Starfile / California

OAK GROVE POST ACUTE

4545 SHELLEY COURT, STOCKTON, CA 95207 · CCN 055201

Abuse icon

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$83,719

Number of fines

5

Number of penalties

5

Payment denials

0

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (122)2 actual harm

1. DF0761Ensure 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.2026-01-16 · Health

   Potential for more than minimal harm

2. FF0814Dispose of garbage and refuse properly.2026-01-16 · Health

   Potential for more than minimal harm

3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-12 · Health · corrected 2025-12-16

   Potential for more than minimal harm

4. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-12 · Health · corrected 2025-12-16

   Potential for more than minimal harm

5. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-08 · Health · corrected 2025-12-12

   Potential for more than minimal harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-03 · Health · corrected 2025-12-05

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-03 · Health · corrected 2025-12-05

   Potential for more than minimal harm

8. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-12-02 · Health · corrected 2025-12-05

   Potential for more than minimal harm

9. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-11-26 · Health · corrected 2025-12-02

   Potential for more than minimal harm

10. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-26 · Health · corrected 2025-12-02

    Potential for more than minimal harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-26 · Health · corrected 2025-12-02

    Potential for more than minimal harm

12. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-20 · Health · corrected 2025-11-23

    Potential for more than minimal harm

13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-20 · Health · corrected 2025-11-23

    Potential for more than minimal harm

14. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-21 · Health · corrected 2025-08-22

    Potential for more than minimal harm

15. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2025-08-21 · Health · corrected 2025-08-22

    Potential for more than minimal harm

16. DF0583Keep residents' personal and medical records private and confidential.2025-08-15 · Health · corrected 2025-08-18

    Potential for more than minimal harm

17. DF0693Ensure 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.2025-08-15 · Health · corrected 2025-08-18

    Potential for more than minimal harm

18. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-01 · Health · corrected 2025-08-04

    Actual harm

19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-22 · Health · corrected 2025-07-24

    Potential for more than minimal harm

20. DF0692Provide enough food/fluids to maintain a resident's health.2025-07-16 · Health · corrected 2025-08-27

    Potential for more than minimal harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-24 · Health · corrected 2025-06-24

    Potential for more than minimal harm

22. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-22 · Health · corrected 2025-06-14

    Potential for more than minimal harm

23. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-19 · Health · corrected 2025-05-20

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-14 · Health · corrected 2025-05-24

    Potential for more than minimal harm

25. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-13 · Health · corrected 2025-03-17

    Potential for more than minimal harm

26. DF0610Respond appropriately to all alleged violations.2025-03-13 · Health · corrected 2025-03-17

    Potential for more than minimal harm

27. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-02-13 · Health · corrected 2025-03-07

    Potential for more than minimal harm

28. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-06 · Health · corrected 2025-01-08

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-06 · Health · corrected 2025-01-08

    Potential for more than minimal harm

30. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

31. DF0583Keep residents' personal and medical records private and confidential.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

32. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

33. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

34. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

35. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

39. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

40. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

41. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

42. EF0692Provide enough food/fluids to maintain a resident's health.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

43. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

44. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

45. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

46. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

47. DF0758Implement 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.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

48. EF0759Ensure medication error rates are not 5 percent or greater.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

49. EF0761Ensure 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.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

50. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

51. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

52. EF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

53. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

54. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

55. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

56. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-12 · Health · corrected 2025-01-03

    Potential for more than minimal harm

57. DF0880Provide and implement an infection prevention and control program.2024-12-02 · Health · corrected 2024-12-20

    Potential for more than minimal harm

58. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-22 · Health · corrected 2024-12-10

    Potential for more than minimal harm

59. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-23 · Health · corrected 2024-11-08

    Potential for more than minimal harm

60. EF0880Provide and implement an infection prevention and control program.2024-10-23 · Health · corrected 2024-11-08

    Potential for more than minimal harm

61. EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-08-14 · Health · corrected 2024-09-13

    Potential for more than minimal harm

62. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-21 · Health · corrected 2024-09-12

    Potential for more than minimal harm

63. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-07-21 · Health · corrected 2024-09-12

    Potential for more than minimal harm

64. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-07-02 · Health · corrected 2024-08-16

