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Skilled nursing facility · CMS certification number 555926

SHADELANDS POST ACUTE

WALNUT CREEK, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 59

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 20 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$34,791,198CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,110,713CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$25,680,485CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,765,998CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$7,914,487CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,402CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$7,916,889CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,916,889 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,594CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days21,227CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days118CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components21,345CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges540CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges15CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components555CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days38.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432368, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$30,214,067CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,157,552CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$24,056,515CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,793,719CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$7,262,796CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,518CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$7,266,314CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,266,314 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,509CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components578CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days35.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395441, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 13 July 2022 to 31 December 2022 — a reporting period of 171 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 13 October 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,034,419CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,514,141CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,520,278CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,669,514CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$149,236CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$149,235CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$149,235 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,821CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components208CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days27.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366694, read from the public cost report file SNF10FY2022.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
APT, FREDERICKCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/05/2021
HANCOCK, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/05/2021
MITCHELL, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/05/2021
MURRAY, JASONCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/05/2021
BILLS, CRAIGOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/28/2022
BILLS, CRAIGW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 04/28/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GREY PINE HOLDINGS, LLC (enrollment ID O20211222000549).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JASON H MURRAYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5011/5/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK D HANCOCKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5011/5/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
FREDERICK G APTIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/5/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JASON H MURRAYIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/5/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN T MITCHELLIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/5/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK D HANCOCKIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/5/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRAIG T BILLSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/28/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRAIG T BILLSIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/28/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
114 May 202614 May 2026146
21 August 20241 August 2024511
313 July 202213 July 202224

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

21 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
14 May 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DNoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.ENoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction4 June 2026
14 May 2026HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correction4 June 2026
7 May 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesDeficient, Provider has date of correction24 June 2026
7 May 2026HealthF 0836Administration DeficienciesEnsure 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.FYesDeficient, Provider has date of correction24 June 2026
1 August 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.ENoDeficient, Provider has date of correction1 September 2024
1 August 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction1 September 2024
1 August 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction1 September 2024
1 August 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction1 September 2024
1 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction1 September 2024
19 October 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EYesDeficient, Provider has date of correction31 October 2023
19 October 2023HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEYesDeficient, Provider has date of correction31 October 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameGREY PINE HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid Services2022-07-29
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishContra Costa
Telephone Number9252965547
Chain NamePACS GROUP
Chain ID690
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds59
Average Number of Residents per Day58.5
Overall Rating4
Health Inspection Rating3
QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on SHADELANDS POST ACUTE: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for SHADELANDS POST ACUTE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555926.