All citations for Delta Oaks Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Delta Oaks Post Acute

Last standard health inspection on record

October 2, 2025

Showing 1 to 25 of 38 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

  2. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  3. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 27, 2024).

  4. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of May 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0807, Nutrition and Dietary Deficiencies. Inspection of May 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2024).

  6. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 4, 2024).

  7. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 4, 2024).

  8. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 24, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  11. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  13. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  14. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  16. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  17. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  18. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  19. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  20. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level E.

    Health citation F-0868, Administration Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  23. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

  24. No harm, with potential for more than minimal harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0770, Administration Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

  25. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0867, Administration Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.