Orinda Care Center, LLC
11 Altarinda Road, Orinda, CA 94563 · Contra Costa County · 47 certified beds · avg 45 residents/day · certified since Jul 19, 1967
Part of chain: CRYSTAL SOLORZANO (9 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (32)
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 |
|---|---|---|
| May 29, 2026 | E · Potential for harm, repeated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Apr 22, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 22, 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 |
| Apr 22, 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 |
| Apr 9, 2025 | 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. · from a complaint |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Apr 9, 2025 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Apr 9, 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 |
| Jan 24, 2025 | 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 24, 2025 | E · Potential for harm, repeated | 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 24, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jan 24, 2025 | 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. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 24, 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. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 24, 2025 | D · Potential for harm, one-off | 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. |
| Jan 24, 2025 | 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. |
| Jan 24, 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. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 24, 2025 | 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. |
| Jan 24, 2025 | 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. |
| Oct 19, 2023 | 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. |
| Oct 19, 2023 | 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. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 8, 2021 | 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. |
| Apr 8, 2021 | E · Potential for harm, repeated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Apr 8, 2021 | 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. |
| Apr 8, 2021 | B · Minimal risk, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2023 | 3 | 0 | E |
| 2025 | 24 | 0 | F |
| 2026 | 1 | 0 | E |
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) | 4.26 | 4.31 | 3.95 | top 41% in California; top 30% in the U.S. |
| Registered Nurse hours | 0.44 | 0.61 | 0.69 | bottom 43% in California; bottom 29% in the U.S. |
| Weekend total nurse staffing | 3.79 | 3.90 | 3.50 | top 47% in California; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.51 | 0.48 | bottom 12% in California; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 45.8 | 36.7 | 45.8 | bottom 22% in California; bottom 48% in the U.S. |
| RN turnover (%) | 50.0 | 38.1 | 42.9 | bottom 29% in California; bottom 39% 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 4.18, RN 0.43, weekend 3.73. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cohen, Rachel | Individual | 5% or Greater Indirect Ownership Interest | 74% | 07/24/2024 |
| Dionisio, Paola | Individual | 5% or Greater Indirect Ownership Interest | 25% | 07/24/2024 |
| Occst LLC | Organization | 5% or Greater Direct Ownership Interest | 25% | 07/24/2024 |
| Renew Health Group LLC | Organization | 5% or Greater Direct Ownership Interest | 75% | 04/11/2015 |
| Chavarria, Eva | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2024 |
| Chavarria, Eva | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Chavarria, Eva | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Cohen, Rachel | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2024 |
| Eleos Health Care, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/29/2025 |
| Fetic, Mirjana | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Fetic, Mirjana | Individual | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Gateways Rehabilitation Center II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/17/2023 |
| Rasheed, Moyra | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/06/2026 |
| Rasheed, Moyra | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2026 |
| Renew Health Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/17/2023 |
| Renew Health Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/17/2023 |
| Sharma, Vatsala | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/17/2023 |
| Sharma, Vatsala | Individual | ADP of the SNF | NOT APPLICABLE | 08/17/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who provides social services here, and how would they support my family member's emotional and social needs?"
- "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| Moraga Post Acute | 3.0 mi | Moraga, CA | ★★★★★ | 4/5 | |
| Berkeley Pines Skilled Nursing Center | 5.5 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | 5.5 mi | Walnut Creek, CA | ★★☆☆☆ | 2/5 | |
| Rossmoor Post Acute | 5.5 mi | Walnut Creek, CA | ★★★★★ | 4/5 | |
| Tice Valley Post Acute | 5.6 mi | Walnut Creek, CA | ★★★★★ | 4/5 | |
| Kyakameena Care Center | 5.9 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Elmwood Care Center | 6.0 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Ashby Care Center | 6.0 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| Rosewood Post Acute | 6.2 mi | Pleasant Hill, CA | ★★★★☆ | 4/5 | |
| Piedmont Gardens Health Facility | 6.3 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Pleasant Hill Post Acute | 6.6 mi | Pleasant Hill, CA | ★★★★☆ | 3/5 | |
| Tampico Healthcare Center | 6.7 mi | Walnut Creek, CA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055775.