Oak Grove Post Acute
OAK GROVE POST ACUTE in STOCKTON, CA — inspection on November 26, 2025.
Found 3 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
at 5:10 p.m. with Licensed Nurse (LN) 1, LN 1 stated, if staff prohibited a resident from leaving their room the problem would be seclusion, and that would be a form of abuse. LN 1 stated, if she was placed in a room and not allowed to leave, she would feel nervous, scared, and confused, and would wonder why she was not allowed to leave. LN 1 further stated, if a resident was not allowed to leave their room, it could escalate unwanted behaviors and could potentially lead to physical injury if the resident tried to get out.
Review of the facility's policy and procedure (P&P) titled, Abuse Prohibition Policy and Procedure, dated 2/23/21, indicated, .HealthCare Centers prohibit abuse.This includes.Involuntary seclusion.
Abuse is defined as the willful infliction of injury, unreasonable confinement.Abuse also includes the deprivation [the state of lacking or being denied something that is needed or desired by an individual] [by] a caretaker. that are necessary to attain or maintain physical, mental or psychosocial well-being.Review of a facility document titled, Stockton Nursing Center 5-Day Incident Summary Report, dated 9/22/25, indicated, .Investigation Findings.a fellow CNA confirmed [CNA 1] blocked the resident from leaving her room.[CNA 1] admitted to making the statement and acknowledged preventing the resident from leaving.Conclusion.The facility determined the incident constituted resident seclusion.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Oak Grove Post Acute
4545 Shelley Court Stockton, CA 95207
SUMMARY STATEMENT OF DEFICIENCIES
Services-a federal agency that provides health coverage to millions of people through programs like Medicare, Medicaid] Module 2), indicated, Reporting Procedures.All nursing home staff are legally mandated reporters and must report abuse or suspected abuse immediately to the administrator after ensuring the elder's safety.Immediate Reporting: Report at the time you notice something.Chain of command: While you can inform supervisors, your legal responsibility is to ensure the administrator is notified directly.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Oak Grove Post Acute
4545 Shelley Court Stockton, CA 95207
SUMMARY STATEMENT OF DEFICIENCIES
of the facility's policy and procedure (P&P) titled, Wandering and Elopement.
Indicated, .The facility will identify residents who are at risk of unsafe wandering and strive to prevent harm.Review of an online article from California Advocates for Nursing Home Reform (CANHR-a statewide nonprofit advocacy organization) titled, NURSING HOME CARE STANDARDS, dated 10/24/22, indicated, .The federal Nursing Home Reform Act of 1987 requires them [nursing homes] to help each resident attain or maintain the highest practicable physical, mental and psychosocial well-being.
Safety and Preventing Accidents.This section addresses standards related to prevention of accidents and to a nursing home's duty to provide adequate supervision to keep residents safe. https://canhr.org/nursing-home-care-standards/
Facility ID: