County: San Joaquin

City: Lodi

A & C HEALTH CARE SERVICES - ARBOR
(209) 333-1222 — 900 North Church St. — Lodi, CA 95240

Services
How to interpret services information.

Cap.= 149 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/24/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L M O P Q R S T U V
Types of Residents Not Accepted: B
Languages spoken by direct-care staff: A B C I Y
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 1/31/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 8 15 16 8.5
2004 0 0 0 11 17.8 14 9.2
2005 0 0 1 12 19.6 19 10.4
2006 0 0 1 19 20.8 24 12.5
2007 0 0 2 13 21.7 55 14.8
2008 0 3 0 43 12.1 17 6.3

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City: Lodi

Crescent Court Nursing Home
(209) 367-7400 — 610 So. Fairmont Avenue — Lodi, CA 95240

Services
How to interpret services information.

Cap.= 28 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/3/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: D E F I L S T U V
Types of Residents Not Accepted: B
Languages spoken by direct-care staff:
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 17 15 3 8.5
2004 0 0 0 16 17.8 4 9.2
2005 0 0 1 20 19.6 2 10.4
2006 0 0 0 17 20.8 4 12.5
2007 0 0 0 17 21.7 8 14.8
2008 0 0 0 1 12.1 2 6.3

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City: Lodi

Delta Rehabilitation & Care Center
(209) 334-3825 — 1334 South Ham Lane — Lodi, Ca 95242

Services
How to interpret services information.

Cap.= 74 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/7/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L Q R S T U V
Types of Residents Not Accepted: N O P
Languages spoken by direct-care staff: I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/5/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 11 15 0 8.5
2004 0 0 0 26 17.8 2 9.2
2005 0 0 0 5 19.6 2 10.4
2006 0 0 0 11 20.8 0 12.5
2007 0 0 0 20 21.7 4 14.8
2008 0 0 0 0 12.1 1 6.3

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City: Lodi

Fairmont Rehabilitation Hospital
(209) 368-0693 — 950 S. Fairmont Ave — Lodi, CA 95240

Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/14/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 1 15 5 8.5
2004 0 0 0 5 17.8 2 9.2
2005 0 0 0 0 19.6 3 10.4
2006 0 0 0 11 20.8 6 12.5
2007 0 0 1 2 21.7 7 14.8
2008 0 0 0 5 12.1 1 6.3

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City: Lodi

Lodi Memorial Hospital-West D/P SNF
(209) 333-0211 — 800 South Lower Sacramento Road — Lodi, Ca 95240

Services
How to interpret services information.

Cap.= 47 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/10/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D F I M N P Q R S T U V
Types of Residents Not Accepted: B E J L O
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 1 0 6 15 2 8.5
2004 0 0 0 6 17.8 4 9.2
2005 0 0 1 4 19.6 0 10.4
2006 0 0 0 4 20.8 2 12.5
2007 0 0 0 6 21.7 0 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Lodi

Vienna Convalescent Hospital
(209) 368-7141 — 800 So. Ham Lane — Lodi, CA 95240

Services
How to interpret services information.

Cap.= 150 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/30/1999:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L O S
Types of Residents Not Accepted: J M N
Languages spoken by direct-care staff: E I pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 12 15 3 8.5
2004 0 0 0 27 17.8 10 9.2
2005 0 0 0 43 19.6 6 10.4
2006 0 0 0 40 20.8 9 12.5
2007 0 0 3 22 21.7 14 14.8
2008 0 1 0 0 12.1 7 6.3

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City: Lodi

Wine Country Care Center
(209) 334-3760 — 321 W. Turner Road — Lodi, Ca 95240

Services
How to interpret services information.

Cap.= 87 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/11/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A I J L S
Types of Residents Not Accepted: F N O
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/8/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 1 0 0 13 15 3 8.5
2004 0 0 0 16 17.8 1 9.2
2005 0 1 0 21 19.6 2 10.4
2006 0 0 0 14 20.8 3 12.5
2007 0 0 1 7 21.7 8 14.8
2008 0 0 0 14 12.1 4 6.3

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City: Manteca

Kaiser Foundation Hospital Manteca D/P SNF
(209) 825-3500 — 1777 West Yosemite Avenue — Manteca, CA 95336

Services
How to interpret services information.

Cap.= 50 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/20/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I M N P Q S T U V
Types of Residents Not Accepted: B J L O R
Languages spoken by direct-care staff: A I pp
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/26/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 8 15 2 8.5
2004 0 0 0 24 17.8 0 9.2
2005 0 0 0 14 19.6 0 10.4
2006 0 0 0 0 20.8 7 12.5
2007 0 0 1 18 21.7 11 14.8
2008 0 0 2 6 12.1 2 6.3

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City: Manteca

Manteca Care And Rehabilitation Center
(209) 239-1222 — 410 Eastwood Avenue — Manteca, CA 95336

Services
How to interpret services information.

Cap.= 176 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/21/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 30 15 40 8.5
2004 0 0 0 5 17.8 19 9.2
2005 0 0 0 41 19.6 19 10.4
2006 0 0 0 34 20.8 11 12.5
2007 0 0 1 42 21.7 29 14.8
2008 0 1 3 0 12.1 12 6.3

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City: Manteca

Palm Haven Care Center
(209) 823-1788 — 469 East North Street — Manteca, CA 95336

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/5/2001:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A B D E F I J L O Q R S T U V
Types of Residents Not Accepted: N P
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/17/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 1 0 23 15 12 8.5
2004 0 0 0 26 17.8 7 9.2
2005 0 0 0 29 19.6 12 10.4
2006 0 0 0 49 20.8 11 12.5
2007 0 0 1 29 21.7 22 14.8
2008 0 0 3 5 12.1 26 6.3

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City: Ripon

Bethany Home Society San Joaquin Co.
(209) 599-4221 — 930 West Main Street — Ripon, CA 95366

Services
How to interpret services information.

Cap.= 92 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/20/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E I L Q R S U
Types of Residents Not Accepted: B F J M N O P T V
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 10/4/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 15 15 3 8.5
2004 0 0 0 10 17.8 0 9.2
2005 0 0 0 9 19.6 0 10.4
2006 0 0 0 20 20.8 0 12.5
2007 0 0 0 9 21.7 2 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Stockton

Crestwood Manor
(209) 478-2060 — 1130 Monaco Court — Stockton, CA 95207

Services
How to interpret services information.

Cap.= 190 Type = SNF (IMD) Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 5/5/1994:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: Yes
Types of Residents Accepted: A J L O
Types of Residents Not Accepted: F I M N
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/18/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 7 15 59 8.5
2004 0 0 0 3 17.8 25 9.2
2005 0 0 0 19 19.6 29 10.4
2006 0 0 0 18 20.8 17 12.5
2007 0 0 1 0 21.7 26 14.8
2008 0 0 2 21 12.1 10 6.3

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City: Stockton

Delta Valley Convalescent Hospital
(209) 466-5341 — 1032 N. Lincoln Street — Stockton, CA 95203

Services
How to interpret services information.

Cap.= 68 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/21/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E I L Q R S T U V
Types of Residents Not Accepted: F J N P
Languages spoken by direct-care staff: A I Y pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/19/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 34 15 20 8.5
2004 0 0 2 31 17.8 26 9.2
2005 0 0 1 52 19.6 17 10.4
2006 0 0 1 35 20.8 13 12.5
2007 0 0 1 32 21.7 12 14.8
2008 0 0 0 1 12.1 1 6.3

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City: Stockton

Golden Living Center - Hy-Pana
(209) 477-0271 — 4545 Shelley Court — Stockton, CA 95207

Services
How to interpret services information.

Cap.= 119 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/7/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L O Q R S T U V
Types of Residents Not Accepted: N P
Languages spoken by direct-care staff: A B C I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 9/10/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 4 15 12 8.5
2004 0 0 0 26 17.8 10 9.2
2005 0 0 1 8 19.6 13 10.4
2006 0 0 0 9 20.8 13 12.5
2007 1 2 0 31 21.7 6 14.8
2008 0 0 0 0 12.1 5 6.3

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City: Stockton

Golden Livingcenter - Chateau
(209) 477-2664 — 1221 Rose Marie Lane — Stockton, CA 95207

