California › San Joaquin County › Stockton
Oak Grove Post Acute
4545 Shelley Court, Stockton, CA 95207
CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Oak Grove Post Acute, in Stockton, California, is certified for 119 beds under for-profit, limited liability company ownership and belongs to the Windsor chain.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 128 health deficiencies across the three most recent survey cycles (46, 43, 39 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 107.6 per 100 beds, more than the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $40K.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 48.4%.
CMS flags that the facility carries the CMS abuse icon.
128health deficiencies, 3 survey cycles1 at actual harm or worse
$40Kfines listed by CMS4 penalties in period
3.9nurse hours per resident per daystate median 4.2
96%occupancy (residents ÷ beds)114 residents a day
Compared with county, state and nation
| Measure | This facility | San Joaquin Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 128 | 48 | 44 | 28.7 |
| Citations per 100 beds | 107.6 | 50.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 48.4% | 39.7% | 36.4% | 45.8% |
| Fines listed | $40,283 | $0 | $0 | — |
County and state figures are medians across facilities (24 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 12 Dec 2024.
Severity mix: G ×1 D ×83 E ×35 F ×8 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 23 Apr 2026 |
| 9 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0761 | 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. | E | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 28 Apr 2026 |
| 9 Apr 2026 | F0584 | 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. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 28 Apr 2026 |
| 9 Apr 2026 | F0887 | 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. | D | Standard survey | 28 Apr 2026 |
| 11 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Mar 2026 |
| 11 Mar 2026 | F0726 | 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. | D | Complaint investigation | 13 Mar 2026 |
| 4 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Mar 2026 |
| 20 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 23 Feb 2026 |
| 11 Feb 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 12 Feb 2026 |
| 11 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Feb 2026 |
| 11 Feb 2026 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 12 Feb 2026 |
| 16 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 19 Jan 2026 |
| 16 Jan 2026 | F0761 | 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. | D | Complaint investigation | 19 Jan 2026 |
| 12 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 16 Dec 2025 |
| 12 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Dec 2025 |
| 8 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 12 Dec 2025 |
| 3 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Dec 2025 |
| 3 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Dec 2025 |
| 2 Dec 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 5 Dec 2025 |
| 26 Nov 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 2 Dec 2025 |
| 26 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Dec 2025 |
| 26 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Dec 2025 |
| 20 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Nov 2025 |
| 20 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 23 Nov 2025 |
| 21 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 22 Aug 2025 |
| 21 Aug 2025 | F0742 | 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. | D | Complaint investigation | 22 Aug 2025 |
| 15 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 18 Aug 2025 |
| 15 Aug 2025 | F0693 | 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. | D | Complaint investigation | 18 Aug 2025 |
| 1 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 4 Aug 2025 |
| 22 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Jul 2025 |
| 16 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 27 Aug 2025 |
| 24 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Jun 2025 |
| 22 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 14 Jun 2025 |
| 19 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 20 May 2025 |
| 14 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 May 2025 |
| 13 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 17 Mar 2025 |
| 13 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Mar 2025 |
| 13 Feb 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 7 Mar 2025 |
| 6 Jan 2025 | F0584 | 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. | D | Complaint investigation | 8 Jan 2025 |
| 6 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 8 Jan 2025 |
| 12 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0585 | 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. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 3 Jan 2025 |
| 12 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0761 | 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. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0887 | 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. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0584 | 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. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 3 Jan 2025 |
