North Park Post-Acute

Name: North Park Post-Acute
Address: 2586 BUTHMANN AVE, Tracy, CA, 95376, US
Telephone: 2098322273

2586 Buthmann Ave, Tracy, CA 95376 · San Joaquin County · 99 certified beds · avg 93 residents/day · certified since Feb 25, 1987

Part of chain: ASPEN SKILLED HEALTHCARE (35 facilities, chain avg rating 3.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.25

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 4, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 25, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (44)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 30, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 30, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 13, 2025	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Oct 4, 2024	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 4, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 4, 2024	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Oct 4, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 4, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Oct 4, 2024	D · Potential for harm, one-off	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · from a complaint
Oct 4, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 23, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jan 5, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Dec 26, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Oct 19, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Sep 1, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 1, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 1, 2023	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Sep 1, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 1, 2023	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 1, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 14).

Year	Citations	Serious (G–L)	Worst severity that year
2023	16	0	E
2024	12	1	G ▲
2025	1	0	D
2026	15	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.25	4.31	3.95	top 41% in California; top 30% in the U.S.
Registered Nurse hours	0.72	0.61	0.69	top 22% in California; top 35% in the U.S.
Weekend total nurse staffing	3.98	3.90	3.50	top 34% in California; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.51	0.48	top 26% in California; top 28% in the U.S.
Total nursing staff turnover (%)	50.0	36.7	45.8	bottom 15% in California; bottom 38% in the U.S.
RN turnover (%)	61.5	38.1	42.9	bottom 14% in California; bottom 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.16, RN 0.70, weekend 3.89. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Atba, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	11/03/2021
Bradshaw, Jeffrey	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Bradshaw, Peter	Individual	Indirect Ownership Interest	NOT APPLICABLE	07/07/2023
Brady, Vern	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Case, Ryan	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Elsner, Eric	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Kirkwood, Jared	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Orgill, Craig	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Parti, Rajesh	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Parti, Shruty	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2021
Paxman, Marcus	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Sequoia Healthcare Group LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2023
Aspen Healthcare Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023
Atba, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/03/2021
Atba, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2021
Bradshaw, Jeffrey	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	11/26/2025
Bradshaw, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Brady, Vern	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Case, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Concha, Desiree	Individual	Operational/Managerial Control	NOT APPLICABLE	08/23/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you explain health changes and treatment options to residents and their families?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Tracy Nursing and Rehabilitation Center	0.7 mi	Tracy, CA	★★★☆☆	3/5
Guardian Care and Rehabilitation Center	12.3 mi	Manteca, CA	★★☆☆☆	2/5
Harvest Crossing Post Acute	12.4 mi	Manteca, CA	★★☆☆☆	2/5	abuse
Lincoln Square Post Acute Care	15.9 mi	Stockton, CA	★★★☆☆	2/5
Good Samaritan Rehab and Care Center	16.2 mi	Stockton, CA	★★★☆☆	2/5
Bethany Home Society San Joaquin County	16.4 mi	Ripon, CA	★★★★☆	4/5
Hampton Post Acute	17.0 mi	Stockton, CA	★☆☆☆☆	1/5	abuse
Brookside Care Center	17.1 mi	Stockton, CA	★☆☆☆☆	1/5
Noble Care Center	17.1 mi	Stockton, CA	★☆☆☆☆	1/5	abuse
Crestwood Manor - 104	17.2 mi	Stockton, CA	★★★☆☆	3/5
Fulton Gardens Post Acute, LLC	17.6 mi	Stockton, CA	★★★☆☆	3/5
Oak Grove Post Acute	17.9 mi	Stockton, CA	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Tracy →

Facility data as of CMS processing date 2026-08-01. CCN 555245.

The Care File

Visit checklist — North Park Post-Acute

2586 Buthmann Ave, Tracy, CA 95376 · 2098322273

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Oct 4, 2024 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555245 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)