Shields Nursing Center

Name: Shields Nursing Center
Address: 3230 CARLSON BOULEVARD, El Cerrito, CA, 94530, US
Telephone: 5105253212

3230 Carlson Boulevard, El Cerrito, CA 94530 · Contra Costa County · 45 certified beds · avg 36 residents/day · certified since May 17, 1989

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.40

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 (27)

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
Nov 20, 2025	E · Potential for harm, repeated	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
Nov 20, 2025	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. · from a complaint
Nov 19, 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. · from a complaint
Jun 5, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jun 5, 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.
Jun 5, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 5, 2025	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.
Jun 5, 2025	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.
Jun 5, 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.
Jun 5, 2025	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. · from a complaint
Jun 5, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
May 22, 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
May 22, 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
Jan 30, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Apr 4, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Apr 4, 2024	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
Nov 17, 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.
Nov 17, 2023	F · Potential for harm, facility-wide	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.
Nov 17, 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.
Nov 17, 2023	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.
Nov 17, 2023	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 17, 2022	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Nov 17, 2022	F · Potential for harm, facility-wide	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.
Nov 17, 2022	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Nov 17, 2022	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.
Nov 17, 2022	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Nov 17, 2022	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 8).

Year	Citations	Worst severity that year
2022	6	F
2023	5	F
2024	2	D
2025	14	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)	4.40	4.31	3.95	top 33% in California; top 26% in the U.S.
Registered Nurse hours	1.02	0.61	0.69	top 11% in California; top 15% in the U.S.
Weekend total nurse staffing	3.61	3.90	3.50	bottom 39% in California; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.60	0.51	0.48	top 22% in California; top 23% in the U.S.
Total nursing staff turnover (%)	22.2	36.7	45.8	top 12% in California; top 4% in the U.S.
RN turnover (%)	28.6	38.1	42.9	top 33% in California; top 26% 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 4.47, RN 1.04, weekend 3.66. 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: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Shields, Monique	Individual	5% or Greater Direct Ownership Interest	49%	06/01/2001
Shields, Willie	Individual	5% or Greater Direct Ownership Interest	51%	11/29/1978
Avery, Karen	Individual	Operational/Managerial Control	NOT APPLICABLE	10/19/2015
Avery, Karen	Individual	ADP of the SNF	NOT APPLICABLE	10/19/2015
Booker, Whitney	Individual	Operational/Managerial Control	NOT APPLICABLE	11/10/2008
Booker, Whitney	Individual	ADP of the SNF	NOT APPLICABLE	11/10/2008
Carter, Brazell	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2003
Carter, Brazell	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2003
Goward, Angelina	Individual	Operational/Managerial Control	NOT APPLICABLE	07/23/2003
Goward, Angelina	Individual	ADP of the SNF	NOT APPLICABLE	07/23/2003
Jose, David	Individual	Operational/Managerial Control	NOT APPLICABLE	04/16/2001
Jose, David	Individual	ADP of the SNF	NOT APPLICABLE	04/16/2001
Lal, Arvind	Individual	Operational/Managerial Control	NOT APPLICABLE	02/03/2017
Lal, Arvind	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2017
Lindsey, Robin	Individual	Operational/Managerial Control	NOT APPLICABLE	03/23/2015
Lindsey, Robin	Individual	ADP of the SNF	NOT APPLICABLE	03/23/2015
Mphenyeke, Carol	Individual	Operational/Managerial Control	NOT APPLICABLE	11/10/2023
Mphenyeke, Carol	Individual	ADP of the SNF	NOT APPLICABLE	11/10/2023
Nkwuo, Roseline	Individual	Operational/Managerial Control	NOT APPLICABLE	10/28/2008
Nkwuo, Roseline	Individual	ADP of the SNF	NOT APPLICABLE	10/28/2008

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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"
"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
Chaparral House	2.5 mi	Berkeley, CA	★★★★★	4/5
Shields Richmond Nursing Center	3.2 mi	Richmond, CA	★★★★☆	2/5
Kyakameena Care Center	3.2 mi	Berkeley, CA	★★★☆☆	3/5
Elmwood Care Center	3.5 mi	Berkeley, CA	★★★☆☆	3/5
Ashby Care Center	3.6 mi	Berkeley, CA	★★☆☆☆	2/5
Berkeley Pines Skilled Nursing Center	3.8 mi	Berkeley, CA	★★☆☆☆	2/5
San Pablo Healthcare & Wellness Center	4.0 mi	San Pablo, CA	★★★☆☆	3/5
Greenridge Post Acute	4.1 mi	El Sobrante, CA	★★★★★	5/5
Richmond Post Acute Care	4.1 mi	Richmond, CA	★★★★☆	4/5
Vale Healthcare Center	4.3 mi	San Pablo, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in El Cerrito →

Facility data as of CMS processing date 2026-08-01. CCN 555364.

The Care File

Visit checklist — Shields Nursing Center

3230 Carlson Boulevard, El Cerrito, CA 94530 · 5105253212

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

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "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 555364 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)