DELTA OAKS POST ACUTE
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 date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-09 | F0600, F0656, F0658, F0685 | Protect 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 |
| 2026-04-21 | F0628, F0657 | Provide 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 |
| 2026-04-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-04-15 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2026-04-15 | F0760, F0761 | 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. | D |
| 2026-04-02 | 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 |
| 2026-04-02 | F0609, F0610, F0637 | Timely 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 condition | D |
| 2026-03-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-02-17 | F0656, F0697 | Develop 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 |
| 2025-12-30 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-12-04 | F0814 | Dispose of garbage and refuse properly. | D |
| 2025-11-24 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-10-02 | F0550, F0689, F0755, F0761, F0812, F0880 | Honor 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 |
| 2025-10-02 | F0655, F0656, F0688, F0692, F0745, F0757, F0759, F0883, F0887 | Create 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 |
| 2025-09-25 | F0656, F0688, F0693 | 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. / 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 |
| 2025-08-22 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-08-08 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-25 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-06-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-06-05 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-05-27 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-05-15 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| 2025-04-08 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-02-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-11-05 | F0689, F0755, F0880 | 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. / Provide and implement an infection prevention and control program. | D |
| 2024-10-22 | F0558, F0677, F0757, F0880 | Reasonably 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 |
| 2024-10-18 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-10-18 | 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 |
| 2024-09-04 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2024-08-22 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-08-01 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-08-01 | F0558, F0695, F0755, F0760, F0813, F0880 | Reasonably 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 |
| 2024-08-01 | F0550, F0584, F0600, F0610, F0645, F0656, F0677, F0689, F0692, F0694, F0697, F0761, F0791 | Honor 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 |
| 2024-07-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-07-17 | F0580, F0770, F0867 | Immediately 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 |
| 2024-07-16 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D |
| 2024-06-11 | F0689, F0880 | Ensure 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 |
| 2024-06-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-05-30 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E |
| 2024-05-30 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-28 | F0558, F0807 | Reasonably 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 |
| 2024-03-18 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2024-03-15 | F0558, F0726 | Reasonably 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 |
| 2024-01-03 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2023-12-28 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-11-08 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2023-10-24 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2023-09-26 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2023-07-20 | F0658, F0677, F0688, F0730, F0755, F0759, F0760, F0761, F0812, F0842, F0868, F0880 | Ensure 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 |
| 2023-07-20 | F0558, F0561, F0657, F0693, F0758 | Reasonably 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?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.69605 | 4.51570 |
| Total nursing staff turnover (%) | 44.6 | 36.7 |
| Average number of residents per day | 110.3 | 87.9 |
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.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | WINDSOR NORCAL 13 HOLDINGS LLC | since 01/04/2007 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ANTELOPE HOLDINGS I, LLC, ROBIN, AARON, TRESS, AVROHOM | since 06/30/2023 |
| CORPORATE OFFICER | ROBIN, AARON, TRESS, AVROHOM | since 08/14/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | NEWGEN ADMINISTRATIVE SERVICES, LLC, GOLDEN, OTASHE, POOLE FORD, KAROL, SHAW, PAMELA | since 06/17/2024 |
| ADP OF THE SNF | NEWGEN ADMINISTRATIVE SERVICES, LLC, GOLDEN, OTASHE, POOLE FORD, KAROL, SHAW, PAMELA | since 05/12/2025 |
Were you or a family member harmed at DELTA OAKS POST ACUTE?