Legacy Post Acute Care
1790 Muir Road, Martinez, CA 94553 · Contra Costa County · 96 certified beds · avg 74 residents/day · certified since Nov 12, 1996
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 (17)
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 |
|---|---|---|
| Apr 3, 2026 | 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 |
| Dec 4, 2025 | 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 |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jan 9, 2025 | 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. |
| Jan 9, 2025 | 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. |
| Jan 9, 2025 | D · Potential for harm, one-off | 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. |
| Oct 14, 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. |
| Oct 14, 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. |
| Oct 14, 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. |
| Oct 14, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 14, 2022 | D · Potential for harm, one-off | 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. |
| Aug 16, 2019 | 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. |
| Aug 16, 2019 | 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. |
| Aug 16, 2019 | 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. |
| Aug 16, 2019 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2022 | 5 | 0 | F |
| 2025 | 7 | 0 | D |
| 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) | 4.48 | 4.31 | 3.95 | top 29% in California; top 24% in the U.S. |
| Registered Nurse hours | 0.76 | 0.61 | 0.69 | top 19% in California; top 30% in the U.S. |
| Weekend total nurse staffing | 4.06 | 3.90 | 3.50 | top 30% in California; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.68 | 0.51 | 0.48 | top 16% in California; top 17% in the U.S. |
| Total nursing staff turnover (%) | 26.3 | 36.7 | 45.8 | top 20% in California; top 9% in the U.S. |
| RN turnover (%) | 30.0 | 38.1 | 42.9 | top 38% in California; top 29% 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 4.30, RN 0.73, weekend 3.90. Staffing rating: 4/5.
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: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Joseph, Tom | Individual | 5% or Greater Direct Ownership Interest | 100% | 01/01/2008 |
| Broach, Jasmine | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/10/2019 |
| Broach, Jasmine | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2019 |
| Bughio, Sara | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Bughio, Sara | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Castillo, Myla | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/25/2024 |
| Castillo, Myla | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2024 |
| Clement, Sharletta | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2023 |
| Clement, Sharletta | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2023 |
| Cooper, Dustin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2025 |
| Cooper, Dustin | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| Cruz, Marissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2024 |
| Cruz, Marissa | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2024 |
| Dantes, Alvin | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/27/2022 |
| Dantes, Alvin | Individual | ADP of the SNF | NOT APPLICABLE | 09/27/2022 |
| Hernandez-Perdomo, Yesenia | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/30/2021 |
| Hernandez-Perdomo, Yesenia | Individual | ADP of the SNF | NOT APPLICABLE | 11/30/2021 |
| Joseph, April | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Joseph, April | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Joseph, April | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Alhambra Post Acute | 2.5 mi | Martinez, CA | ★★★★★ | 4/5 | |
| Bayberry Skilled Nursing & Healthcare Center | 2.9 mi | Concord, CA | ★★★★☆ | 3/5 | |
| Willow Pass Healthcare Center | 3.9 mi | Concord, CA | ★★★☆☆ | 2/5 | |
| Concord Post Acute | 4.0 mi | Concord, CA | ★★☆☆☆ | 2/5 | abuse |
| Rosewood Post Acute | 4.1 mi | Pleasant Hill, CA | ★★★★☆ | 4/5 | |
| Pleasant Hill Post Acute | 4.3 mi | Pleasant Hill, CA | ★★★★☆ | 3/5 | |
| Diablo Valley Post Acute | 4.6 mi | Concord, CA | ★★☆☆☆ | 1/5 | abuse |
| Shadelands Post Acute | 5.6 mi | Walnut Creek, CA | ★★★★☆ | 3/5 | |
| La Casa via Transitional Care Center | 5.8 mi | Walnut Creek, CA | ★★★★★ | 4/5 | |
| Tampico Healthcare Center | 5.9 mi | Walnut Creek, CA | ★★★★☆ | 3/5 | |
| Stonebrook Post Acute | 6.1 mi | Concord, CA | ★★★★☆ | 4/5 | |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | 7.8 mi | Walnut Creek, CA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555684.