Delta Oaks Post Acute
6940 Pacific Avenue · Stockton, CA · 95207 · 2094774817
128 certified beds For profit - Limited Liability company Chain: Windsor
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 4.05 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (111 in the current record)
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Potential for harm · D April 21, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 24, 2026 · Resident Rights
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Potential for harm · D April 21, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 24, 2026 · Resident Assessment and Care Planning
-
Actual harm · G April 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 15, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · D April 15, 2026 · found via 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.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · E April 15, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D April 2, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2026 · found via complaint
Assess the resident when there is a significant change in condition
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 18, 2026 · Quality of Life and Care
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Potential for harm · D December 30, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected February 10, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected December 8, 2025 · Nutrition and Dietary
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Potential for harm · D November 24, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 8, 2025 · Resident Rights
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Potential for harm · E October 2, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 27, 2025 · Resident Rights
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Potential for harm · D October 2, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 2, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 2, 2025
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 October 27, 2025 · Quality of Life and Care
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Potential for harm · E October 2, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 27, 2025 · Quality of Life and Care
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Potential for harm · D October 2, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected October 27, 2025 · Quality of Life and Care
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Potential for harm · D October 2, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected October 27, 2025 · Quality of Life and Care
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Potential for harm · E October 2, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 27, 2025 · Pharmacy Service
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Potential for harm · D October 2, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 27, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055735 · certified since April 3, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.