To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-702-3 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-702-3 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center), a limited liability company, in an amount not to exceed $1,937,055, to provide skilled nursing care services with special treatment programs (SNF/STP) for adults with Serious and Persistent Mental Illness (SPMI) for the period July 1, 2026 through June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $1,937,055 and will be funded 100% by Mental Health Realignment.
BACKGROUND:
There are thirty (30) SNF’s in Contra Costa County, however GHC of Contra Costa, LLC is the only facility that also offers STP. Contractor provides SNF/STP services in locked treatment facilities for clients discharging from acute care settings with co-occurring mental health and physical health needs. Additionally, Contractor provides placement options for clients who are involved in the justice system who have been placed on a Murphy conservatorship. This Contractor has been providing SNF services since July of 2024. This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code §§ 5600, et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, §§ 523, et seq. (Community Mental Health Services); California Government Code §§ 26227 and 31000.
The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On June 24, 2025, the Board of Supervisors approved Contract #74-702-1 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center), in an amount not to exceed $702,980, for the provision of SNF/STP for adults with SPMI for the period July 1, 2025 through June 30, 2026.
On April 28, 2026, the Board of Supervisors approved Contract Amendment #74-702-2 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center), effective April 1, 2026, to increase the payment limit by $50,000 to a new payment limit not to exceed $752,980 and include Long Term Care Patch services in addition to SNF/STP for adults with SPMI with no change in the term.
Approval of Contract #74-702-3 will allow Contractor to continue providing SNF/STP services for adults with SPMI through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, a significant number of adults with SPMI may be displaced to the community without the mental health services they require.