17 health deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lodi, CA
4-star overall rating with 3-star inspections with 17 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1334 S. Ham Lane, Lodi, CA
(209) 334-3825
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
74
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aspen Skilled Healthcare
Operator or chain grouping
Approved since
1977-02-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.41
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.84
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,410
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9975
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.70
Baseline 24.99% · Performance 20.06% · Measure score 5.70 · Achievement 2.97 · Improvement 5.70
Healthcare-associated infections
0
Baseline 8.95% · Performance 9.07% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.51
Baseline 24.32% · Performance 28.92% · Measure score 8.51 · Achievement 8.51 · Improvement 0
Adjusted total nurse staffing
3.57
Baseline 3.96 hours · Performance 4.09 hours · Measure score 3.57 · Achievement 3.57 · Improvement 0.21
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.79% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 230 · Observed rate 9.13% · Lower 95% interval 7.14% |
| Discharge to community | 59.97% |
50.57%
9.4 pts better
|
Better than the National Rate · Eligible stays 217 · Observed rate 54.38% · Lower 95% interval 53.28% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 93.25% |
95.27%
2 pts worse
|
Numerator 152 · Denominator 163 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 163 |
| Discharge self-care score | 59.8% |
53.69%
6.1 pts better
|
Numerator 61 · Denominator 102 |
| Discharge mobility score | 38.24% |
50.94%
12.7 pts worse
|
Numerator 39 · Denominator 102 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 163 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.07% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 11.25% · Lower 95% interval 6.26% |
| Staff COVID-19 vaccination coverage | 12.26% |
8.2%
4.1 pts better
|
Numerator 13 · Denominator 106 |
| Staff flu vaccination coverage | 50.88% |
42%
8.9 pts better
|
Numerator 58 · Denominator 114 |
| Discharge function score | 53.92% |
56.45%
2.5 pts worse
|
Numerator 55 · Denominator 102 |
| Transfer of health information to provider | 97.92% |
95.95%
2 pts better
|
Numerator 47 · Denominator 48 |
| Transfer of health information to patient | 98.04% |
96.28%
1.8 pts better
|
Numerator 100 · Denominator 102 |
| Resident COVID-19 vaccinations up to date | 42.22% |
25.2%
17 pts better
|
Numerator 38 · Denominator 90 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.6
1 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 1.9 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
1.6%
1 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
6.8%
4.9 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 4.4% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
4.1%
0.9 pts worse
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 10.0% · Q3 0.0% · Q4 6.9% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.4% |
13.7%
6.3 pts better
|
19.6%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 10.0% · Q3 3.6% · Q4 6.9% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.4% |
14.2%
5.8 pts better
|
16.7%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.7% · Q3 8.0% · Q4 12.5% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.0% |
11.0%
6 pts worse
|
16.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.3% |
10.7%
7.4 pts better
|
14.9%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.3% · Q3 3.6% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.0%
0.4 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
10.9%
14.8 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 32.5% · Q3 23.5% · Q4 14.9% · 4Q avg 25.7% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
4.7%
3.6 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.5% · Q4 1.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
94.0%
4.5 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 97.4% · Q3 98.9% · Q4 99.4% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.8% |
11.2%
6.6 pts worse
|
12.0%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 18.2% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.5%
0.3 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.1% · Q3 2.6% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.9% |
93.2%
2.7 pts better
|
79.7%
16.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% |
23.2%
3.8 pts better
|
23.9%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 20.0% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-11-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-04
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-22
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-11-06
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-11-06
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-11-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-06
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-11-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-06
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-06
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-11-06
Fire Safety
Use approved construction type or materials.
Corrected 2023-11-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-06
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-06
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-11-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-06
Fire Safety
Provide emergency officials' contact information.
Corrected 2021-08-12
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-08-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-08-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-12
Inspection history
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-10-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-04
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-04
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-12-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-04
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-12-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-04
Health
Keep all essential equipment working safely.
Corrected 2024-12-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-04
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-04
Health
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.
Corrected 2024-12-04
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-12-04
Health
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.
Corrected 2024-12-04
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-12-04
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-12-04
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-03
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-03
Health
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.
Corrected 2023-11-03
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-11-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-03
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-03
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-11-03
Health
Provide activities to meet all resident's needs.
Corrected 2023-11-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-03
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-11-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-08-13
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-08-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-08-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-13
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-08-13
Health
Provide appropriate foot care.
Corrected 2021-08-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-08-13
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-13
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
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4-star overall rating with 4-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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