Inspection Reports for
OakView Health Center
3557 Campus Dr, Thousand Oaks, CA 91360, CA, 91360
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
83% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Deficiencies: 2
Date: Aug 12, 2025
Visit Reason
The inspection was conducted to assess compliance with resident rights regarding code status documentation and the implementation of infection prevention and control programs.
Findings
The facility failed to ensure nursing staff verified residents' wishes regarding Cardiopulmonary Resuscitation (CPR) upon admission for two residents, resulting in missing code status orders. Additionally, infection control deficiencies were found including failure to use personal protective equipment (PPE) when required and lack of proper signage for enhanced barrier precautions, potentially causing cross contamination and spread of multidrug-resistant organisms (MDROs).
Deficiencies (2)
Failure to verify residents' wishes regarding Cardiopulmonary Resuscitation (CPR) upon admission for two residents, resulting in missing code status orders.
Failure to implement infection prevention and control program including staff entering isolation room without PPE and lack of proper signage for enhanced barrier precautions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Rehab | Director of Rehabilitation | Named in infection control deficiency related to failure to wear PPE when entering isolation room. |
| Licensed Nurse 1 | Licensed Nurse | Interviewed regarding infection control practices and signage for enhanced barrier precautions. |
| Nursing Supervisor | Nursing Supervisor | Confirmed infection control deficiencies and PPE requirements. |
| Administrator | Administrator | Acknowledged missing code status orders and POLST documentation for residents. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 63
Deficiencies: 0
Date: Apr 30, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 09/23/2024 regarding mismanagement of residents' medication and insufficient staffing to meet residents' needs.
Complaint Details
The complaint alleged that facility staff mismanaged residents' medication and that the licensee did not have enough staff to meet residents' needs. The allegations were deemed unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Records and staff interviews confirmed that medication, including morphine for Resident 1, was administered according to physician and hospice instructions, and staffing levels were adequate to meet residents' needs.
Report Facts
Facility capacity: 63
Census: 52
Staffing counts: 3
Staffing counts: 2
Staffing counts: 1
Staffing counts: 1
Resident census: 35
Resident census: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Zabel Chochian | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager on report |
| James MacKay | Administrator Assistant | Met with Licensing Program Analyst during investigation visit |
Inspection Report
Annual Inspection
Census: 53
Capacity: 63
Deficiencies: 0
Date: Mar 26, 2025
Visit Reason
The visit was an unannounced required annual inspection conducted to ensure compliance with Title 22 Regulations and to check for health and safety hazards.
Findings
The facility was found to be in compliance with regulations, with no obstructions or hazards observed, clean and well-maintained common areas, bedrooms, and restrooms. Medications were properly stored and administered, records were in order, and emergency preparedness was adequate. No citations were issued during the visit.
Report Facts
Rooms toured: 7
Resident records reviewed: 7
Personnel files reviewed: 5
Fire drill dates: 3
Hot water temperature range: 107.5-120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeannette Ruggiero | Executive Director | Met with Licensing Program Analyst during inspection |
| James Mackay | Assistant | Met with Licensing Program Analyst during inspection |
| Shaulett Dela Cruz | Assisted Living Director | Met with Licensing Program Analyst during inspection |
| Zabel Chochian | Licensing Program Analyst | Conducted the inspection |
| Desaree Perera | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Deficiencies: 1
Date: Jan 29, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with pharmaceutical services regulations, specifically regarding the proper documentation and handling of opioid medications.
Findings
The facility failed to ensure that an opioid medication, Tramadol 50 mg, was properly documented when administered, resulting in an inaccurate narcotic count and potential risk for diversion of controlled medication.
Deficiencies (1)
Failure to document administration of Tramadol 50 mg on the narcotic count sheet, causing a discrepancy between the narcotic log and actual medication count.
