Shields Richmond Nursing Center

1919 Cutting Blvd · Richmond, CA · 94804 · 5102338513

84 certified beds For profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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

Inspection record 30% of score 40
Serious harm & abuse 20% 100
Staffing 20% 90
Federal penalties 15% 100
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.103.48 min · 4.1 strong
RN hours / resident-day1.280.55–0.75
Weekend hours / resident-day3.84≈ weekday level
Nursing turnover / year19%median 45%
Fines (3-yr window)none

Inspection citations (43 in the current record)

  • Potential for harm · D March 10, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected April 10, 2026 · Resident Rights

  • Potential for harm · D March 10, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D March 10, 2026 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 10, 2026 · Nutrition and Dietary

  • Potential for harm · E April 17, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · E April 17, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · D April 17, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · D April 17, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 14, 2025 · Quality of Life and Care

  • Potential for harm · D April 17, 2025

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected May 14, 2025 · Nursing and Physician Services

  • Potential for harm · D April 17, 2025

    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 May 14, 2025 · Pharmacy Service

  • Potential for harm · E April 17, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 14, 2025 · Pharmacy Service

  • Potential for harm · E April 17, 2025

    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 May 14, 2025 · Pharmacy Service

  • Potential for harm · E April 17, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected May 14, 2025 · Nutrition and Dietary

  • Potential for harm · E April 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 14, 2025 · Nutrition and Dietary

  • Potential for harm · D April 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 14, 2025 · Infection Control

  • Potential for harm · D April 17, 2025

    Implement a program that monitors antibiotic use.

    Corrected May 14, 2025 · Infection Control

  • No harm found · B April 17, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected May 14, 2025 · Environmental

  • Potential for harm · D December 11, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 31, 2024 · Infection Control

  • Potential for harm · D July 18, 2024 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected August 9, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 8, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 8, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 8, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected January 8, 2024 · Quality of Life and Care

  • Potential for harm · D December 8, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 8, 2024 · Quality of Life and Care

  • Potential for harm · D December 8, 2023

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected January 8, 2024 · Quality of Life and Care

  • Potential for harm · F December 8, 2023

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected January 8, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055292 · certified since September 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.