Country Crest Post-Acute

Name: Country Crest Post-Acute
Address: 50 CONCORDIA LANE, Oroville, CA, 95966, US
Telephone: 5305326600

50 Concordia Lane, Oroville, CA 95966 · Butte County · 59 certified beds · avg 53 residents/day · certified since Apr 28, 2003

Part of chain: ASPEN SKILLED HEALTHCARE (35 facilities, chain avg rating 3.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.54

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (41)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 15, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 15, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 15, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 15, 2026	E · Potential for harm, repeated	The facility did not provide specialized rehabilitation services — like physical, occupational, or speech therapy — by qualified staff when a doctor ordered them for a resident.
Jan 15, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 15, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 15, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 15, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jan 15, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 5, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Mar 7, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 7, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Mar 7, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Sep 26, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 26, 2024	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Sep 26, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 26, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 26, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 26, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 17, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 26, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Jan 18, 2022	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jan 18, 2022	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 18, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 18, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 18, 2022	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Jan 18, 2022	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jan 18, 2022	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Jan 18, 2022	E · Potential for harm, repeated	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Jan 18, 2022	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jan 18, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 18, 2022	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jan 18, 2022	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 9).

Year	Citations	Worst severity that year
2022	12	F
2023	1	F
2024	13	F
2025	6	D
2026	9	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.54	4.31	3.95	top 27% in California; top 22% in the U.S.
Registered Nurse hours	0.38	0.61	0.69	bottom 27% in California; bottom 19% in the U.S.
Weekend total nurse staffing	3.97	3.90	3.50	top 35% in California; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.51	0.48	bottom 34% in California; bottom 32% in the U.S.
Total nursing staff turnover (%)	53.7	36.7	45.8	bottom 8% in California; bottom 28% in the U.S.
RN turnover (%)	42.9	38.1	42.9	bottom 39% in California; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.70, RN 0.39, weekend 4.10. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Aocl, LLC	Organization	5% or Greater Direct Ownership Interest	100%	12/07/2022
Bradshaw, Peter	Individual	Indirect Ownership Interest	NOT APPLICABLE	07/07/2023
Elsner, Eric	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/07/2022
Kirkwood, Jared	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/07/2022
Orgill, Craig	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/07/2022
Parti, Rajesh	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/07/2022
Parti, Shruty	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/07/2022
Paxman, Marcus	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/07/2022
Aocl, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/07/2022
Aocl, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/07/2022
Aspen Healthcare Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023
Bradshaw, Jeffrey	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/27/2026
Bradshaw, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Brady, Vern	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Case, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
East West Bank	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2022
Garretson, Charles	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2022
Garretson, Charles	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2022
Jurado, Frank	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Moss Adams LLP	Organization	ADP of the SNF	NOT APPLICABLE	12/07/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How quickly do residents start therapy after a doctor orders it, and who provides it?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Feather River Care Center	1.3 mi	Oroville, CA	★☆☆☆☆	1/5	abuse
Oroville Hospital Post-Acute Center	1.3 mi	Oroville, CA	★☆☆☆☆	2/5
Gridley Post Acute	12.8 mi	Gridley, CA	★★★★☆	4/5
River Valley Care Center	17.9 mi	Live Oak, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Oroville →

Facility data as of CMS processing date 2026-08-01. CCN 555802.

The Care File

Visit checklist — Country Crest Post-Acute

50 Concordia Lane, Oroville, CA 95966 · 5305326600

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How quickly do residents start therapy after a doctor orders it, and who provides it?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555802 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)