    Potential for more than minimal harm

65. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-06-10 · Health · corrected 2024-07-11

    Potential for more than minimal harm

66. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-29 · Health · corrected 2024-02-02

    Potential for more than minimal harm

67. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-28 · Health · corrected 2024-02-14

    Potential for more than minimal harm

68. DF0880Provide and implement an infection prevention and control program.2023-12-19 · Health · corrected 2024-02-14

    Potential for more than minimal harm

69. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-12-19 · Health · corrected 2023-12-20

    Potential for more than minimal harm

70. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-19 · Health · corrected 2024-01-11

    Potential for more than minimal harm

71. DF0908Keep all essential equipment working safely.2023-11-18 · Health · corrected 2023-12-05

    Potential for more than minimal harm

72. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-11-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

73. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-11-15 · Health · corrected 2023-11-27

    Potential for more than minimal harm

74. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-15 · Health · corrected 2023-11-27

    Potential for more than minimal harm

75. DF0641Ensure each resident receives an accurate assessment.2023-09-25 · Health · corrected 2023-10-13

    Potential for more than minimal harm

76. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-25 · Health · corrected 2023-10-13

    Potential for more than minimal harm

77. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-18 · Health · corrected 2023-09-25

    Potential for more than minimal harm

78. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-22 · Health · corrected 2023-09-24

    Potential for more than minimal harm

79. EF0836Ensure 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.2023-08-22 · Health · corrected 2023-09-24

    Potential for more than minimal harm

80. DF0880Provide and implement an infection prevention and control program.2023-08-09 · Health · corrected 2023-09-01

    Potential for more than minimal harm

81. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-08-02 · Health · corrected 2023-08-17

    Potential for more than minimal harm

82. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-08-02 · Health · corrected 2023-08-17

    Potential for more than minimal harm

83. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-08-01 · Health · corrected 2023-08-10

    Potential for more than minimal harm

84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-25 · Health · corrected 2023-08-10

    Potential for more than minimal harm

85. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-20 · Health · corrected 2023-07-27

    Potential for more than minimal harm

86. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-07-17 · Health · corrected 2023-08-05

    Potential for more than minimal harm

87. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-12 · Health · corrected 2023-08-07

    Potential for more than minimal harm

88. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-07-11 · Health · corrected 2023-08-17

    Potential for more than minimal harm

89. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-11 · Health · corrected 2023-08-17

    Potential for more than minimal harm

90. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-06 · Health · corrected 2023-07-19

    Actual harm

91. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-28 · Health · corrected 2023-07-20

    Potential for more than minimal harm

92. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-11 · Health · corrected 2023-04-03

    Potential for more than minimal harm

93. DF0880Provide and implement an infection prevention and control program.2023-03-06 · Health · corrected 2023-03-15

    Potential for more than minimal harm

94. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-09 · Health · corrected 2023-01-09

    Potential for more than minimal harm

95. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-09 · Health · corrected 2023-01-09

    Potential for more than minimal harm

96. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-09 · Health · corrected 2023-01-09

    Potential for more than minimal harm

97. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-09 · Health · corrected 2023-01-09

    Potential for more than minimal harm

98. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-12-09 · Health · corrected 2023-01-09

    Potential for more than minimal harm

99. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-09 · Health · corrected 2023-01-09

    Potential for more than minimal harm

100. EF0692Provide enough food/fluids to maintain a resident's health.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

101. EF0693Ensure 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.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

102. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

103. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

104. EF0758Implement 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.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

105. DF0761Ensure 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.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

106. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

107. CF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-12-09 · Health · corrected 2023-01-09

     Potential for minimal harm

108. FF0880Provide and implement an infection prevention and control program.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

109. FF0881Implement a program that monitors antibiotic use.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

110. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-12-09 · Health · corrected 2023-01-09

     Potential for more than minimal harm

111. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

112. DF0558Reasonably accommodate the needs and preferences of each resident.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

113. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

114. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

115. DF0692Provide enough food/fluids to maintain a resident's health.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

116. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

117. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

118. EF0758Implement 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.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

119. EF0761Ensure 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.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

120. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

121. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

122. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2019-01-25 · Health · corrected 2019-02-28

     Potential for more than minimal harm

Ownership

Other facilities in STOCKTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.