Health inspection·January 30, 2026

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Based on interview, and record review, the facility failed to ensure medical records were complete and accurately documented for one of three sampled residents (Resident 1) when scheduled showers were not documented accurately in Resident 1's electronic medical record (EMR).This failure had the potential for the records not to fully reflect Resident 1's scheduled showers being provided that could impact his health, hygiene and dignity.Findings: Review of Resident 1's admission RECORD, indicated Resident 1 was admitted to the facility in 2022 with diagnoses that included type 2 diabetes (a condition when the blood sugar is too high), hemiplegia (paralysis affecting one side of the body) and hemiparesis (weakness or inability to move one side of the body) affecting the right dominant side and generalized muscle weakness. Review of the facility's shower schedule indicated Resident 1's showers were designated for Sunday and Wednesday during the PM (evening) shift. Review of Resident 1's EMR titled, BATHING, for the timeframe from 1/1/26 to 1/30/26, indicated Response not required was documented for all shifts except for the following:- 1/17/26 at 13:59 [1:59 p.m.] - Resident not available- 1/18/26 at 16:00 [4 p.m.] - bed bath 1/29/26 at 13:9 [1:59 p.m.] - bed bath During an interview on 1/28/26, at 4:29 p.m., with Resident 1, Resident 1 stated he refused showers and preferred bed baths. Resident 1 further stated he got a bed bath every Wednesday. During an interview on 1/30/26, at 11:10 a.m., with Certified Nurse Assistant (CNA) 1, CNA 1 stated a CNA would fill out the shower sheet (a documentation tool used to record a resident's bathing routine, skin condition, and overall well-being during a shower or bed bath) and get it signed by a Licensed Nurse (LN) after a shower was given to a resident. CNA 1 further stated if a resident refused the scheduled shower, she would notify the LN and would offer two to three more times throughout the shift. CNA 1 stated she would then document in the resident's chart of the resident's shower refusal. During an interview on 1/30/26, at 12:22 p.m., with CNA 2, CNA 2 stated all residents received showers twice in a week. CNA 2 further stated Resident 1 was scheduled for PM shift showers but was always given a bed bath during the morning shift. CNA 2 stated she would chart in Resident 1's chart that she gave him a bed bath. CNA 2 further stated the CNA staff would be the one to chart for showers and bed baths provided to the residents. CNA 2 stated the CNA staff would also document in the resident's chart if a resident refused the showers. During an interview on 1/30/26, at 3:41 p.m., with CNA 3, CNA 3 stated Resident 1 was known to have refused showers and preferred bed baths. CNA 3 stated the CNA staff would document in the resident's chart when a shower or bed bath was done. During an interview on 1/30/26, at 10:51 AM, with Licensed Nurse (LN) 1, LN 1 stated the residents got a minimum of two showers per week. LN 1 further stated during showers the CNA would check on the resident's skin to see if there was any redness, bruising or any skin issue. LN 1 stated the CNA would document in the resident's chart if a shower was given. LN 1 further stated the risk of not getting the showers as scheduled would be the risk of infection, skin integrity could be compromised, and skin frictions (the physical force generated when the outer layer of the skin (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 055289 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 055289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/30/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lodi Creek Post Acute 321 West Turner Road Lodi, CA 95240 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)