
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.
Corrected September 28, 2024 · Pharmacy Service
-
Potential for harm · D August 28, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected September 28, 2024 · Nutrition and Dietary
-
Potential for harm · E August 28, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 28, 2024 · Administration
-
Potential for harm · D August 28, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 28, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 28, 2024
Provide and implement an infection prevention and control program.
Corrected September 28, 2024 · Infection Control
-
No harm found · B August 28, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected September 28, 2024 · Environmental
-
Potential for harm · E October 10, 2023 · found via complaint
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.
Corrected October 31, 2023 · Quality of Life and Care
-
Potential for harm · E June 24, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 25, 2022 · Resident Rights
-
Potential for harm · D June 24, 2022
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected July 25, 2022 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 24, 2022
Ensure each resident receives an accurate assessment.
Corrected July 25, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D June 24, 2022
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 25, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D June 24, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 25, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 6, 2025 | Fine | $10,793 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055677 · certified since January 10, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.