Creekside Healthcare Center
1900 Church Lane, San Pablo, CA 94806 · Contra Costa County · 80 certified beds · avg 70 residents/day · certified since Feb 11, 1970
Part of chain: MARINER HEALTH CARE (17 facilities, chain avg rating 3.6★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.28
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (21)
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 |
|---|---|---|
| Feb 23, 2026 | D · Potential for harm, one-off | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint |
| Aug 8, 2025 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Aug 8, 2025 | 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. |
| Aug 8, 2025 | 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. |
| May 24, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| May 24, 2024 | E · Potential for harm, repeated | 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. |
| May 24, 2024 | E · Potential for harm, repeated | 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. |
| May 24, 2024 | E · Potential for harm, repeated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| May 24, 2024 | 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. |
| May 24, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 24, 2024 | 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. |
| May 24, 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. |
| May 24, 2024 | D · Potential for harm, one-off | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| May 5, 2022 | E · Potential for harm, repeated | 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. |
| May 5, 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. |
| May 5, 2022 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 5, 2022 | E · Potential for harm, repeated | 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. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | E |
| 2024 | 10 | 0 | F |
| 2025 | 3 | 0 | E |
| 2026 | 1 | 0 | D |
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) | 4.28 | 4.31 | 3.95 | top 40% in California; top 30% in the U.S. |
| Registered Nurse hours | 1.54 | 0.61 | 0.69 | top 4% in California; top 4% in the U.S. |
| Weekend total nurse staffing | 3.95 | 3.90 | 3.50 | top 36% in California; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.65 | 0.51 | 0.48 | top 4% in California; top 2% in the U.S. |
| Total nursing staff turnover (%) | 38.8 | 36.7 | 45.8 | bottom 42% in California; top 33% in the U.S. |
| RN turnover (%) | 40.7 | 38.1 | 42.9 | bottom 42% in California; top 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 5.13, RN 1.85, weekend 4.74. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| GC Holding Company 2 LLC | Organization | 5% or Greater Direct Ownership Interest | 99% | 06/30/2015 |
| Grancare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/30/2015 |
| Grunstein, Emily | Individual | 5% or Greater Indirect Ownership Interest | — | 02/06/2019 |
| Mariner Health Care, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 06/30/2015 |
| MHC Holding Company | Organization | 5% or Greater Indirect Ownership Interest | — | 06/30/2015 |
| MHC West Holding Company | Organization | 5% or Greater Indirect Ownership Interest | — | 06/30/2015 |
| National Senior Care, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 06/30/2015 |
| Creekside Holding Company GP LLC | Organization | General Partnership Interest | NOT APPLICABLE | 06/30/2015 |
| Dhugga, Gurpreet | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Dhugga, Gurpreet | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2022 |
| GC Holding Company 2 LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 06/30/2015 |
| Kaur, Navjot | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/09/2026 |
| Kaur, Navjot | Individual | ADP of the SNF | NOT APPLICABLE | 02/09/2026 |
| Rotich, Janet | Individual | Corporate Officer | NOT APPLICABLE | 06/30/2015 |
| Rotich, Janet | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2000 |
| Rotich, Janet | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2000 |
| Sarcauga, Dennis | Individual | Corporate Officer | NOT APPLICABLE | 02/06/2025 |
| Sarcauga, Dennis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/06/2025 |
| Sarcauga, Dennis | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "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 |
|---|---|---|---|---|---|
| Vale Healthcare Center | 0.1 mi | San Pablo, CA | ★★★☆☆ | 2/5 | |
| San Pablo Healthcare & Wellness Center | 0.6 mi | San Pablo, CA | ★★★☆☆ | 3/5 | |
| Richmond Post Acute Care | 0.9 mi | Richmond, CA | ★★★★☆ | 4/5 | |
| Greenridge Post Acute | 2.2 mi | El Sobrante, CA | ★★★★★ | 5/5 | |
| Shields Richmond Nursing Center | 2.3 mi | Richmond, CA | ★★★★☆ | 2/5 | |
| Shields Nursing Center | 4.4 mi | El Cerrito, CA | ★★★★☆ | 3/5 | |
| Chaparral House | 6.8 mi | Berkeley, CA | ★★★★★ | 4/5 | |
| Kyakameena Care Center | 7.7 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Elmwood Care Center | 7.9 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Ashby Care Center | 8.0 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| Berkeley Pines Skilled Nursing Center | 8.3 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| The Rehabilitation Center of Oakland | 10.0 mi | Oakland, CA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055099.