Contra Costa County, California · Nursing home
Shadelands Post Acute
4 of 5 overall from CMS
2765 Mitchell Dr, Walnut Creek, CA 94598
At a glance
- Overall rating 4 of 5 Above the state average of 3.2
- Nurse time per resident, per day 4.31 hours Below the state average of 4.52
- Nursing staff who left in a year 45.2% Above the state average of 36.7%
- Health citations, last 3 inspection cycles 21 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 99.2% of 59 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Shadelands Post Acute is a 59-bed nursing home in Walnut Creek, California (Contra Costa County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.31 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists no fines in the past three years.
- Certified beds
- 59
- Residents per day (average)
- 58.5
- Certified since
- 2022 (4 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Pacs Group (275 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Shadelands Post Acute
Chosen from this home's public data.
- Nursing staff turnover is 45.2%, above the California average of 36.7%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.78 hours per resident on weekends against 4.31 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 99.2% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 California average 3.2
- Health inspections 3 of 5 California average 2.8
- Staffing 2 of 5 California average 3.3
- Quality measures 5 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.31 h California average 4.52
- Nurse aides 2.30 h California average 2.65
- Licensed practical nurses 1.47 h California average 1.20
- Registered nurses 0.55 h California average 0.67
- All staff, weekends 3.78 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover45.2%
- California average36.7%
- Registered nurse turnover33.3%
- California average38.1%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | Too few residents or stays to report | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | Too few residents or stays to report | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | Too few residents or stays to report | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | Too few residents or stays to report | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | Too few residents or stays to report | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | Too few residents or stays to report | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | Too few residents or stays to report | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Too few residents or stays to report | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | Too few residents or stays to report | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Too few residents or stays to report | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.2% | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 21 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 4 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 14, 2026 | 14 | 6 |
| Aug 1, 2024 | 5 | 11 |
| Jul 13, 2022 | 2 | 4 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (21)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 4, 2026)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Jun 4, 2026)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jun 4, 2026)
Show 16 more
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Jun 4, 2026)
-
FPotential for more than minimal harm, widespread
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 24, 2026)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 24, 2026)
-
EPotential for more than minimal harm, pattern
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Sep 1, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Sep 1, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 1, 2024)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Sep 1, 2024)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Sep 1, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 31, 2023)
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 31, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
- Size927 of 1161 by certified beds
- California average residents per day87.9
- ChainPacs Group
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Walnut Creek6
- Homes in Contra Costa County30
Common questions
What is the CMS star rating for Shadelands Post Acute?
Shadelands Post Acute has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 2 and quality measures is 5.
How many beds does Shadelands Post Acute have?
Shadelands Post Acute has 59 certified beds. It averages 58.5 residents per day, about 99.2% of its certified beds.
How much nursing care do residents get at Shadelands Post Acute?
The home reports 4.31 hours of nurse staffing per resident per day, including 0.55 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has Shadelands Post Acute been fined?
CMS lists no fines for this home in the past three years.
Does Shadelands Post Acute accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Concord Post Acute 190beds 98.9%in use 3.87nurse hours a day
- 5 of 5 La Casa Via Transitional Care Center 99beds 77.7%in use 3.96nurse hours a day
- 4 of 5 Tampico Healthcare Center 128beds 90.6%in use 4.47nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Contra Costa County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 555926. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.