Nursing homes › California › Oak Grove Post Acute
4545 Shelley Court, Stockton, CA 95207 · 2094770271 · 119 certified beds
Per CMS filings, this facility is affiliated with Windsor, a group operating 23 facilities in 1 states. Group record: average rating 2.4/5, 7 abuse citation icons, 1 facilities on the Special Focus list, $484,622 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.93 (California median: 4.24). RN hours: 0.50. Weekend total: 3.60. Nursing staff turnover: 48%.
All-time on record: 135 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 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. | F | Health | corrected 2026-04-28 |
| 2026-04-09 | Dispose of garbage and refuse properly. | F | Health | corrected 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. | E | Health | corrected 2026-04-28 |
| 2026-04-09 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-04-28 |
| 2026-04-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 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. | E | Health | corrected 2026-04-28 |
| 2026-04-09 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-28 |
| 2026-04-09 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 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. | D | Health | corrected 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. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Assess the resident when there is a significant change in condition | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 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. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2026-04-28 |
| 2026-04-09 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 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. | D | Health | corrected 2026-04-28 |
| 2026-03-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-03-13 |
| 2026-03-11 | 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. | D | complaint | corrected 2026-03-13 |
| 2026-03-04 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-03-06 |
| 2026-02-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-02-23 |
| 2026-02-11 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | complaint | corrected 2026-02-12 |
| 2026-02-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-02-12 |
| 2026-02-11 | Provide appropriate foot care. | D | complaint | corrected 2026-02-12 |
| 2026-01-16 | Dispose of garbage and refuse properly. | F | complaint | corrected 2026-01-19 |
| 2026-01-16 | 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. | D | complaint | corrected 2026-01-19 |
| 2025-12-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | complaint | corrected 2025-12-16 |
| 2025-12-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-12-16 |
| 2025-12-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-12-12 |
| 2025-12-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-12-05 |
| 2025-12-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-12-05 |
| 2025-12-02 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-12-05 |
| 2025-11-26 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | complaint | corrected 2025-12-02 |
| 2025-11-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-02 |
| 2025-11-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-12-02 |
| 2025-11-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-11-23 |
| Date | Type | 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 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SAPPHIRE OPERATIONS, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 09/01/2024 |
| 9560 PICO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 09/01/2024 |
| NEWGEN LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 09/01/2024 |
| PICO AR LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 09/01/2024 |
| ROBIN, AARON | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 09/01/2024 |
| TRESS, AVROHOM | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 09/01/2024 |
| GLAVAN-MARTINEZ, MARTHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/21/2013 |
| JIMENEZ, RAFILEIRY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/13/2025 |
| VERMA, ATUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/14/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055201. Corrections: data@carerecords.org.