Inspection Reports for Regency Palms Senior Living Oxnard

An unannounced complaint investigation visit was conducted in response to allegations that staff did not ensure infection control guidelines were followed and that residents' care needs were not being met.

The investigation found insufficient evidence to corroborate the allegations regarding infection control and resident care needs. The facility had adequate PPE supplies and staff training, and resident care concerns were denied by staff and not supported by interviews or observations. Therefore, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to follow infection control guidelines during a COVID-19 outbreak and failure to meet resident care needs, specifically regarding food delivery and adult diaper restocking. Evidence did not support these claims.

The visit was conducted as a Case Management - Deficiencies inspection in conjunction with a complaint investigation (Complaint Control # 29-AS-20241113085831) to issue citations for deficiencies observed during the complaint investigation.

The investigation found that Resident #1 (R1) had multiple falls and hospitalizations between October 2024 and January 2025, including a fall on 11/06/2024 that resulted in a subdural hematoma. The facility failed to update R1's care plan after the fall and did not provide proper assistance, leading to neglect and injury.

The visit was triggered by complaint # 29-AS-20241113085831. The complaint was substantiated as deficiencies were found related to neglect and failure to update care plans after falls resulting in injury.

An unannounced complaint investigation visit was conducted following allegations that staff did not safeguard a resident's personal belongings and did not report incidents to appropriate parties.

The investigation substantiated that staff failed to safeguard Resident #1's money, which was allegedly stolen, and failed to report the incident to appropriate authorities. The Executive Director credited the missing amount towards the resident's rent but did not report the incident timely. A deficiency related to failure to implement a theft and loss program was cited.

The complaint was substantiated. It was alleged that in December 2024, $670 was stolen from Resident #1 and that the Executive Director and staff were aware but did not report it to police, the State Long-Term Care Ombudsman, or Licensing. The Executive Director later filed a police report on 05/16/2025. The resident was credited a total of $700 towards rent in January and February 2025. The preponderance of evidence supported the allegations.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility did not ensure that staff are trained, specifically that medication technicians were never trained to administer medications.

The investigation found that five out of six medication technicians had completed their annual eight hours of medication-related training, and one had completed four hours with the remaining four hours scheduled. There was insufficient evidence to substantiate the allegation, and it was deemed unsubstantiated.

The allegation was that medication technicians were never trained to administer medications. The investigation reviewed personnel files and training records and found most med techs compliant with training requirements. The allegation was deemed unsubstantiated due to insufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-04-17 regarding resident care issues including failure to shower a resident per admission agreement, incontinence care needs, cleanliness, and meal quality.

The investigation substantiated the allegation that facility staff did not shower a resident per the admission agreement due to hospice providing showers instead. Other allegations regarding incontinence care, cleanliness, and meal quality were found unsubstantiated based on interviews, observations, and documentation review.

The complaint investigation was substantiated for the allegation that facility staff did not shower Resident #1 per the admission agreement. Other allegations about incontinence care, cleaning of feces, and meal quality were unsubstantiated. The investigation included multiple interviews with staff, residents, family members, observations, and document reviews. The facility was cited for noncompliance with CCR 87507(f) related to admission agreements.

The visit was conducted as a Case Management - Deficiencies inspection in conjunction with a complaint investigation (Complaint Control # 29-AS-20250509102647) to issue citations for deficiencies observed during the complaint investigation.

Two Type B deficiencies were cited: the facility did not have a surety bond on file to safeguard resident R1's cash resources, and the Executive Director did not demonstrate knowledge or compliance with applicable regulations, posing potential health and safety risks to residents.

The visit was triggered by complaint # 29-AS-20250509102647. Deficiencies were substantiated as the facility lacked a surety bond and the Executive Director failed to comply with regulations.

The visit was an unannounced Case Management Deficiency inspection conducted in conjunction with a subsequent complaint visit to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint allegations.

Two Type B deficiencies were cited: one for locking a resident outside in the memory care courtyard, violating residents' personal rights, and another for failure to check and change an incontinent resident (R1) for over two hours, posing a potential health risk.

The visit was conducted in conjunction with a complaint investigation (CC #29-AS-20240417093431). The deficiencies cited were not related to the complaint allegations but were observed during the complaint investigation.

An unannounced complaint investigation visit was conducted due to an allegation that staff did not administer medication to a resident in care.

The investigation substantiated that staff failed to administer morphine medication to Resident #1 as prescribed, missing four scheduled doses and not properly assisting with self-administration. A deficiency was cited and a civil penalty of $250 was issued.

The complaint alleged that staff did not administer Resident #1's morphine medication as prescribed. The allegation was substantiated based on record review and interviews, confirming missed doses and improper assistance with medication.

The inspection was conducted as an unannounced complaint investigation regarding allegations that facility staff were not providing activities for residents.

The investigation found that the facility provides activities for all residents as per the activity calendar, with staff encouraging participation. Some residents did not participate due to personal choice or limitations, but all were allowed to participate. The allegation was deemed unsubstantiated based on interviews and observations.

The complaint alleged that facility staff were not providing activities for residents. The investigation included multiple interviews with staff, residents, and family members, as well as observations of activities. The allegation was found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-04-17, including failure to dispense medication resulting in hospitalization, lack of supervision leading to resident elopement, and inappropriate staff communication with a resident.

The investigation found insufficient evidence to substantiate the allegations. The medication refill delay was due to a pharmacy documentation error, and staff made efforts to obtain the refill. There was no evidence supporting neglect or lack of supervision related to resident elopement, and no evidence that staff spoke inappropriately to residents. All allegations were deemed unsubstantiated.

