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Complaint Investigation

Lodi Creek Post Acute

January 30, 2026 · Lodi, CA · 321 West Turner Road
Citations 1
CMS Rating 4/5
Beds 86
Provider ID 055289
Healthcare Facility
Lodi Creek Post Acute
Lodi, CA  ·  View full profile →
Inspection Summary

LODI CREEK POST ACUTE in LODI, CA — inspection on January 30, 2026.

Found 1 citation. 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.

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Inspection Findings

FF0842
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During a concurrent interview and record review on 1/30/26, at 11:54 a.m., with LN 2, the facility's shower schedule was reviewed. LN 2 confirmed Resident 1 was scheduled for his showers every Sunday and Wednesday on the PM schedule. LN 2 stated the risk of not getting scheduled showers would be the potential for skin breakdown, possible pressure ulcers (localized injuries to the skin and underlying tissue, usually over a bony prominence, resulting from prolonged pressure, friction, or shear) and other skin issues.

During a concurrent interview and record review on 1/30/26, at 12:43 p.m., with LN 3, Resident 1's EMR was reviewed. LN 3 stated Resident 1 had a known history of refusing showers. LN 3 further stated it was expected for the CNA staff to notify the LN or the treatment nurse if a resident refused the scheduled shower and to offer alternatives. LN 3 reviewed Resident 1's bathing task report from 1/1/26 to 1/30/26 and stated the CNA staff documented response not required instead of documenting refused. LN 3 verified two documented bed baths were done on 1/29/26 during the AM (morning) shift and 1/18/26 during the PM shift. LN 3 stated the expectation from CNA staff was to document refusal and not to document response not required. LN 2 further stated the CNA staff should have charted correctly in Resident 1's chart.During a concurrent interview and record review on 1/30/26, at 1:01 p.m., with the Director of Staff Development (DSD), Resident 1's bathing report for the month of January was reviewed.

The DSD confirmed Resident 1 had two documented bed baths on 1/18/26 and 1/29/26 for the month.

The DSD further confirmed Resident 1's EMR should have at least eight total showers documented for the month if he was getting them done twice a week.

The DSD stated if the resident was not scheduled for a shower then the CNA should have documented did not occur or not applicable.

The DSD further stated a resident's shower chart documentation was important for the CNA to complete.

The DSD confirmed Resident 1's shower charting for the month of January was not consistent.

The DSD stated it was very important to document in a resident's chart accurately because if it was not documented then it did not happen.

During a concurrent interview and record review on 1/30/26, at 3:57 p.m., with the Director of Nursing (DON), Resident 1's bathing report for the month of January was reviewed.

The DON stated this did not meet her expectations and staff were expected to have documented appropriate responses with the correct coding.

The DON further stated it was important to have documented accurately to know what was going on with the resident.

The DON stated the risk of not documenting accurately could be the risk of missing something or for the potential of worsening of an issue that was not being tracked.

Review of an undated facility policy titled, Bath, Shower/Tub, indicated, .Purpose.The purpose of this procedure are to promote cleanliness, provide comfort to the resident and to observe the condition of the resident's skin.Documentation .1.

The date and time the shower/tub bath was performed.5. If the resident refused the shower/tub bath, the reason(s) why and the intervention taken.

Facility ID:

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 LODI, 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 LODI CREEK POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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