| 12 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0688 | 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. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0742 | 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. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0758 | 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. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0849 | 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. | D | Standard survey | 3 Jan 2025 |
| 12 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Jan 2025 |
| 2 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Dec 2024 |
| 22 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Dec 2024 |
| 23 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Nov 2024 |
| 23 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 8 Nov 2024 |
| 14 Aug 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | Complaint investigation | 13 Sep 2024 |
| 21 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 12 Sep 2024 |
| 21 Jul 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 12 Sep 2024 |
| 2 Jul 2024 | F0688 | 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. | E | Complaint investigation | 16 Aug 2024 |
| 10 Jun 2024 | F0688 | 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. | D | Complaint investigation | 11 Jul 2024 |
| 29 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 Feb 2024 |
| 28 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 Feb 2024 |
| 19 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Feb 2024 |
| 19 Dec 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Complaint investigation | 20 Dec 2023 |
| 19 Dec 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 11 Jan 2024 |
| 18 Nov 2023 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 5 Dec 2023 |
| 16 Nov 2023 | F0727 | 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. | F | Complaint investigation | 14 Feb 2024 |
| 15 Nov 2023 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 27 Nov 2023 |
| 15 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Nov 2023 |
| 25 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 13 Oct 2023 |
| 25 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Oct 2023 |
| 18 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Sep 2023 |
| 22 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 24 Sep 2023 |
| 22 Aug 2023 | F0836 | Ensure 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. | E | Complaint investigation | 24 Sep 2023 |
| 9 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 1 Sep 2023 |
| 2 Aug 2023 | F0803 | Ensure 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. | D | Complaint investigation | 17 Aug 2023 |
| 2 Aug 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 17 Aug 2023 |
| 1 Aug 2023 | F0584 | 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. | D | Complaint investigation | 10 Aug 2023 |
| 9 Dec 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0688 | 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. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0693 | 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. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0758 | 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. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0761 | 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. | D | Standard survey | 9 Jan 2023 |
| 9 Dec 2022 | F0838 | 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. | C | Standard survey | 9 Jan 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Feb 2024 | Fine | $4,938 | |
| 12 Feb 2024 | Fine | $7,527 | |
| 22 Jan 2024 | Fine | $19,107 | |
| 26 Dec 2023 | Fine | $8,711 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 48.4%, RNs 63.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.7% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.4% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 4545 Shelley Court Opco, Llc. Chain: Windsor (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sapphire Operations, LLC | 5% or greater direct ownership interest | 100% | 09/01/2024 |
| Newgen LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 09/01/2024 |
| Newgen Administrative Services, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Joaquin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meadowood A Health and Rehabilitation Center | Stockton | 100 | 5 | 4 | 5 | 38 | 38.0 | — | 21 May 2026 |
| Arbor Rehabilitation & Nursing Center | Lodi | 149 | 4 | 3 | 3 | 48 | 32.2 | — | 9 Jan 2026 |
| Bethany Home Society San Joaquin County | Ripon | 92 | 4 | 4 | 3 | 29 | 31.5 | — | 15 Apr 2026 |
| Fairmont Rehabilitation Hospital | Lodi | 59 | 4 | 4 | 4 | 29 | 49.2 | — | 7 May 2026 |
| Lodi Nursing & Rehabilitation | Lodi | 74 | 4 | 3 | 4 | 44 | 59.5 | — | 2 Jul 2026 |
| North Park Post-Acute | Tracy | 99 | 4 | 3 | 4 | 44 | 44.4 | — | 30 Jan 2026 |
| Vienna Nursing and Rehabilitation Center | Lodi | 150 | 4 | 3 | 5 | 35 | 23.3 | — | 1 Jul 2026 |
| Crestwood Manor - 104 | Stockton | 190 | 3 | 3 | 5 | 34 | 17.9 | — | 13 Apr 2026 |
All 24 facilities in San Joaquin County
Questions and answers
How many deficiencies has Oak Grove Post Acute been cited for?
128 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Oak Grove Post Acute been fined?
Yes. CMS lists fines totalling $40K in the period covered.
How does staffing at Oak Grove Post Acute compare?
Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Oak Grove Post Acute?
It is part of the Windsor chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sapphire Operations, LLC and Newgen LLC. Individual owners and managers are not listed on this site.
When was Oak Grove Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 22 Apr 2026; the most recent standard health survey was 9 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.