| Delta Oaks Post Acute | |
| 6940 Pacific Avenue, Stockton, California 95207 | |
| (209) 477-4817 | |
| Name | Delta Oaks Post Acute |
|---|---|
| Location | 6940 Pacific Avenue, Stockton, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 128 |
| Occupancy Rate | 86.17% |
| Medicare ID (CCN) | 055735 |
| Legal Business Name | Windsor Elmhaven Care Center, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Windsor (22 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1396881033 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Windsor Elmhaven Care Center, LLC |
| Doing Business As | Windsor Elmhaven Care Center |
| Address | 6940 Pacific Ave, Stockton, CA 95207 |
| Phone Number | 209-477-4817 |
| NPI Number | 1922027002 |
| Match | Possible same name, address or phone number |
| Organization Name | Helios Healthcare, LLC |
| Doing Business As | Elmhaven Care Center |
| Address | 6940 Pacific Ave, Stockton, CA 95207 |
| Phone Number | 209-477-4817 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.7 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.6 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.51 | 0.86 |
| Nurse aide hours per resident per day | 2.59 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.25 | 3.42 |
| RN hours per resident per day on the weekend | 0.52 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 44.6% | 45.8% |
| Registered nurse turnover | 46.2% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 9, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Jun 9, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Jun 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Jun 9, 2026 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Apr 21, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 21, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Apr 18, 2026 |
| Apr 15, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Apr 18, 2026 |
| Apr 15, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 18, 2026 |
| Apr 15, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 18, 2026 |
| Apr 2, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Apr 24, 2026 |
| Apr 2, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 2, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 2, 2026 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 6, 2026 |
| Feb 17, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 18, 2026 |
| Feb 17, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 18, 2026 |
| Dec 30, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 10, 2026 |
| Dec 4, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2025 |
| Nov 24, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2025 |
| Oct 2, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 27, 2025 |
| Oct 2, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 27, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.91 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.55 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.98 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.54 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.61 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.51 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.95 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.66 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.52 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.53 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.36 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.98 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.26 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.63 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.4 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.97 | 15.38 |
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