DELTA OAKS POST ACUTE

CMS abuse icon · For profit - Limited Liability company · WINDSOR chain · 128 certified beds · CCN 055735 · WINDSOR ELMHAVEN CARE CENTER, LLC · San Joaquin · CA


DELTA OAKS POST ACUTE is a 128-bed nursing home in STOCKTON, California. CMS has certified it for Medicare and Medicaid since 1967-04-03. It averages 110.3 residents a day.

What harm was found in the violations cited at DELTA OAKS POST ACUTE?

CMS lists 115 health-inspection deficiencies for DELTA OAKS POST ACUTE since 2023-07-20, 98 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-09.

Survey dateTagDeficiencySeverity
2026-06-09F0600, F0656, F0658, F0685Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Assist a resident in gaining access to vision and hearing services.D
2026-04-21F0628, F0657Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2026-04-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-04-15F0880Provide and implement an infection prevention and control program.E
2026-04-15F0760, F0761Ensure that residents are free from significant medication errors. / 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
2026-04-02F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2026-04-02F0609, F0610, F0637Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Assess the resident when there is a significant change in conditionD
2026-03-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-17F0656, F0697Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-12-30F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2025-12-04F0814Dispose of garbage and refuse properly.D
2025-11-24F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-10-02F0550, F0689, F0755, F0761, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-10-02F0655, F0656, F0688, F0692, F0745, F0757, F0759, F0883, F0887Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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
2025-09-25F0656, F0688, F0693Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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
2025-08-22F0880Provide and implement an infection prevention and control program.D
2025-08-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-25F0610Respond appropriately to all alleged violations.D
2025-06-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-06-05F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-05-27F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-05-15F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E
2025-04-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-02-06F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-11-05F0689, F0755, F0880Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2024-10-22F0558, F0677, F0757, F0880Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.D
2024-10-18F0880Provide and implement an infection prevention and control program.E
2024-10-18F0584Honor 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
2024-09-04F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-08-22F0880Provide and implement an infection prevention and control program.D
2024-08-01F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-08-01F0558, F0695, F0755, F0760, F0813, F0880Reasonably accommodate the needs and preferences of each resident. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.E
2024-08-01F0550, F0584, F0600, F0610, F0645, F0656, F0677, F0689, F0692, F0694, F0697, F0761, F0791Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide or obtain dental services for each resident.D
2024-07-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-07-17F0580, F0770, F0867Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D
2024-07-16F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2024-06-11F0689, F0880Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2024-06-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-05-30F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2024-05-30F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-05-28F0558, F0807Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.E
2024-03-18F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D
2024-03-15F0558, F0726Reasonably accommodate the needs and preferences of each resident. / 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.E
2024-01-03F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2023-12-28F0880Provide and implement an infection prevention and control program.E
2023-11-08F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-10-24F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2023-09-26F0695Provide safe and appropriate respiratory care for a resident when needed.D
2023-07-20F0658, F0677, F0688, F0730, F0755, F0759, F0760, F0761, F0812, F0842, F0868, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Observe each nurse aide's job performance and give regular training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program.E
2023-07-20F0558, F0561, F0657, F0693, F0758Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / 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

How is DELTA OAKS POST ACUTE staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.696054.51570
Total nursing staff turnover (%)44.636.7
Average number of residents per day110.387.9

Who owns DELTA OAKS POST ACUTE, and what chain is it in?

DELTA OAKS POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name WINDSOR ELMHAVEN CARE CENTER, LLC and belongs to the WINDSOR chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTWINDSOR NORCAL 13 HOLDINGS LLCsince 01/04/2007
5% OR GREATER INDIRECT OWNERSHIP INTERESTANTELOPE HOLDINGS I, LLC, ROBIN, AARON, TRESS, AVROHOMsince 06/30/2023
CORPORATE OFFICERROBIN, AARON, TRESS, AVROHOMsince 08/14/2023
OPERATIONAL/MANAGERIAL CONTROLNEWGEN ADMINISTRATIVE SERVICES, LLC, GOLDEN, OTASHE, POOLE FORD, KAROL, SHAW, PAMELAsince 06/17/2024
ADP OF THE SNFNEWGEN ADMINISTRATIVE SERVICES, LLC, GOLDEN, OTASHE, POOLE FORD, KAROL, SHAW, PAMELAsince 05/12/2025

Were you or a family member harmed at DELTA OAKS POST ACUTE?