Nursing homeFAID #690
Oak Grove Post Acute
4545 SHELLEY COURT, STOCKTON, CA, 95207
(209) 477-0271
119 licensed beds
CMS rates Oak Grove Post Acute 1 out of 5 overall. Federal inspectors issued 171 citations across 51 inspections in the last three years, with $40,283 in fines. Listing last updated 2026-11-06.
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
119
CMS facility ID
055201
Care type
Nursing home
County
San Joaquin
Facility name
Oak Grove Post Acute
Street address
4545 SHELLEY COURT
City / state / ZIP
Stockton, CA 95207
Phone
(209) 477-0271
About this facility — Oak Grove Post Acute
Oak Grove Post Acute is a Medicare/Medicaid-certified skilled nursing facility in Stockton, California. It is licensed for 119 beds — above the median for skilled nursing facilities in California (98 beds).
It is one of 103 senior care facilities in Stockton and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
It is listed as part of Windsor, a group of 22 facilities on this site.
Federal inspectors have cited Oak Grove Post Acute 171 times across 51 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $40,283 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Windsor
Ownership type
For profit - Limited Liability company
Registered owners & officers
Sapphire Operations, Llc
Direct owner — 100% stake — since 2024
Glavan-martinez, Martha
Operational control · Additional disclosable party — since 2013
Jimenez, Rafileiry
Operational control · Additional disclosable party — since 2025
Newgen Administrative Services, Llc
Additional disclosable party — since 2024
Verma, Atul
Operational control · Additional disclosable party — since 2024
Regulatory standing
Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1967-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
46 at the last standard inspection
Federal fines
$40,283 total
Last standard inspection
2026-04-09
Nurse staffing
4.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$336 per day (≈ $10,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
89% Medicaid · 4% Medicare · 6% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
35% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
119
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-21Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-08-13Health inspectionComplaint-triggered3 citations
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-09-03
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-09-03
F-0921
F · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-09-03
47 earlier / fire-safety inspections (167 citations)
2026-07-09Health inspectionComplaint-triggered1 citation
F-0844
C · No harm foundFrom a complaint
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
2026-04-22Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-23
2026-04-09Health inspectionComplaint-triggered20 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-28
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-04-28
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-04-28
F-0584
D · No harm found
Honor 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.
Corrected 2026-04-28
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-28
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2026-04-28
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-28
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-28
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-28
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2026-04-28
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-04-28
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-04-28
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-28
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-04-28
F-0761
E · No harm found
Ensure 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.
Corrected 2026-04-28
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-28
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2026-04-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-28
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-04-28
F-0887
D · No harm found
Educate 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.
Corrected 2026-04-28
2026-03-11Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-03-13
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-03-13
2026-03-04Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-06
2026-02-20Health inspectionComplaint-triggered1 citation
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-23
2026-02-11Health inspectionComplaint-triggered3 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-02-12
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2026-02-12
F-0925
F · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-02-12
2026-01-16Health inspectionComplaint-triggered2 citations
F-0761
D · No harm foundFrom a complaint
Ensure 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.
Corrected 2026-01-19
F-0814
F · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2026-01-19
2025-12-12Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-16
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-16
2025-12-08Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-12
2025-12-03Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-05
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-05
2025-12-02Health inspectionComplaint-triggered1 citation
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-12-05
2025-11-26Health inspectionComplaint-triggered3 citations
F-0603
D · No harm foundFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-12-02
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-02
2025-11-20Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-23
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-23
2025-08-21Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-22
F-0742
D · No harm foundFrom a complaint
Provide 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.
Corrected 2025-08-22
2025-08-15Health inspectionComplaint-triggered2 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-08-18
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2025-08-18
2025-08-01Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-04
2025-07-22Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-24
2025-07-16Health inspectionComplaint-triggered1 citation
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-27
2025-06-24Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-24
2025-05-22Health inspectionComplaint-triggered1 citation
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-14
2025-05-19Health inspectionComplaint-triggered1 citation
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-20
2025-04-14Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-24
2025-03-13Health inspectionComplaint-triggered2 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-17
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-03-17
2025-02-13Health inspectionComplaint-triggered1 citation
F-0603
D · No harm foundFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-03-07
2025-01-06Health inspectionComplaint-triggered2 citations
F-0584
D · No harm foundFrom a complaint
Honor 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.