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 10/15/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M P Q R S T U V
Types of Residents Not Accepted: B J N O
Languages spoken by direct-care staff: A I pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 8/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 4 15 19 8.5
2004 0 0 0 20 17.8 15 9.2
2005 0 0 1 16 19.6 10 10.4
2006 0 0 0 20 20.8 4 12.5
2007 0 0 1 24 21.7 6 14.8
2008 0 0 0 0 12.1 6 6.3

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City: Stockton

Golden Livingcenter - Portside
(209) 466-3522 — 2740 N. California Street — Stockton, CA 95204

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/11/1993:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A F I L O S
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 11 15 75 8.5
2004 0 0 0 24 17.8 10 9.2
2005 0 0 0 14 19.6 7 10.4
2006 0 0 0 25 20.8 16 12.5
2007 0 0 1 23 21.7 39 14.8
2008 0 0 0 0 12.1 16 6.3

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City: Stockton

Good Samaritan Rehabilitation And Care Center
(209) 948-8762 — 1630 No. Edison Street — Stockton, Ca 95204

Services
How to interpret services information.

Cap.= 98 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1997:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I J L M N O
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A E G
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 1/24/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 7 15 2 8.5
2004 0 0 0 8 17.8 2 9.2
2005 0 0 0 26 19.6 9 10.4
2006 0 0 0 20 20.8 14 12.5
2007 0 0 0 4 21.7 20 14.8
2008 0 0 0 15 12.1 7 6.3

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City: Stockton

La Salette Health And Rehabilitation Center
(209) 466-2066 — 537 E. Fulton Street — Stockton, CA 95204

Services
How to interpret services information.

Cap.= 116 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/7/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L O P Q S T U V
Types of Residents Not Accepted: J N R
Languages spoken by direct-care staff: A I Y
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 6/7/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 19 15 15 8.5
2004 0 0 0 24 17.8 9 9.2
2005 0 0 0 30 19.6 5 10.4
2006 0 0 1 18 20.8 11 12.5
2007 0 0 0 15 21.7 0 14.8
2008 0 0 0 0 12.1 3 6.3

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City: Stockton

Meadowood A Health & Rehabilitation Center
(209) 956-3444 — 3110 Wagner Heights Road — Stockton, Ca 95209

Services
How to interpret services information.

Cap.= 100 Type = SNF Medi-Cal: no Medicare: yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/31/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 5 15 1 8.5
2004 0 0 0 6 17.8 2 9.2
2005 0 0 0 24 19.6 2 10.4
2006 0 0 0 10 20.8 4 12.5
2007 0 0 1 11 21.7 8 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Stockton

Plymouth Square
(209) 466-4341 — 1319 North Madison — Stockton, CA 95202

Services
How to interpret services information.

Cap.= 38 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/24/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L Q R S T U V
Types of Residents Not Accepted: J O P
Languages spoken by direct-care staff: A I L
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/19/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 2 15 2 8.5
2004 0 0 0 15 17.8 0 9.2
2005 0 0 0 8 19.6 2 10.4
2006 0 0 0 13 20.8 2 12.5
2007 0 0 0 12 21.7 0 14.8
2008 0 0 0 0 12.1 1 6.3

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City: Stockton

St. Joseph's Medical Center of Stockton D/P SNF
(209) 943-2000 — 1800 N. California Street — Stockton, CA 95204

Services
How to interpret services information.

Cap.= 27 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/25/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D F I M O P Q R S T U V
Types of Residents Not Accepted: B E J L N
Languages spoken by direct-care staff: A I pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/28/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 1 0 5 15 1 8.5
2004 0 0 0 9 17.8 1 9.2
2005 0 0 0 14 19.6 3 10.4
2006 0 0 0 6 20.8 1 12.5
2007 0 0 0 1 21.7 2 14.8
2008 0 0 0 2 12.1 0 6.3

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City: Stockton

Sunbridge Heritage Care Center
(209) 478-6488 — 9107 N. Davis Road — Stockton, CA 95209

Services
How to interpret services information.

Cap.= 75 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/11/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A F I L S
Types of Residents Not Accepted: J N O
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/18/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 6 15 35 8.5
2004 0 0 0 12 17.8 34 9.2
2005 0 0 0 19 19.6 15 10.4
2006 0 0 0 1 20.8 18 12.5
2007 0 0 4 47 21.7 45 14.8
2008 0 1 1 14 12.1 8 6.3

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City: Stockton

Valley Gardens Health Care & Rehabilitation Center
(209) 957-4539 — 1517 Knickerbocker — Stockton, CA 95210

Services
How to interpret services information.

