Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Allure Of Stockton during CMS and state inspections, most recent first.
A facility failed to label an opened vial of Tuberculin with an open date, as observed by a surveyor. An RN found the vial in the medication refrigerator without the required labeling, acknowledging it should have been dated to ensure safe use. The facility's policy mandates that multi-use vials be labeled with the date they are opened and discarded within 28 days unless otherwise specified. This oversight could potentially affect all 22 residents in the facility.
The facility failed to maintain cleanliness and proper maintenance in the food service area, with a freezer covered in frost and ceiling fans above the food service area covered with a black substance. The food service supervisor acknowledged the importance of cleanliness to prevent food contamination. The facility's sanitation policy requires regular inspections, which were not adhered to, potentially compromising food safety for the 22 residents.
The facility failed to submit accurate PBJ data to CMS, affecting all residents. Despite having records showing nursing coverage, the data did not reflect this, resulting in a one-star staffing rating. The Office Assistant and Vice President of Operations were unable to explain the discrepancy.
A resident's privacy was compromised during catheter care when staff failed to close window blinds, allowing visibility from outside. Despite facility policies requiring privacy measures, the resident's lower body was exposed to a passerby. The resident, with severe cognitive impairment, required significant assistance, highlighting the importance of adhering to privacy protocols.
A facility failed to properly assess and document a recurring wound for a resident with multiple health conditions. The ADON admitted to relying on CNAs for wound size changes, as the assessment form lacked a section for measurements. The facility's policy requires detailed wound characteristics for treatment decisions, which were not documented, indicating a deficiency in wound management.
A facility failed to secure a resident's indwelling catheter with an anchoring device, as observed during a survey. The resident, with severe cognitive impairment and multiple health conditions, had a catheter that was not anchored, leading to unsecured tubing. Staff interviews revealed that adhesive dressings were available to secure catheters, but were not used in this case, contrary to the facility's catheter care policy.
Failure to Label Opened Tuberculin Vial with Open Date
Penalty
Summary
The facility failed to ensure that an opened vial of Tuberculin was labeled with an open date, which is a requirement for safe medication management. During an observation, a Registered Nurse (RN) accessed the medication refrigerator and found an opened vial of Tuberculin without an open date label. The RN acknowledged that the vial should have been labeled with an open date to track its expiration, as the facility uses it for TB tests on new admissions and annually for long-term residents. The RN admitted that without the open date, the vial would need to be discarded, as it was unclear when it had been opened. The facility's policy on labeling medications and biologicals requires that multi-use vials include the date they were initially opened or accessed. The policy also states that opened vials should be discarded within 28 days unless the manufacturer specifies a different expiration period. The RN was unable to determine when the vial had been opened, indicating a lapse in adherence to the facility's medication labeling policy. This oversight has the potential to affect all 22 residents residing in the facility, as it compromises the safe administration of medications.
Food Service Area Cleanliness and Maintenance Deficiencies
Penalty
Summary
The facility failed to maintain cleanliness and proper maintenance in the food service area, leading to potential contamination risks. During an observation, it was noted that the freezer in the dry storage room had large amounts of frost throughout, with food items covered in frost crystals. This indicates a failure to defrost the freezer as required by the facility's cleaning schedule and procedures checklist, which mandates defrosting when ice buildup is present. Additionally, ceiling fans above the food service area were observed to be covered with a black substance, suggesting a lack of regular cleaning as outlined in the facility's sanitation policy. Interviews with the food service supervisor confirmed the importance of maintaining clean work areas to prevent food contamination and ensure proper freezer temperature to avoid freezer burn on food. The facility's sanitation inspection policy, revised in 2022, requires daily inspections of refrigerators, coolers, freezers, and storage area temperatures, as well as weekly inspections by the dietary manager to ensure compliance with sanitation and food service regulations. The observed deficiencies indicate a failure to adhere to these policies, potentially compromising the safety and quality of food served to the 22 residents in the facility.
