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Data / Nursing homes / California / Oak Grove Post Acute

Oak Grove Post Acute, Stockton, CA: 1 star rating, fined $40,283 across 4 fines

Oak Grove Post Acute in Stockton, CA is owned by Sapphire Operations, LLC, is rated 1 of 5 stars by Medicare, and was fined $40,283 across 4 fines in the three years to October 1, 2026. CMS lists 107 health citations from inspections in that time, the latest survey on August 21, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Address
4545 Shelley Court, Stockton, CA 95207
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
2 of 5
Certified beds
119
Residents per day
109 on average
Ownership type
For profit, limited liability company
Legal business name
4545 Shelley Court OPCO, LLC
Chain
Windsor, 22 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$40,283 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
107, of which 1 with actual harm or immediate jeopardy
Latest survey
August 21, 2026
CMS Certification Number
055201
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 20, 2024Fine$4,938Not listeddata.cms.gov
February 12, 2024Fine$7,527Not listeddata.cms.gov
January 22, 2024Fine$19,107Not listeddata.cms.gov
December 26, 2023Fine$8,711Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first. These are the latest 100 of 107.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 21, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmNo plan of correctiondata.cms.gov
August 13, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 3, 2026data.cms.gov
August 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 3, 2026data.cms.gov
August 13, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 3, 2026data.cms.gov
July 9, 2026F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.C: widespread, minimal harm potentialNo plan of correctiondata.cms.gov
April 22, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 23, 2026data.cms.gov
April 9, 2026F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F814Dispose of garbage and refuse properly.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
April 9, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2026data.cms.gov
March 11, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
March 11, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
March 4, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 6, 2026data.cms.gov
February 20, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2026data.cms.gov
February 11, 2026F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2026data.cms.gov
February 11, 2026F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2026data.cms.gov
February 11, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2026data.cms.gov
January 16, 2026F814Dispose of garbage and refuse properly.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
January 16, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 12, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 16, 2025data.cms.gov
December 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 16, 2025data.cms.gov
December 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
December 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2025data.cms.gov
December 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2025data.cms.gov
December 2, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2025data.cms.gov
November 26, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2025data.cms.gov
November 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2025data.cms.gov
November 26, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2025data.cms.gov
November 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 23, 2025data.cms.gov
November 20, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 23, 2025data.cms.gov
August 21, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
August 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
August 15, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 18, 2025data.cms.gov
August 15, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 18, 2025data.cms.gov
August 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedAugust 4, 2025data.cms.gov
July 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 24, 2025data.cms.gov
July 16, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2025data.cms.gov
June 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 24, 2025data.cms.gov
May 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2025data.cms.gov
May 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
March 13, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2025data.cms.gov
March 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2025data.cms.gov
February 13, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 7, 2025data.cms.gov
January 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 8, 2025data.cms.gov
January 6, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 8, 2025data.cms.gov
December 12, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 2, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
November 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
October 23, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
August 14, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
July 21, 2024F825Provide or get specialized rehabilitative services as required for a resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
July 21, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
July 2, 2024F688Provide 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 16, 2024data.cms.gov
June 10, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2024data.cms.gov
January 29, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 2, 2024data.cms.gov
December 28, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov

Full inspection reports on Medicare Care Compare

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (3 managers, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Sapphire Operations, LLCDirect owner100%September 1, 2024data.cms.gov
Newgen Administrative Services, LLCAdditional disclosable partyNot listedSeptember 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.