Oak Grove Post Acute

Name: Oak Grove Post Acute: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Stockton, San Joaquin County, California · CCN 055201 · For-profit (LLC) · part of Windsor (22 facilities, chain average 2.4 stars)

CMS rates Oak Grove Post Acute 1 of 5 overall as of August 2026. 119 certified beds, 114 residents a day on average. 128 citations on record from the current inspection cycles, 1 involving actual harm; 4 fines totalling $40,283.

On record

Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★★☆☆ 3 of 5
Quality measures	★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay	3 / 1 of 5

Staffing

Total nurse staffing	3.93058 hours per resident per day
Registered nurses	0.49519 hours per resident per day
Weekend total	3.59877 hours per resident per day
Nursing staff turnover	48.4% (registered nurses 63.6%)
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-04-22 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-23
2026-04-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-28
2026-04-09	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09 complaint survey	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-09	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. Infection Control Deficiencies · tag F0887	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-03-11 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-13
2026-03-11 complaint survey	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. Nursing and Physician Services Deficiencies · tag F0726	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-13
2026-03-04 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-06
2026-02-20 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-02-23
2026-02-11 complaint survey	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-02-12
2026-02-11 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-02-12
2026-02-11 complaint survey	Provide appropriate foot care. Quality of Life and Care Deficiencies · tag F0687	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-02-12
2026-01-16 complaint survey	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-01-19
2026-01-16 complaint survey	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-19
2025-12-12 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-12-16
2025-12-12 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-16
2025-12-08 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-12
2025-12-03 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-05
2025-12-03 complaint survey	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-05
2025-12-02 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-05
2025-11-26 complaint survey	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-02
2025-11-26 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-02
2025-11-26 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-02
2025-11-20 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-23
2025-11-20 complaint survey	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-23
2025-08-21 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-22
2025-08-21 complaint survey	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. Quality of Life and Care Deficiencies · tag F0742	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-22
2025-08-15 complaint survey	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-18
2025-08-15 complaint survey	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. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-18
2025-08-01 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-08-04
2025-07-22 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-07-24
2025-07-16 complaint survey	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-27
2025-06-24 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-24
2025-05-22 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-14
2025-05-19 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-05-20
2025-04-14 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-24
2025-03-13 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-03-17
2025-03-13 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-17
2025-02-13 complaint survey	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-07
2025-01-06 complaint survey	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-08
2025-01-06 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-08
2024-12-12	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Resident Rights Deficiencies · tag F0585	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Infection Control Deficiencies · tag F0887	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Quality of Life and Care Deficiencies · tag F0742	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	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. Administration Deficiencies · tag F0849	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-12	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-03
2024-12-02 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-20
2024-11-22 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-10
2024-10-23 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-11-08
2024-10-23 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-11-08
2024-08-14 complaint survey	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · tag F0559	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-09-13
2024-07-21 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-09-12
2024-07-21 complaint survey	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · tag F0825	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-09-12
2024-07-02 complaint survey	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. Quality of Life and Care Deficiencies · tag F0688	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-16
2024-06-10 complaint survey	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-07-11
2024-01-29 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-02-02
2023-12-28 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-02-14
2023-12-19 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-02-14
2023-12-19 complaint survey	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-20
2023-12-19 complaint survey	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-11
2023-11-18 complaint survey	Keep all essential equipment working safely. Environmental Deficiencies · tag F0908	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-05
2023-11-16 complaint survey	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. Nursing and Physician Services Deficiencies · tag F0727	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-02-14
2023-11-15 complaint survey	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · tag F0573	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-27
2023-11-15 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-27
2023-09-25 complaint survey	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-10-13
2023-09-25 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-10-13
2023-09-18 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-25
2023-08-22 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-09-24
2023-08-22 complaint survey	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. Administration Deficiencies · tag F0836	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-09-24
2023-08-09 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-01
2023-08-02 complaint survey	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. Nutrition and Dietary Deficiencies · tag F0803	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-17
2023-08-02 complaint survey	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-17
2023-08-01 complaint survey	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-08-10
2022-12-09	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	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. Quality of Life and Care Deficiencies · tag F0688	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	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. Quality of Life and Care Deficiencies · tag F0693	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	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. Pharmacy Service Deficiencies · tag F0758	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-01-09
2022-12-09	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-01-09
2022-12-09	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-01-09
2022-12-09	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. Administration Deficiencies · tag F0838	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2023-01-09

Fines and payment denials

Date	Penalty	Amount
2024-02-20	Fine	$4,938
2024-02-12	Fine	$7,527
2024-01-22	Fine	$19,107
2023-12-26	Fine	$8,711

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Sapphire Operations, LLC Organization	5% or greater direct ownership interest	100%	2024-09-01
Newgen LLC Organization	5% or greater indirect ownership interest	—	2024-09-01
Newgen Administrative Services, LLC Organization	adp of the snf	—	2024-09-01
Robin, Aaron Individual	5% or greater indirect ownership interest	—	2024-09-01
Tress, Avrohom Individual	5% or greater indirect ownership interest	—	2024-09-01
Glavan-Martinez, Martha Individual	adp of the snf	—	2013-10-21
Jimenez, Rafileiry Individual	adp of the snf	—	2025-01-13
Verma, Atul Individual	adp of the snf	—	2024-10-14
Glavan-Martinez, Martha Individual	operational/managerial control	—	2013-10-21
Jimenez, Rafileiry Individual	operational/managerial control	—	2025-01-13
Verma, Atul Individual	operational/managerial control	—	2024-10-14

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Oak Grove Post Acute.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in San Joaquin County.