Inspection citations
13’23
12’24
10’25
12’26
47 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jan 9, 2026 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Jan 9, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 9, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jan 9, 2026 | D · potential | 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. | Routine |
| Jan 9, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 9, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jan 9, 2026 | D · potential | 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. | Routine |
| Jan 9, 2026 | D · potential | Help the resident make transportation arrangements to and from radiology services. | Routine |
| Jan 9, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 9, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 9, 2026 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Jan 9, 2026 | E · potential | 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. | Routine |
| Nov 26, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 18, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Nov 18, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| May 15, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| May 15, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| May 15, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| May 15, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 15, 2025 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| May 15, 2025 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| Apr 9, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 19, 2024 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| Nov 19, 2024 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Aug 22, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Routine |
| Aug 22, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Aug 22, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Aug 22, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 22, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 22, 2024 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Aug 22, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 22, 2024 | E · potential | 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. | Routine |
| Aug 22, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 22, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 1, 2023 | D · potential | Prepare residents for a safe transfer or discharge from the nursing home. | Complaint |
| Nov 1, 2023 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| May 18, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 18, 2023 | D · potential | 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. | Routine |
| May 18, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| May 18, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 18, 2023 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| May 18, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 18, 2023 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 18, 2023 | D · potential | 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. | Routine |
| May 18, 2023 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| May 18, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 18, 2023 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Arbor Rehabilitation & Nursing Center
900 North Church Street, Lodi, CA 95240 · (209) 333-1222
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555164
- Certified beds
- 149
- Legal owner
- Brody Bay Healthcare, INC.
- Part of
- The Ensign Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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