Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greenridge Post Acute during CMS and state inspections, most recent first.
A resident with multiple medical conditions experienced a significant drop in blood pressure and oxygen saturation, which went unaddressed for over 12 hours by an LVN. The resident was later transferred to a hospital with altered mental status and hyponatremia. Facility staff acknowledged the need for reassessment and documentation, which were not performed as per policy.
Failure to Reassess and Document Vital Signs
Penalty
Summary
The facility failed to provide necessary care and services to a resident, identified as Resident 1, in accordance with professional standards of practice. This deficiency occurred when a Licensed Vocational Nurse (LVN) did not reassess or document the resident's vital signs after a significant change in blood pressure and oxygen saturation was noted. These changes persisted for more than 12 hours without appropriate follow-up, placing the resident at risk for delayed medical intervention. Resident 1, who had medical diagnoses including multiple fractures of the pelvis, urinary tract infection, and atrial fibrillation, was admitted to the facility in November 2022. On November 22, 2022, the resident's blood pressure was recorded as 97/58 mm Hg, and oxygen saturation was at 90%, both lower than her baseline. Despite these abnormal readings, the LVN did not reassess the vital signs or document any further observations. The next set of vital signs was not recorded until the following morning, more than 15 hours later. The resident's condition deteriorated, leading to confusion and an eventual transfer to an acute care hospital on November 23, 2022, where she was diagnosed with altered mental status and hyponatremia. Interviews with facility staff, including a Registered Nurse (RN) and the Director of Nursing (DON), confirmed that the vital signs should have been rechecked and documented, and the physician notified if abnormalities persisted. The facility's policy on changes in a resident's condition also emphasized the need for detailed observations and documentation, which were not followed in this case.
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Nursing homes near El Sobrante
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| San Pablo Healthcare & Wellness Center | 1.7 mi | ★★★★★ | 5 | 0 |
| Creekside Healthcare Center | 2.2 mi | ★★★★★ | 3 | 0 |
| Vale Healthcare Center | 2.2 mi | ★★★★★ | 5 | 0 |
| Richmond Post Acute Care | 2.9 mi | ★★★★★ | 0 | 0 |
| Shields Richmond Nursing Center | 3.7 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.