Oak Grove Post Acute: TikTok Live During Wound Care - CA
The incident occurred when Licensed Nurse 1 was repositioning Resident 4 to change wound dressings on his coccyx. She had asked CNA 2 for help, but CNA 1 always came along whenever CNA 2 assisted with resident care, the nurse told inspectors.
The nurse needed additional supplies and told the two nursing assistants to reposition Resident 4 on his side while she retrieved them. When she returned to the room, both CNAs remained present as she began changing the dressing on the resident's tailbone.
After finishing the dressing change, the nurse realized she had forgotten her scissors. She left to get them, then returned to find CNA 2's cellphone propped up and broadcasting live on TikTok.
The three staff members left the room together. The nurse asked CNA 2, "I assumed your phone was not on, right?"
CNA 2 did not answer.
The licensed nurse continued changing other residents' dressings because she believed she had 24 hours to report the incident. She finally reported it the next morning at 6 a.m., later learning through in-service education that she should have reported it immediately.
The facility's Director of Staff Development confirmed that staff were prohibited from using cell phones while providing resident care. All employees receive training on cell phone restrictions upon hire, and the policy is detailed in the employee handbook given to each new worker.
The Administrator and Assistant Director of Nursing told inspectors that Resident 4's family was notified about the incident. Both nursing assistants involved were terminated.
Oak Grove Post Acute's electronic device policy, dated November 1, 2023, explicitly prohibits personal communication devices during working hours. The policy states that employees should conduct personal business only during meal breaks or rest periods.
"Due to the availability of sensitive resident/client information, no cameras are to be allowed without prior approval from your Administrator," the policy reads. "Phones and other devices with cameras or recording capabilities are strictly prohibited in all work areas."
The policy specifically bans camera phones and recording devices in restrooms, locker rooms, and other private areas. Violations can result in discipline up to and including termination.
A separate social media policy reinforces these restrictions. The November 2023 guidelines apply to all facility employees who participate in personal social networking and explicitly prohibit social media activities at work or while on facility time.
The policy warns employees against disclosing confidential information or making statements that violate residents' privacy rights. Personal attacks or posting personal information about residents is strictly forbidden.
"Failure to comply with these policies could lead to discipline, up to and including termination," the social media guidelines state.
The inspection found the facility failed to ensure staff followed established policies prohibiting personal electronic device use during resident care. Federal regulators classified the violation as causing minimal harm or potential for actual harm, affecting few residents.
The incident highlights ongoing concerns about healthcare workers using personal devices inappropriately during patient care. While the licensed nurse eventually reported the TikTok livestream, her initial belief that she had 24 hours to report such incidents suggests potential gaps in staff training about immediate reporting requirements.
The terminated nursing assistants had violated multiple facility policies simultaneously. Beyond the general prohibition on personal device use during work hours, they specifically violated camera and recording restrictions in work areas and social media guidelines that forbid activities during facility time.
Resident 4 required ongoing wound care for a coccyx injury, a sensitive medical condition that demanded privacy and professional attention. Instead, the resident's medical treatment became content for social media broadcasting without consent or knowledge.
The facility's swift termination of both employees demonstrates the seriousness of the violation, even though only one assistant operated the phone. The second assistant's presence during the livestream apparently constituted sufficient involvement to warrant dismissal.
The licensed nurse who reported the incident received additional training on proper reporting timelines but was not disciplined, according to the inspection report. Her role in the incident was limited to providing medical care while unaware of the unauthorized recording until after completing the wound dressing change.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Oak Grove Post Acute from 2025-08-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
OAK GROVE POST ACUTE in STOCKTON, CA was cited for violations during a health inspection on August 15, 2025.
The incident occurred when Licensed Nurse 1 was repositioning Resident 4 to change wound dressings on his coccyx.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.