Report Facts
Tablets counted: 29
Tablets recorded: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse (LN 1) | Interviewed regarding narcotic count discrepancy | |
| Director of Nursing (DON) | Confirmed narcotic count discrepancy and reviewed narcotic log |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 63
Deficiencies: 0
Date: Aug 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that facility staff handled a resident in a rough manner.
Complaint Details
The complaint alleged that facility staff handled resident #1 in a rough manner, based on a statement by the resident. The allegation was investigated through interviews, record reviews, and police report examination and was found to be unsubstantiated.
Findings
The investigation found insufficient evidence to support the allegation. Interviews with the resident, staff, and review of police reports indicated no rough handling occurred. No bruising was noted and the allegation was deemed unsubstantiated.
Report Facts
Facility capacity: 63
Resident census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Dulek | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Jeannette Ruggiero | Administrator | Met with Licensing Program Analyst during the investigation |
| Kristin Heffernan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 63
Deficiencies: 1
Date: May 17, 2024
Visit Reason
An unannounced complaint investigation was conducted following an allegation that a staff member hit a resident at the facility.
Complaint Details
The complaint was substantiated. Staff #1 was alleged and found to have hit Resident #1. Staff #1 admitted to grabbing the resident's hand after the resident squeezed it. Staff #1 was described as 'very stubborn' and had been previously counseled. Staff #1 was placed on leave and will not return to the facility.
Findings
The investigation substantiated the allegation that Staff #1 hit Resident #1 on the back with an open hand. Staff #1 was placed on leave and will not return to employment. No other reports of physical abuse were found.
Deficiencies (1)
87468.1 Personal Rights of Residents in All Facilities (a)(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature interfering with daily living functions such as eating, sleeping, or elimination.
Report Facts
Facility capacity: 63
Census: 49
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Dulek | Licensing Program Analyst | Conducted the complaint investigation |
| Jeannette Ruggiero | Administrator | Facility administrator interviewed during investigation |
| Shaulett Dela Cruz | Assisted Living Director | Facility manager interviewed during investigation |
| Kristin Heffernan | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 48
Capacity: 63
Deficiencies: 0
Date: Mar 25, 2024
Visit Reason
Licensing Program Analysts conducted a required annual unannounced visit to evaluate the facility's compliance with Title 22 Regulations and ensure health and safety standards are met.
Findings
The facility was found to be in compliance with regulations, with no health or safety hazards observed. Food supplies, common areas, bedrooms, restrooms, outdoor areas, records, medications, and emergency preparedness were all satisfactory. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 5
Personnel files reviewed: 5
Residents interviewed: 3
Staff interviewed: 3
Fire extinguishers last serviced: Jan 13, 2024
Fire inspection date: Dec 27, 2023
Emergency drill date: Jan 26, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeannette Ruggiero | Executive Director | Met with Licensing Program Analysts during entrance interview. |
| Teresa Camara | Licensing Program Analyst | Conducted the inspection. |
| Martha Arroyo | Licensing Program Analyst | Conducted the inspection. |
| Desaree Perera | Licensing Program Manager | Named in report header and signature section. |
Inspection Report
Deficiencies: 1
Date: Dec 5, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food temperature monitoring policies to ensure food safety for residents.
Findings
The facility failed to consistently monitor and document food temperature controls during transport and distribution, missing temperature recordings for one dinner meal out of 21 opportunities, risking residents receiving food outside appropriate temperature ranges.
Deficiencies (1)
Failure to consistently monitor temperature controls from the time food leaves the kitchen to transport and distribution to residents, with missing temperature recordings for the dinner meal on 11/07/23.
Report Facts
Opportunities for monitoring: 21
Missed monitoring opportunities: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lead Cook | Acknowledged missing temperature recordings and responsibility for filling out the log |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Sep 19, 2023
Visit Reason
The inspection was conducted to assess the accuracy of resident assessments, specifically reviewing the Minimum Data Set (MDS) for compliance and correctness.