Corrected 2025-01-08
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-08
2024-12-12Health inspectionComplaint-triggered27 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-03
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-03
F-0584
D · No harm found
Honor 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.
Corrected 2025-01-03
F-0585
E · No harm found
Honor 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.
Corrected 2025-01-03
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-03
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-03
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-03
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-03
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-03
F-0688
D · No harm found
Provide 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.
Corrected 2025-01-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-03
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-03
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-03
F-0742
D · No harm found
Provide 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.
Corrected 2025-01-03
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-03
F-0758
D · No harm found
Implement 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.
Corrected 2025-01-03
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-03
F-0761
E · No harm found
Ensure 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.
Corrected 2025-01-03
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-03
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-01-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-03
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-03
F-0887
E · No harm found
Educate 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.
Corrected 2025-01-03
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-03
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-01-03
2024-12-02Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
2024-11-22Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-10
2024-10-23Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-08
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-11-08
2024-08-14Health inspectionComplaint-triggered1 citation
F-0559
E · No harm foundFrom a complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2024-09-13
2024-07-21Health inspectionComplaint-triggered2 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-12
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-09-12
2024-07-02Health inspectionComplaint-triggered1 citation
F-0688
E · No harm foundFrom a complaint
Provide 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.
Corrected 2024-08-16
2024-06-10Health inspectionComplaint-triggered1 citation
F-0688
D · No harm foundFrom a complaint
Provide 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.
Corrected 2024-07-11
2024-01-29Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-02
2023-12-28Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-14
2023-12-19Health inspectionComplaint-triggered3 citations
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-14
F-0882
D · No harm foundFrom a complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-12-20
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-01-11
2023-11-18Health inspectionComplaint-triggered1 citation
F-0908
D · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2023-12-05
2023-11-16Health inspectionComplaint-triggered1 citation
F-0727
F · No harm foundFrom a complaint
Have 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.
Corrected 2024-02-14
2023-11-15Health inspectionComplaint-triggered2 citations
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-11-27
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-27
2022-12-09Health inspection17 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-09
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-01-09
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-09
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-09
F-0688
E · No harm found
Provide 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.
Corrected 2023-01-09
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-09
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-09
F-0693
E · No harm found
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.
Corrected 2023-01-09
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-09
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-01-09
F-0758
E · No harm found
Implement 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.
Corrected 2023-01-09
F-0761
D · No harm found
Ensure 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.
Corrected 2023-01-09
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-09
F-0838
C · No harm found
Conduct 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.
Corrected 2023-01-09
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-01-09
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-01-09
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-01-09
2026-04-09Fire-safety inspection18 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-04-17
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-04-17
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-04-17
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-04-20
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-04-22
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-04-16
K-0342
E · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2026-04-15
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-24
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-04-20
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-04-16
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-04-20
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-04-24
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2026-04-15
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-04-20
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-24
K-0919
F · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2026-04-20
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-15
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-04-15
2026-03-26Fire-safety inspectionComplaint-triggered1 citation
K-0521
C · No harm foundFrom a complaint
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-04-27
2025-11-19Fire-safety inspectionComplaint-triggered1 citation
K-0711
C · No harm foundFrom a complaint
Provide a written emergency evacuation plan.
Corrected 2025-11-20
2024-12-12Fire-safety inspection12 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-12-24
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-12-24
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-12-24
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-24
K-0353
C · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-24
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-24
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-12-24
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-24
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-12-24
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-24
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-12-27
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-27
2024-07-18Fire-safety inspectionComplaint-triggered4 citations
E-0015
C · No harm foundFrom a complaint
Address subsistence needs for staff and patients.
Corrected 2024-08-05
K-0211
C · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-05
K-0521
F · No harm foundFrom a complaint
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-05
K-0920
D · No harm foundFrom a complaint
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-05
2022-12-09Fire-safety inspection11 citations
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-01-09
E-0037
D · No harm found
Establish staff and initial training requirements.
Corrected 2023-01-09
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2023-01-09
E-0041
D · No harm found
Implement emergency and standby power systems.
Corrected 2023-01-09
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-09
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-01-09
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-09
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-09
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-01-09
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-09
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-09
Federal penalties
2024-02-20Fine$4,938
2024-02-12Fine$7,527
2024-01-22Fine$19,107
2023-12-26Fine$8,711
Total fines$40,283
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055201.
