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Complaint Investigation

Delta View Post Acute

April 29, 2026 · Antioch, CA · 1210 A Street
Citations 2
CMS Rating 4/5
Beds 99
Provider ID 056381
Healthcare Facility
Delta View Post Acute
Antioch, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

DELTA VIEW POST ACUTE in ANTIOCH, CA — inspection on April 29, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

During a review of Resident 2's admission Record, printed 4/28/26, the Record indicated Resident 2 was admitted to the facility in 2024 with a diagnosis of, Other Cerebral Infarct (brain tissue death due to lack of oxygen).

During an interview on 4/28/26, at 1:03 p.m. with Licensed Vocational Nurse (LVN) 1, LVN 1 stated on 4/6/26, LVN 1 assessed Resident 1 after Resident 1's alteration with Resident 2. LVN 1 stated Resident 1 had swelling and redness on their head. LVN 1 stated LVN 1 notified the physician, and the physician ordered Resident 1 to be sent to the hospital for further evaluation. LVN 1 stated the Activity Room should always have staff present and Residents had the right to be free from abuse.

During an interview on 4/28/26, at 1:50 p.m., with Resident 2, Resident 2 stated a few weeks ago, while in the activity room, Resident 2 tapped Resident 1 on the back of the head two times because Resident 1 would not stop backing up into them. Resident 2 stated there were no staff in the Activity Room for about ten minutes when the incident happened and staff could have intervened if they were there.

During an interview on 4/28/26, at 2:24 p.m., with Activity Assistant (AA) 1, AA 1 stated they were assigned to the Activity Room on 4/6/26. AA 1 stated the altercation between Resident 1 and Resident 2 occurred when AA 1 left the residents in the Activity Room for about ten minutes without any other staff present. AA 1 stated if they were present during the altercation, they could have separated the two residents before it escalated.

During an interview on 4/28/26, at 3:28 p.m. with the Director of Nursing (DON), DON stated the video of the incident on 4/6/26 showed Resident 2 hitting Resident 1 in the Activity Room. DON stated there should have been staff in the Activity Room during the altercation. DON stated it was important for staff to be present in the Activity Room with residents for resident safety.

During a review of the facility's Investigation Summary Report, dated 4/6/26, the Report indicated The administrator and director of nursing concluded that there was thorough evidence of the [Resident 2] perpetrator hitting the [Resident 1] victim.

During a review of Resident 1's Nurses Note dated 4/6/26, the Note indicated, pt [patient] was involved in verbal altercation with another patient.

During the incident pt sustained minor injury after bumping [sic] head. a visible swelling bump was noted on the head. MD [medical doctor] notified.

During a review of the facility's policy and procedure (P&P) titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program Reviewed January 2026, the P&P indicated, Residents have the right to be free from abuse .

This includes . physical abuse.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

056381 04/29/2026

Delta View Post Acute 1210 A Street Antioch, CA 94509

During an interview on 4/27/26, at 2:31 p.m., with Resident 6's Responsible Party (RP) 1, RP 1 stated Resident 6 has not had an eye exam and could not see with their glasses.

During an interview on 4/29/26, at 1:54 p.m., with Assistant Director of Nursing (ADON), ADON stated there was no documentation or proof that Resident 6 had an eye exam during their entire stay at the facility.

During a concurrent observation and interview on 4/29/26, at 3:21 p.m. with ADON, Resident 6's prescription glasses were inside their bedside drawer.

During an interview on 4/29/26, at 3:31 p.m., with Director of Nursing (DON), DON stated Resident 6 should have had an optometry appointment during their stay at the facility and it was important for their safety.

During a review of Resident 6's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 3/15/20, the MDS indicated, Vision.

Ability to see in adequate light (with glasses or other visual appliances) .

Impaired.

The MDS indicated, Corrective Lessons.

Yes.

During a review of Resident 6's Order Summary Report, printed 4/29/26, indicated Resident 6 had a doctor's order for, Eye health and vision consult with follow up treatment as indicated. order date. 3/5/20.

During a review of Resident 6's Care Plan dated 11/11/22, the Care Plan indicated, The resident has impaired visual function.

The Care Plan indicated, Intervention. arrange consultation with eye care practitioner as required.

The Care Plan indicated Goal.The resident will maintain optimal quality of life within limitations imposed by visual function.

During a review of the facility's policy and procedure (P&P) titled, Referrals, Social Services, Revised [DATE], the P&P indicated, Referrals for medical services must be based on physician evaluation or resident need and a related physician order.

The P&P indicated Social services will collaborate with the nursing staff or other pertinent disciplines to arrange for services that have been ordered by the physician.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ANTIOCH, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DELTA VIEW POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.