OAK GROVE POST ACUTE
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
Staffing, from payroll records
Nursing hours / resident / day
3.66
state median 3.94
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.44
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
48%
per year, per CMS
Penalties and enforcement
4 enforcement action(s), totaling $40,283 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $7,527 |
| 2024-01-22 | Fine | $19,107 |
| 2023-12-26 | Fine | $8,711 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the WINDSOR chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Elk Grove Post Acute (Elk Grove, CA) —
- River City Post Acute (CARMICHAEL, CA) —
- SOUTH COAST POST ACUTE (SANTA ANA, CA) —
- DELTA OAKS POST ACUTE (STOCKTON, CA) —
- COASTAL POST ACUTE (SALINAS, CA) —
- Country Drive Post Acute (FREMONT, CA) —
- National City Post Acute (NATIONAL CITY, CA) —
- MONTEREY POST ACUTE (MONTEREY, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-22 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-04-09 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-09 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-09 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-09 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-09 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-09 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-09 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-09 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-09 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-04-09 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-09 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-09 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-09 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-09 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-09 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-04-09 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-04-09 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2026-04-09 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2026-04-09 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2026-03-11 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-11 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2026-03-04 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-02-20 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-02-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-11 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-11 | F0925 | Environmental Deficiencies | F | not recorded |
| 2026-01-16 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-01-16 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-12-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-12 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-12-08 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-03 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-02 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-26 | F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-26 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-20 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-20 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-21 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-21 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-15 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-15 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-07-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-16 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-24 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-05-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-04-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-03-13 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-13 | F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-06 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-12 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-12 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-12 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-12 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2024-12-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-12-12 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-12-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-12 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-12 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-12 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-12 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-12-12 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-12 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-12-12 | F0849 | Administration Deficiencies | D | not recorded |
| 2024-12-12 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-12-12 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2024-12-12 | F0887 | Infection Control Deficiencies | E | not recorded |
| 2024-12-12 | F0919 | Environmental Deficiencies | E | not recorded |
| 2024-12-12 | F0925 | Environmental Deficiencies | E | not recorded |
| 2024-12-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-11-22 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-23 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-23 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-08-14 | F0559 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-21 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-21 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-02 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-10 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-29 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-28 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-19 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-12-19 | F0882 | Infection Control Deficiencies | D | not recorded |
| 2023-12-19 | F0921 | Environmental Deficiencies | D | not recorded |
| 2023-11-18 | F0908 | Environmental Deficiencies | D | not recorded |
| 2023-11-16 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-11-15 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-15 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-25 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-25 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-18 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-22 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-08-22 | F0836 | Administration Deficiencies | E | not recorded |
| 2023-08-09 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-08-02 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-08-02 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-08-01 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-25 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-20 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-17 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-11 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-11 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-06 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2022-12-09 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2022-12-09 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-12-09 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-12-09 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-12-09 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-12-09 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-12-09 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-12-09 | F0693 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-12-09 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-12-09 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-12-09 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-12-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-12-09 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-12-09 | F0838 | Administration Deficiencies | C | not recorded |
| 2022-12-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2022-12-09 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2022-12-09 | F0919 | Environmental Deficiencies | E | not recorded |