Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
DELTA OAKS POST ACUTE
STOCKTON, CA · 128 certified beds · Last Life Safety survey October 2, 2025
CMS Certification Number 055735 · first certified April 1967
Ownership
Operated by WINDSOR · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
69
Citations on file
CMS's current file
5
Life Safety surveys
CMS's current file
15
Tags cited more than once
Across separate surveys
25
Inspection & testing records
Of the citations on file
Position within CA
69 citations — more than 100% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.
The latest survey found 34 citations; the earlier surveys on file averaged 8.8. With 5 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: October 2026 to February 2027. This facility’s last Life Safety survey was October 2025. Facilities in CA are typically surveyed 12–16 months after the last one (median 14), measured over 1,814 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
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8 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
16 of the 69 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
25 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 69 Life Safety citations above. The Physical Environment Index
- F-0584 Honor 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.
- F-0880 Provide and implement an infection prevention and control program.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 69 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 20, 2023 | 21 |
| April 15, 2024 | 3 |
| July 18, 2024 | 1 |
| August 1, 2024 | 10 |
| October 2, 2025 | 34 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 4 | 2025-10-02 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 4 | 2025-10-02 |
| K-0363 | Install corridor and hallway doors that block smoke. | 3 | 2025-10-02 |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 3 | 2025-10-02 |
| K-0712 | Have simulated fire drills held at unexpected times. | 3 | 2025-10-02 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 3 | 2025-10-02 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 3 | 2025-10-02 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 3 | 2025-10-02 |
What the citations cover
- Smoke Deficiencies 28
- Emergency Preparedness Deficiencies 16
- Gas, Vacuum, and Electrical Systems Deficiencies 10
- Miscellaneous Deficiencies 8
- Other 7
| Category | Citations |
|---|---|
| Smoke Deficiencies | 28 |
| Emergency Preparedness Deficiencies | 16 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 10 |
| Miscellaneous Deficiencies | 8 |
| Egress Deficiencies | 3 |
| Services Deficiencies | 3 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
October 2, 2025 — 34 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0029 | Develop a communication plan. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has plan of correction (September 23, 2026) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has plan of correction (September 25, 2026) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has plan of correction (September 22, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has plan of correction (September 22, 2026) |
| K-0331 | Construct fire resistant interior walls. | Deficient, Provider has plan of correction (September 22, 2026) |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Deficient, Provider has plan of correction (September 22, 2026) |
| K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Deficient, Provider has plan of correction (September 17, 2026) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | Deficient, Provider has plan of correction (September 15, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has plan of correction (September 16, 2026) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has plan of correction (September 22, 2026) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has plan of correction (September 16, 2026) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has plan of correction (April 30, 2027) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has plan of correction (September 22, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has plan of correction (September 23, 2026) |
| K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Deficient, Provider has plan of correction (September 22, 2026) |
August 1, 2024 — 10 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (October 1, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (October 1, 2024) |
July 18, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (July 19, 2024) |
April 15, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (April 26, 2024) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (April 26, 2024) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (April 26, 2024) |
July 20, 2023 — 21 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (September 19, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (September 19, 2023) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Waiver has been granted (September 19, 2023) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (September 19, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (September 19, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.