The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
OAK GROVE POST ACUTE
STOCKTON, CA · Medicare-certified · 119 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall
OAK GROVE POST ACUTE in Stockton has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures. It is an SFF Candidate / special focus facility, had 0 fines in the last 24 months, and reported nurse staffing of 4.19 hours per resident day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.1939 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1939.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.80
- Weekend nursing
- 3.77
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 64%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18%Worsening
Residents with a fall causing major injury
3.1%Worsening
Residents with pressure ulcers (bedsores)
4.2%Improving
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
5.5%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.6%Worsening
Residents whose ability to walk got worse
12%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15%Worsening
Short-stay residents newly given an antipsychotic
6%Improving
Residents with a long-term catheter
1.6%Improving
Residents with new or worsening incontinence
24.2%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97.3%Steady
Long-stay residents given the pneumonia vaccine
98.6%Steady
Short-stay residents given the seasonal flu vaccine
80%Steady
Short-stay residents given the pneumonia vaccine
71.7%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited February 2026 — widespread issue, potential for harm.
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F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to properly dispose of garbage and other waste. Cited January 2026 — widespread issue, potential for harm.
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F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 5 fines · $83,719 in total fines.
- $4,938
Federal fine
Feb 20, 2024
- $7,527
Federal fine
Feb 12, 2024
- $19,107
Federal fine
Jan 22, 2024
- $8,711
Federal fine
Dec 26, 2023
- $43,436
Federal fine
Jun 28, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of WINDSOR · 23 homes · 2.5 stars avg
- Occupancy
- 112.9 residents on an average day (95% of 119 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.