Health inspection·February 5, 2026

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few for Resident 1 on 1/12/26 regarding an interaction with LN 1. The grievance indicated that Resident 1 told the LN Sup that one of the LNs was rude to him and told him that it was not okay to take food from the snack room at night. The grievance further indicated the LN Sup told Resident 1 that it was okay to get snacks from the snack room at night. The grievance indicated the LN Sup talked with the night shift staff and let them know that the snack room was for everyone.During a concurrent interview and record review on 2/5/26, at 4:10 p.m., with the LN Sup, the facility's Grievance Binder, and the facility's undated policy and procedure titled, Elder/ Dependent Adult Abuse, were reviewed. The LN Sup confirmed that she spoke with Resident 1 regarding his concern on 1/12/26 and completed the grievance form for Resident 1. The LN Sup stated Resident 1 reported that LN 1 was rude to him, and that he felt offended by the way the LN spoke to him that day. The LN Sup further stated that she told Resident 1 that he could not take all of the snacks from the snack room, but that he could take enough for the evening if he wanted. The LN Sup stated she told the night shift staff that the snack room was for residents and staff. The LN Sup further stated she reminded the staff that they needed to check the residents' diets before giving them snacks in case the requested snack was not allowed in the diet ordered by their physician. The LN Sup stated Resident 1 did not mention abuse when she spoke to him on 1/12/26 about the incident. The LN Sup further stated in her judgment, she felt the right thing to do was to file the grievance for Resident 1. The LN Sup stated if Resident 1 had said the word abuse, she would have filed a SOC-341 (Suspected Abuse Report Form) form and reported the incident.During a phone interview on 2/6/26, at 9:19 a.m., with LN 4, LN 4 stated she was Resident 1's transition of care nurse with Resident 1's insurance. LN 4 further stated Resident 1 had called her on 1/27/26 and reported that he was verbally abused by one of the LNs at the facility. LN 4 stated Resident 1 told her that he did not remember the LN's name. LN 4 further stated Resident 1 did not describe the incident to her. LN 4 stated she did a three-way call with Resident 1 and the Ombudsman's office (OMB, an independent advocate that helps residents resolve complaints, understand their rights, and navigate care-related issues), but they connected to the OMB's voicemail, so Resident 1 left a voicemail message for the OMB and stated that he was verbally abused at the facility.During a phone interview on 2/6/26, at 9:33 a.m., with LN 2, LN 2 stated he remembered Resident 1. LN 2 further stated Resident 1 told him that another LN told him that he was not allowed in the snack room. LN 2 confirmed that he and LN 1 were the LNs on duty during the night shift on the date of the incident. LN 2 stated Resident 1 told him that LN 1 called him a thief. LN 2 further stated Resident 1 had said that he felt abused by LN 1. LN 2 stated he calmed Resident 1 down and told Resident 1 that he would talk to LN 1. LN 2 further stated he went to talk to LN 1 and that LN 1 claimed that she did not call Resident 1 a thief. LN 2 stated he reported the incident to the LN Sup and that the LN Sup followed up with Resident 1.During a phone interview on 2/6/26, at 1:24 p.m., with the OMB, the OMB stated she received a message from the OMB's office that Resident 1 had called on 1/26/26. The OMB further stated she called Resident 1 back on 1/26/26, and Resident 1 stated that one of the LNs at the facility verbally assaulted him but did not give the name of the LN. The OMB explained Resident 1 told her that he was at an appointment and did not feel comfortable talking about the matter at that time, then requested that she call him back. The OMB stated that she received a missed call from Resident 1 on 1/27/26. The OMB further stated she went to the facility on 1/29/26 hoping to speak with Resident 1 in person, but Resident 1 was away at an appointment.A review of an undated facility policy and procedure (P&P) titled, Elder/Dependent Adult Abuse, indicated, .Policy.The facility will.Protect residents' privacy and protect from any type of abuse.Guidelines.This facility will protect the rights, safety and wellbeing of each resident regardless of physical or mental condition (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555186 If continuation sheet Page 2 of 3 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 555186 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/05/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lincoln Square Post Acute Care 1032 N. Lincoln Street Stockton, CA 95203 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)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete against any and all forms of abuse.Abuse.Includes.verbal.Procedure.Identification of Possible Incidents or Allegations of Abuse.The person identifying the possible incident or allegation will.Follow the mandated reporting procedure and immediately report same to the Administrator or designee.Reporting.Any mandated reporter (someone who is required to report knowledge or reasonable suspicion of abuse) who, in his or her professional capacity, or within the scope of his or her employment.has knowledge of an incident that reasonably appears to be any type of abuse or is told by an elder.that he or she has experienced behavior.constituting abuse.will report the known or suspected instance of abuse.to facility administrator and to other officials in accordance with State law, including.State Survey Agency, LTC (Long Term Care) Ombudsman, local law enforcement and the adult protective services.immediately but not later than.24 hours.if the alleged violation.does not result in serious bodily injury. Event ID: Facility ID: 555186 If continuation sheet Page 3 of 3