Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
20’23
47’24
30’25
19’26
116 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 25, 2026 | E · 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. | Complaint |
| Aug 19, 2026 | F · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 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 |
| Jun 9, 2026 | 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 |
| Jun 9, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jun 9, 2026 | D · potential | Assist a resident in gaining access to vision and hearing services. | Complaint |
| Apr 21, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Apr 21, 2026 | 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. | Complaint |
| Apr 15, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 15, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Apr 15, 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. | Complaint |
| Apr 15, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 2, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 2, 2026 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Apr 2, 2026 | D · potential | Assess the resident when there is a significant change in condition | Complaint |
| Apr 2, 2026 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Mar 5, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 17, 2026 | 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 |
| Feb 17, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Dec 30, 2025 | D · potential | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Complaint |
| Dec 4, 2025 | D · potential | Dispose of garbage and refuse properly. | Complaint |
| Nov 24, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Oct 2, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Oct 2, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Oct 2, 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. | Routine |
| Oct 2, 2025 | 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 |
| Oct 2, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Oct 2, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Oct 2, 2025 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Oct 2, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 2, 2025 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Oct 2, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 2, 2025 | 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 |
| Oct 2, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 2, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 2, 2025 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Oct 2, 2025 | D · 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 |
| Sep 25, 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 |
| Sep 25, 2025 | 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. | Complaint |
| Sep 25, 2025 | D · potential | 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. | Complaint |
| Aug 22, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 8, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 25, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Jun 18, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 5, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| May 27, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| May 15, 2025 | E · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Apr 8, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 6, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 5, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Nov 5, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Nov 5, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 22, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Oct 22, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Oct 22, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| Oct 22, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 18, 2024 | 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. | Complaint |
| Oct 18, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Sep 4, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 22, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 1, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Aug 1, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Aug 1, 2024 | 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 |
| Aug 1, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 1, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Aug 1, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Aug 1, 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 1, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 1, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Aug 1, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Aug 1, 2024 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Aug 1, 2024 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Aug 1, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Aug 1, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 1, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Aug 1, 2024 | 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 |
| Aug 1, 2024 | D · potential | Provide or obtain dental services for each resident. | Routine |
| Aug 1, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 1, 2024 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Aug 1, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 17, 2024 | 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 |
| Jul 17, 2024 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jul 17, 2024 | D · potential | Provide timely, quality laboratory services/tests to meet the needs of residents. | Complaint |
| Jul 17, 2024 | D · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Complaint |
| Jul 16, 2024 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Jun 11, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 11, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 10, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 30, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 30, 2024 | E · potential | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Complaint |
| May 28, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| May 28, 2024 | E · potential | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Complaint |
| Mar 18, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Mar 15, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Mar 15, 2024 | E · potential | 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. | Complaint |
| Jan 3, 2024 | F · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| Dec 28, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 8, 2023 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Oct 24, 2023 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jul 20, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jul 20, 2023 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Jul 20, 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 |
| Jul 20, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jul 20, 2023 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jul 20, 2023 | E · 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 |
| Jul 20, 2023 | D · potential | 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. | Routine |
| Jul 20, 2023 | E · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Jul 20, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jul 20, 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 |
| Jul 20, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jul 20, 2023 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jul 20, 2023 | 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 |
| Jul 20, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 20, 2023 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jul 20, 2023 | E · potential | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Routine |
| Jul 20, 2023 | E · potential | Provide and implement an infection prevention and control program. | 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
Delta Oaks Post Acute
6940 Pacific Avenue, Stockton, CA 95207 · (209) 477-4817
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055735
- Certified beds
- 128
- Legal owner
- Windsor Elmhaven Care Center, LLC
- Part of
- Windsor
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
Is this your business, or is something wrong? Request a correction. It's free, and we never charge to be listed.
Other nursing homes in Stockton
- Good Samaritan Rehab and Care Center4 of 5 stars overall
- Oak Grove Post Acute1 of 5 stars overall
- Brookside Care Center1 of 5 stars overall
- Fulton Gardens Post Acute, LLC3 of 5 stars overall
- Hampton Post Acute1 of 5 stars overall
- Crestwood Manor - 1043 of 5 stars overall