Allure of Stockton

In the surveyor’s words

From the most serious findings on record at Allure of Stockton, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 2, 2021

  Based on observation, interview and record review the facility failed to safely transfer a resident to prevent a fall. This applies to one of three residents (R1) in the sample of 3. Staff utilized a pivot transfer instead of using a mechanical lift as care planned. The facility failure resulted in R1 sustaining a fracture to her left hip requiring surgical intervention. The findings include: The facility face sheet shows R1 has diagnosis of [CONDITION(S)] (paralysis) of the left side, obesity, lack of coordination and difficulty in walking. The facility assessment dated [DATE] shows R1 is cognitively intact and requires extensive assistance of two staff for transfers, and has impairment to one side of her body. […]

• No harm, potential for more than minimal, widespreadF727Jul 30, 2026

  Based on interview and record review the facility failed to have a RN (Registered Nurse) on duty in the facility for eight hours a day. This applies to all residents in the facility.The findings include:The CMS 671 (Centers for Medicare and Medicaid Services) dated 7/28/26 shows there are 28 residents in the facility.On 7/28/26 at 1:10PM, V2 (Director of Nursing/DON) said the facility does their best to staff the facility with an RN. V2 said the facility has only one RN on staff besides her. V2 said it's been difficult to find RN's in this area.On 7/29/26 at 1:21 PM, V1 (Administrator) said, the DON schedule is fluid, and she is sometimes here on the weekends when we don't have RN coverage. V1 said V2 doesn't sign in and is not on the schedule. […]

• No harm, potential for more than minimal, widespreadF761Jun 6, 2024

  Based on observation, interview, and record review the facility failed to ensure an opened vial of Tuberculin was labeled with an open date. This has the potential to affect all the residents residing in the facility. The findings include: The facility's CMS form 671 dated [DATE] showed there were 22 residents residing in the facility. On [DATE] at 10:40 AM, V6 (RN - Registered Nurse) used a key to open the black, medication refrigerator, in the facility's only medication room. On the top shelf of the refrigerator was a sealed, clear plastic bag with 3 unopened vials of Tuberculin inside. To the left of this bag was an opened vial of Tuberculin, with approximately ,d+[DATE] of the fluid remaining in the vial. This vial was not labeled with an open date. […]

• No harm, potential for more than minimal, widespreadF812Jun 6, 2024

  Based on observation, interview, and record review the facility failed to clean ceiling fans above the food service area and failed to clean and defrost a freezer. This applies to all residents in the facility. The findings include: The Centers for Medicare and Medicaid (CMS) 671 dated 6/4/24 shows there are 22 residents in the facility. On 6/4/24 at 9:21 AM, the freezer in the dry storage room was observed with large amounts of frost present throughout the entire freezer. The food within the freezer was covered with frost crystals. On 6/4/24 at 11:45 AM, the kitchen staff were observed preparing the lunch trays for the residents. […]

• No harm, potential for more than minimal, widespreadF851Jun 6, 2024

  Based on interview and record review the facility failed to submit required payroll based journal (PBJ) data. This effects all residents in the facility. The findings include: The Centers for Medicare and Medicaid (CMS) 671 dated 6/4/24 shows there are 22 residents in the facility. The [NAME] Report 1705D for the fiscal year quarter 1 2024 shows the facility triggered for failed to have licensed nursing coverage 24 hours a day and one star staffing rating. The facility was able to produce time card records showing a nurse was on duty for all infraction dates of 10/1/23, 10/4/23, 10/5/23, 10/9/23, 10/10/23, 10/13/23, 10/14/23, 10/15/23, 10/19/23, 10/28/23, 10/29/23, 11/11/23, 11/15/23, 11/23/23, 11/24/23, 11/25/23, 12/9/23 and 12/23/23. […]