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Nursing HomeMedicaid Investigative

San Pablo Healthcare & Wellness Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

13328 San Pablo Avenue, San Pablo, CA 94806108 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 178 Google reviews

5
4
3
2
1
San Pablo Healthcare & Wellness Center Nursing Home in San Pablo, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)

Below average in CA · Below recommended RN staffing · Above recommended total nurse staffing · Below chain average · $10,036 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as the rehab team is frequently praised for their skill. However, families should monitor the responsiveness of the nursing staff regarding hygiene and medication, as some recent reports indicate significant delays in care during certain shifts.

Google Reviews

Google Reviews

178 reviews on Google
San Pablo Healthcare & Wellness Center is highly regarded for its exceptional rehabilitation services and a remarkably friendly, attentive staff that many families describe as treating residents like family. While most reviewers praise the cleanliness and the physical therapy team, some families have reported serious concerns regarding delayed medical responses and hygiene care during specific shifts. The facility is particularly noted for its welcoming atmosphere and the presence of dedicated staff members like Taze who assist with transitions.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean9.0Activities8.0Meds3.0MemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Warm and compassionate nursing staff
  • Clean and well-maintained facility
  • Friendly and professional front desk/reception

Concerns

  • Delays in hygiene care and medication administration (mentioned by 2 reviewers)
  • Staffing shortages or feeling overworked (mentioned by 2 reviewers)
  • Issues with facility perimeter security/homeless encampments (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'12(1)'17(2)'19(21)'21(4)'23(4)'25(62)'26(19)

Distribution · 179 analyzed

5
140
4
19
3
8
2
2
1
10

How They Respond to Reviews

0%response rate
Generic

The owner uses highly templated, repetitive language that focuses on mission statements and 'quality care' rather than engaging with the specific details of the reviews. While they occasionally acknowledge a specific name or a specific topic like cleanliness, the responses largely follow a copy-paste structure.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; how often do residents typically participate in these sessions?
  • 2With the high praise for your nursing staff's compassion, how do you ensure that medication administration and daily hygiene routines remain consistent even during busy shifts?
  • 3How does the facility manage security and access to the grounds to ensure a safe and private environment for all residents?
  • 4What is your process for managing medication changes or urgent medical needs during the overnight hours?
  • 5Could you tell us more about the daily activities and social events organized to keep residents engaged and connected?
  • 6We noticed you are very active in managing the facility; how does the administration typically address and resolve specific resident or family concerns?

Personalized based on this facility's data


Key Review Excerpts

The therapists are like a “boot camp squad,” tough but caring. They pushed me to get stronger and tau

Rehab patient · 2025★★★★★

The next day it took them eight hours to change her soiled diaper. Today it also took them 45 minutes to even find a toilet for her when she had to go to the bathroom. Also today it took them four hours to bring her pain pills

Long-term resident's family · 2025☆☆☆☆

The staff was very informative and professional. I would have given 5 stars but my brother in law says that they sometimes pass him up when he asks for PB&J’s or tuna sandwiches.

Long-term resident's family · 2025★★★★
Source: 178 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
19.5%
CA
13.7%
Contra costa
8.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.3%
CA
10.5%
Contra costa
9.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
14.4%
CA
10.4%
Contra costa
7.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility12.0%
Worse than Avg
Here
12.0%
US
4.9%
CA
4.5%
Contra costa
3.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.4%
Mixed vs Avgs
Here
12.4%
US
19.4%
CA
10.7%
Contra costa
10.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Contra costa
99.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
79.7%
CA
93.2%
Contra costa
97.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Contra costa
98.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
CA
1.5%
Contra costa
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Near state avg (15.4)
24 complaint-triggered
$10,036 in fines

San Pablo Healthcare has faced numerous complaint-triggered inspections, with families filing 17 reports that led to federal investigations over safety and care concerns. The facility shows recurring issues with abuse/neglect protection, fire safety systems, and resident rights, with multiple violations persisting across recent surveys from 2024-2025. While all deficiencies show correction dates, the pattern of repeated violations in critical areas like resident protection and safety systems suggests ongoing challenges in maintaining consistent care standards.

Mar 30, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 19, 2026Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Feb 2, 2026Complaint
1
0606Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Dec 30, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jun 26, 2025Routine
18
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0711Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0912Minimal · WidespreadCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Jun 17, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Federal Penalties

Fine

Feb 2, 2024

$10,036

Ownership & Operations

Who Operates This Facility

Owner / Operator

San Pablo Healthcare & Wellness Center

Organization Type

for profit

Chain Affiliation

Chain Name

Sol Healthcare

Chain Size

8 facilities nationwide

Chain avg rating: 2.6/5 · Rank 5 of 8

Ownership & Management

Owners

Sol Healthcare LLC

Owner · Organization

99%

Majer, Sol

Owner

Key personnel

Rockport Administrative Services, LLCManagerCooper, DustinManagerRechnitz, ShlomoManagerRijhwani, MarviManagerEretz San Pablo Properties LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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