Quality of care & staffing
How it compares in California.
Inspection citations, 3 years
171
More than 99% of nursing homes in the state
State median: 65
Federal fines, 3 years
$40,283
More than 82% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
4.0
Higher than 28% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
47%
Higher than 82% of nursing homes in the state
State median: 36%
Resident outcomes
On 21 federal quality measures, this facility does better than the California average on 6 and worse on 11. Differences within 10% of the average are shown as near average.
| Long-stay residents | This facility | State | US | Compared with state |
|---|---|---|---|---|
| Need for help with daily activities has increased | 7.1% | 10.2% | 13.5% | Better than state |
| Lose too much weight | 4.5% | 4.1% | 5.1% | Worse than state |
| With a catheter inserted and left in their bladder | 0.3% | 0.7% | 0.7% | Better than state |
| With a urinary tract infection | 0.7% | 1.2% | 1.5% | Better than state |
| Have depressive symptoms | 1.2% | 7.6% | 13.5% | Better than state |
| Were physically restrained | 0.0% | 0.3% | 0.1% | Better than state |
| Experiencing one or more falls with major injury | 3.2% | 1.6% | 3.2% | Worse than state |
| Assessed and appropriately given the pneumococcal vaccine | 98.5% | 98.7% | 93.7% | Near state average |
| Ability to walk independently worsened | 10.4% | 8.9% | 12.7% | Worse than state |
| Received an antianxiety or hypnotic medication | 14.1% | 13.7% | 19.5% | Near state average |
| Assessed and appropriately given the seasonal influenza vaccine | 91.1% | 97.9% | 95.3% | Near state average |
| With pressure ulcers | 3.7% | 4.3% | 4.5% | Better than state |
| With new or worsened bowel or bladder incontinence | 19.6% | 9.8% | 18.3% | Worse than state |
| Received an antipsychotic medication | 16.9% | 12.3% | 15.4% | Worse than state |
| Hospitalizations per 1000 long-stay resident days | 2.16 | 2.21 | 1.81 | Near state average |
| Outpatient emergency department visits per 1000 long-stay resident days | 2.07 | 1.50 | 1.69 | Worse than state |
| Short-stay residents | This facility | State | US | Compared with state |
|---|---|---|---|---|
| Assessed and appropriately given the pneumococcal vaccine | 71.8% | 94.6% | 82.3% | Worse than state |
| Newly received an antipsychotic medication | 2.7% | 1.3% | 1.5% | Worse than state |
| Were assessed and appropriately given the seasonal influenza vaccine | 79.5% | 93.1% | 80.1% | Worse than state |
| Were rehospitalized after a nursing home admission | 28.5% | 22.6% | 23.4% | Worse than state |
| Had an outpatient emergency department visit | 16.8% | 11.1% | 11.8% | Worse than state |
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.
Cited more than once
The same rule cited at separate inspections can point to a problem that wasn't fully fixed.
- F-0600 8 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-0689 7 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 7 inspections. Provide and implement an infection prevention and control program.
- F-0656 6 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-0684 5 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-0686 4 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Verify & compare
Where to check, and what's nearby.
Who to contact in California
- Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
- File a complaint: 844-538-8766 · Online
- Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
- Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
- Eldercare Locator: 800-677-1116, a federal service for local aging help.
Nearest emergency hospitals
- St Joseph's Medical Center of Stockton, about 1.8 miles. CMS rating 3 of 5.
- Dameron Hospital, about 2.2 miles. CMS rating 2 of 5.
- San Joaquin General Hospital, about 7.4 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.
Nearby facilities with inspection records
- The Courtyard At Rio Las Palmas, Stockton, about 0.6 miles. 20 state visits on record.
- Emeritus At Fulton Villa, Stockton, about 0.7 miles. 68 state visits on record.
- Fulton Gardens Post Acute, Stockton, about 0.8 miles. CMS rating 3 of 5.
- A Good Samaritan Home- Barbados, Stockton, about 1.0 miles. 1 state visits on record.
- Riverwood Health Care, Stockton, about 1.0 miles. CMS rating 3 of 5.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
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Owners' other facilities
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Inspection citations — last 5 years
LockedThe 171 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
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Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered