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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 62 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 79% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 34 findings, above the CA average of 15.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families considering Delta Oaks Post Acute should exercise extreme caution due to frequent and severe allegations of medical neglect, including untreated wounds, sepsis, and failure to respond to call lights. While some reviewers praise the friendliness of the reception and certain nursing staff, there is a significant pattern of reports regarding poor hygiene, lack of therapy services, and inadequate staffing.
Quality Themes
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Concerns
Rating Trends
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Distribution · 66 analyzed
The owner uses highly standardized, template-based responses that follow a consistent structure of expressing concern and requesting an offline conversation. While they address the reviewer by name, they do not provide specific solutions or address the unique details of the complaints.
Personalized based on this facility's data
Key Review Excerpts
“The employees at this location neglected my relative to the point that there were 3 separate times having pneumonia, had sepsis, had maggots in a wound, multiple bed sores, and did not follow thru with ANY of the agreed to contact and care plan for my relative.”
“I'm very thankful with this facility. I love how we were able to work together to help my mom get better and reached the goals we had put . One of the many goals we had put for my mom was to get off the ventilador and then trache . It was met and my mom was eventually able to breathe on her own”
“The first six months after a stroke are the most important. If anything is going to come back it’s within those first six months. I feel like this place does the bare minimum. No therapy no nothing.”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows a concerning pattern of frequent family complaints triggering federal investigations, with 58 complaint-driven deficiencies indicating serious ongoing issues. The most recurring problems involve safety hazards and accident prevention, medication management, and infection control practices. While the facility corrects cited deficiencies, the persistent pattern of complaints across multiple years suggests underlying care quality issues that families should carefully investigate before placement.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Delta Oaks Post Acute
for profit
Windsor
23 facilities nationwide
Chain avg rating: 2.3/5 · Rank 17 of 19 (Lowest rating)
Owners
Windsor Norcal 13 Holdings LLC
Owner · Organization
9560 Pico LLC
Owner (parent company) · Organization
Antelope Holdings I, LLC
Owner (parent company) · Organization
Pico Ar LLC
Owner (parent company) · Organization
Robin, Aaron
Owner (parent company)
Tress, Avrohom
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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