Noble Care Center
NOBLE CARE CENTER in STOCKTON, CA — inspection on August 14, 2025.
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
During a concurrent interview and record review on 8/14/25, at 11:11 AM, with the Director of Nursing (DON), Resident 1's Progress Notes, were reviewed.
The DON confirmed that Resident 1 was exhibiting aggressive behaviors, was refusing his medications, and was also refusing to eat.
The DON stated that the LNs should have notified the MD if there were behavioral changes occurring for Resident 1.
The DON further stated that if Resident 1 was refusing to eat or take his medications, that those were other reasons to inform the MD.
The DON explained that notifying the MD would have provided guidance on what actions to take with Resident 1.
During an interview on 8/14/25, at 1:38 PM, with the MD, the MD stated that he could not recall any LNs notifying him about Resident 1's refusal to eat, refusal to take medications, or his aggressive behaviors.
The MD further stated that he was available 24 hours a day and 7 days a week.
The MD stated that he would have liked the facility to have notified him about Resident 1 so he could have discussed some medical options with him.During a review of the facility's policy and procedure (P&P) titled, Change in a Resident's Condition or Status, revised on 4/2025, the P&P indicated, .The nurse will notify the resident's Attending Physician/Physician On-Call/Nurse Practitioner when there has been a(an).significant change in the resident's condition.need to alter the resident's medical treatment significantly.specific instruction to notify the Physician/Nurse Practitioner of changes in the resident's condition .
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
555105 08/14/2025
Noble Care Center 2740 North California Street Stockton, CA 95204
team.Interventions to increase staff awareness of the resident's risk, modify the resident's behavior,
strategies for avoiding such behavior.
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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.