Failure to Submit Accurate PBJ Data
Penalty
Summary
The facility failed to submit the required Payroll Based Journal (PBJ) data to the Centers for Medicare and Medicaid Services (CMS), affecting all residents in the facility. The CMS 671 form dated June 4, 2024, indicated there were 22 residents in the facility. The facility was flagged for not having licensed nursing coverage 24 hours a day, resulting in a one-star staffing rating. Despite having time card records showing a nurse was on duty for the specified infraction dates, the PBJ data did not reflect this information accurately. The Office Assistant, responsible for filling in staff hours from a spreadsheet provided by the Vice President of Operations, expressed confusion over why the data did not appear correctly in the PBJ report. Similarly, the Vice President of Operations was unable to explain the discrepancy, despite having multiple methods to track and input the data into the system.
Failure to Ensure Privacy During Catheter Care
Penalty
Summary
The facility failed to provide catheter care in a dignified manner for a resident, as observed during a survey. On the specified date, two aides entered the resident's room to provide catheter care while the resident's roommate was present and watching TV. Although the privacy curtain was pulled between the resident and the roommate, the blinds on two of the three windows in the room were left open, allowing a clear view from the outside. During the care, a passerby could see the resident's exposed lower body through the open blinds, compromising the resident's privacy and dignity. The resident involved had severe cognitive impairment and required substantial assistance for personal hygiene and mobility. The facility's policies on catheter care and resident rights emphasize the importance of maintaining privacy and dignity by closing doors, blinds, and curtains during care. Interviews with staff confirmed the expectation to ensure privacy during such procedures. Despite these policies, the staff failed to close the window blinds, resulting in a breach of the resident's right to privacy and dignity.
Deficiency in Wound Assessment and Documentation
Penalty
Summary
The facility failed to complete proper assessments, including wound measurements, for a resident with a recurring non-pressure wound. The resident, who is cognitively intact and dependent on staff for all activities of daily living, has a history of heart disease, hemiplegia, obesity, chronic kidney disease, and mild protein-calorie malnutrition. Weekly skin assessments documented scar tissue open on the resident's left buttock, but no measurements or detailed assessments of the wound were recorded. Observations noted a small opening on the resident's left lower buttock with surrounding darker red skin, but no drainage was observed. The Assistant Director of Nursing (ADON) acknowledged responsibility for weekly wound assessments and admitted that the wound has been reopening frequently. The ADON stated that the wound care physician had previously seen the resident, but the resident is not currently under the physician's care. The ADON relies on Certified Nursing Assistants to report changes in wound size, as the assessment form lacks a section for wound measurements. The facility's policy requires treatment decisions to be based on wound characteristics, including size, shape, depth, and presence of tunneling or undermining, but these were not documented, indicating a deficiency in wound management practices.
Failure to Secure Indwelling Catheter
Penalty
Summary
The facility failed to ensure that a resident with an indwelling catheter had an anchoring device in place, as observed during a survey. The resident, who had a silicone indwelling catheter, did not have the catheter secured to her leg, and the tubing was observed running along her right leg, curled on the bed, and extending to the catheter bag hooked on the bed-frame. During the provision of catheter care and while dressing and transferring the resident, the catheter remained unsecured. The resident's medical history included morbid obesity, chronic ischemic heart disease, diabetes, and severe cognitive impairment, among other conditions, requiring substantial assistance from staff for personal hygiene and mobility. Interviews with facility staff revealed that the facility had adhesive dressings available to secure catheters, which were intended to prevent pulling and dislodgement. A CNA confirmed the availability of these dressings, while an RN acknowledged that the resident's catheter had previously dislodged with the balloon intact and confirmed that an anchoring device should have been in place. The facility's catheter care policy emphasized the importance of appropriate catheter care and maintaining resident dignity and privacy, yet the policy was not adhered to in this instance.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Stockton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Serenity Estates Of Lena | 9.6 mi | ★★★★★ | 3 | 0 |
| Allure Of Mt Carroll | 16.5 mi | ★★★★★ | 0 | 0 |
| Manor Court Of Freeport | 17 mi | ★★★★★ | 31 | 0 |
| Pearl Pointe Nursing Rehab & Care | 18 mi | ★★★★★ | 27 | 0 |
| Big Meadows | 18.7 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.