Cap.= 120 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/6/2001:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A B D E F I L O P Q R S T U V
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff: A
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/4/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 0 15 2 8.5
2004 0 0 0 24 17.8 11 9.2
2005 0 0 0 12 19.6 10 10.4
2006 0 0 0 7 20.8 10 12.5
2007 0 0 4 12 21.7 23 14.8
2008 0 0 1 21 12.1 8 6.3

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City: Stockton

Wagner Heights Nursing And Rehabilitation Center
(209) 477-5252 — 9289 Branstetter Place — Stockton, CA 95209

Services
How to interpret services information.

Cap.= 152 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/15/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L O P Q R S T U V
Types of Residents Not Accepted: N
Languages spoken by direct-care staff: A C E I Y hh
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/21/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 11 15 9 8.5
2004 0 0 1 12 17.8 18 9.2
2005 0 0 0 19 19.6 7 10.4
2006 0 0 0 61 20.8 24 12.5
2007 0 0 1 20 21.7 26 14.8
2008 0 2 1 14 12.1 19 6.3

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City: Stockton

Whispering Hope Care Center
(209) 473-3004 — 5320 Carrington Circle — Stockton, CA 95210

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/12/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I L P R S T U V
Types of Residents Not Accepted: F J N O Q
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/18/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 1 1 20 15 15 8.5
2004 0 0 0 20 17.8 13 9.2
2005 0 0 0 31 19.6 18 10.4
2006 0 0 1 28 20.8 25 12.5
2007 0 0 4 38 21.7 27 14.8
2008 0 1 0 1 12.1 11 6.3

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City: Stockton

Windsor Elmhaven Care Center
(209) 477-4817 — 6940 Pacific Avenue — Stockton, CA 95207

Services
How to interpret services information.

Cap.= 128 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/5/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E F I J L O R S T U V
Types of Residents Not Accepted: A N P Q
Languages spoken by direct-care staff: A I L Y pp
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 10/17/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 12 15 14 8.5
2004 0 0 0 22 17.8 13 9.2
2005 0 0 0 19 19.6 15 10.4
2006 0 0 0 27 20.8 5 12.5
2007 0 0 1 29 21.7 13 14.8
2008 0 0 2 1 12.1 2 6.3

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City: Stockton

Windsor Hampton Care Center
(209) 466-0456 — 442 Hampton Street — Stockton, CA 95204

Services
How to interpret services information.

Cap.= 120 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/9/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A F I L S
Types of Residents Not Accepted: J N O
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/29/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 26 15 23 8.5
2004 0 0 1 42 17.8 21 9.2
2005 0 0 0 34 19.6 18 10.4
2006 0 0 0 32 20.8 9 12.5
2007 0 1 0 16 21.7 25 14.8
2008 0 1 1 1 12.1 10 6.3

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City: Tracy

New Hope Care Center
(209) 832-2273 — 2586 Buthmann Road — Tracy, Ca 95376

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/12/1993:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A I L S
Types of Residents Not Accepted: F J N O
Languages spoken by direct-care staff: A E I J
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 5/8/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 20 15 8 8.5
2004 0 0 0 25 17.8 7 9.2
2005 0 0 1 30 19.6 8 10.4
2006 0 0 1 19 20.8 14 12.5
2007 0 0 2 18 21.7 31 14.8
2008 0 0 2 3 12.1 11 6.3

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City: Tracy

Tracy Convalescent and Rehabilitation Center
(209) 835-6034 — 545 West Beverly Place — Tracy, CA 95376

Services
How to interpret services information.

Cap.= 62 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/5/1998:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: B D E F I L O
Types of Residents Not Accepted: J M N
Languages spoken by direct-care staff: A F I J Y
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/30/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 11 15 3 8.5
2004 0 0 0 20 17.8 2 9.2
2005 0 0 0 32 19.6 2 10.4
2006 0 0 0 26 20.8 4 12.5
2007 0 0 1 19 21.7 11 14.8
2008 0 0 1 0 12.1 0 6.3

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California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171