Findings
The facility failed to ensure that one of two sampled residents had an accurate assessment recorded on their MDS, which could result in a care plan that does not match the resident's actual needs. The Director of Nursing confirmed discrepancies in the bathing functional status recorded in the MDS.
Deficiencies (1)
Failure to ensure an accurate assessment was recorded on the Minimum Data Set for one resident, specifically regarding bathing functional status.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding discrepancies in the Minimum Data Set bathing assessment. |
Inspection Report
Deficiencies: 2
Date: Apr 27, 2023
Visit Reason
The inspection was conducted to assess the facility's accuracy in documenting residents' health conditions related to medical diagnoses using the Minimum Data Set (MDS).
Findings
The facility failed to accurately document the diagnoses of anxiety for Resident 9 and depression for Resident 196 in the MDS, resulting in inaccurate data reporting to CMS. The Director of Nursing acknowledged these documentation errors during interviews.
Deficiencies (2)
Missing diagnosis for anxiety for Resident 9 in the MDS.
Missing diagnosis for depression for Resident 196 in the MDS.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Acknowledged missing diagnoses documentation for Residents 9 and 196 during interviews. |
Inspection Report
Annual Inspection
Census: 52
Capacity: 63
Deficiencies: 1
Date: Jan 13, 2023
Visit Reason
The Licensing Program Analyst Ashley Smith conducted an unannounced required annual inspection to ensure the facility's compliance with Title 22 Regulations and to check for health and safety hazards.
Findings
The facility was generally found to be clean, well-maintained, and in compliance with infection control and safety protocols. However, a deficiency was cited for hot water temperature exceeding the allowed maximum in one resident room, posing an immediate health and safety risk.
Deficiencies (1)
Hot water temperature measured above 120 degrees F in 1 out of 1 resident rooms, exceeding the allowed maximum and posing an immediate health and safety risk.
Report Facts
Water temperature rooms monitored: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Smith | Licensing Program Analyst | Conducted the annual inspection and signed the report |
| Jeannette Ruggiero | Administrator | Facility administrator met with the Licensing Program Analyst and agreed to plan of correction |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 40
Capacity: 63
Deficiencies: 0
Date: Feb 25, 2022
Visit Reason
The inspection was a required unannounced annual visit with an emphasis on infection control practices and procedures.
Findings
The facility was found to be in compliance with Title 22 Regulations, with adequate infection control practices, sufficient PPE supplies, proper cleaning protocols, and up-to-date staff and resident vaccinations. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeannette Ruggiero | Executive Director | Met with Licensing Program Analyst during the inspection and discussed infection control practices. |
| Ashley Smith | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 23, 2019
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory standards related to resident safety, care quality, and medication management.
Findings
The facility was found deficient in maintaining equipment in a safe and sanitary manner, ensuring proper application of medical devices as ordered, and properly labeling and storing medications and medical supplies. These deficiencies posed potential risks of infection, complications from untreated conditions, and medication errors.
Deficiencies (3)
Failed to maintain equipment in a safe and sanitary manner for one resident due to a torn vinyl armrest on a reclining chair that could not be adequately sanitized.
Failed to ensure one resident had a splint applied to the left hand as ordered by the medical doctor, with no documentation of splint application or removal.
Failed to ensure medications and medical supplies were properly labeled and stored, including expired heparin vials in the emergency medication kit and expired supplies in the intravenous supply cart.
Report Facts
Residents Affected: 1
Residents Affected: 1
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Staff Development | Acknowledged the torn vinyl armrest chair could not be sanitized and should not be in use | |
| Director of Nursing | Acknowledged no mechanism for documentation of splint application and that the splint was not in place as ordered | |
| Administrator | Interviewed regarding splint application deficiency | |
| Licensed Nurse (LN1) | Confirmed expired medications and supplies and stated they would be disposed of |
Report
October 22, 2025
Viewing
Loading inspection reports...