The complaint included allegations that facility staff did not dispense medication to a resident resulting in hospitalization, did not supervise residents leading to elopement, and spoke inappropriately to a resident. After investigation including interviews, document reviews, and observations, all allegations were found unsubstantiated.

An unannounced complaint investigation was conducted regarding an allegation that staff did not adequately supervise a resident while in care.

The investigation found insufficient evidence to substantiate the allegation that Resident #1 was inadequately supervised or suffered a fall or head injury. Interviews with staff and the resident's family denied the occurrence of a fall, and the allegation was deemed unsubstantiated.

The complaint alleged that Resident #1 was locked out of their room and found on the floor sleeping with a possible fall or head injury. The resident was diagnosed with a urinary tract infection and dehydration after being sent to urgent care. Staff and family interviews denied the fall or injury, and communication about the resident's condition was ongoing. The allegation was unsubstantiated due to insufficient evidence.

The inspection was an unannounced Case Management - Annual Continuation visit to evaluate the facility's compliance with health and safety regulations.

The Licensing Program Analyst observed the facility to be clean, well-maintained, and properly furnished with no health or safety hazards. Medication administration and documentation were properly conducted, and no deficiencies were cited during the inspection.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not provide a refund to an authorized representative and did not release records to an authorized representative.

The allegation that the facility did not provide a refund to the authorized representative was substantiated, with evidence showing the facility overcharged rent and delayed refunding approximately $3,743.50. The allegation that the facility did not release records to the authorized representative was unsubstantiated, as there was no evidence the facility withheld records or refused requests.

The complaint investigation was substantiated for the allegation that the facility did not provide a refund to the authorized representative related to overcharged rent payments for Resident #1. The allegation regarding failure to release records to the authorized representative was unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations that unqualified facility staff were providing wound care to residents and that facility staff were falsifying resident records.

The investigation found insufficient evidence to substantiate either allegation. Staff and administrator interviews indicated that wound care was provided by outside agencies and that no falsification of resident records was witnessed. Both allegations were deemed unsubstantiated.

The complaint alleged that unqualified staff were providing wound care instead of calling hospice or home health agencies, and that staff were falsifying resident records. Interviews and document reviews did not provide sufficient evidence to corroborate these allegations, resulting in an unsubstantiated finding.

The Licensing Program Analyst arrived unannounced to conduct a required annual visit to the facility.

The Licensing Program Analyst reviewed resident and personnel records, all of which were found to be in order. A disaster drill was last conducted on 2025-01-18, and the administrator's certificate was current. Interviews and a physical plant tour were conducted with no health or safety hazards noted. The annual inspection was not completed due to time constraints and will be resumed later.

An unannounced complaint investigation was conducted due to an allegation that facility staff do not dispense medications as prescribed.

The investigation found discrepancies in medication quantities for multiple residents, confirming that staff did not properly assist with self-administered medications as prescribed, posing an immediate health and safety risk. The allegation was substantiated.

The complaint alleging that facility staff do not dispense medications as prescribed was substantiated based on medication review and observations during the visit.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 09/08/2023 regarding lack of care and supervision resulting in resident falls and violation of residents' personal rights.

The investigation found insufficient evidence to substantiate the allegations of lack of care and supervision resulting in resident falls and violation of residents' personal rights. Interviews with staff and residents indicated timely response to resident needs and no reported concerns about personal rights violations.

The complaint was unsubstantiated. Allegations included lack of care and supervision resulting in two unwitnessed falls of Resident #1 during a short respite stay, and violation of residents' personal rights. Investigations included interviews with staff, residents, and review of incident reports. No evidence supported the allegations.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 07/14/2023 that staff were smoking marijuana while on duty in the facility common restroom.

The investigation found insufficient evidence to support the allegation that staff were smoking marijuana or acting inappropriately while on duty. Interviews with staff and residents denied the allegation, and the complaint was deemed unsubstantiated.

The complaint alleged that staff were smoking marijuana while on duty in the facility common restroom. The investigation included interviews with staff and residents and a physical plant tour. The allegation was found unsubstantiated due to insufficient evidence.

An unannounced Annual Continuation Visit was conducted to continue the annual inspection visit initiated on 01/04/2024, including medication audit and record review.

The inspection found deficiencies related to medication administration where one resident did not receive medication as prescribed, incomplete staff first aid certifications, missing annual medication training for some staff, and incomplete documentation of centrally stored medications.

The inspection was an unannounced complaint investigation visit triggered by allegations including a resident leaving the facility unsupervised due to an unlocked door, staff locking a resident in their room, and inadequate feeding of a resident.

The investigation substantiated that a resident with dementia left the facility unsupervised through an unlocked exit door during a power outage, posing an immediate health and safety risk. Two other allegations regarding staff locking a resident in their room and inadequate feeding were unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated regarding the allegation that staff did not ensure a facility door was locked, resulting in a resident with dementia leaving the facility unsupervised and being taken to the hospital. The allegations that staff locked the resident in their room and did not ensure adequate feeding were unsubstantiated.

An unannounced complaint investigation visit was conducted in response to a complaint alleging that the licensee was refusing to give a refund without a signed release.

The investigation found that Resident 1, who stayed for two days and had two falls, was refunded the total amount of $1,900 electronically on the day of the visit. The allegation was deemed unsubstantiated.

The complaint alleged that the licensee was refusing to give a refund without a signed release. The complaint was investigated and found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 07/14/2023 regarding a resident's apartment being a safety hazard.

The investigation substantiated the allegation that Resident #1's apartment was a safety hazard due to clutter and lack of clear paths to ambulate in the room and bathroom, posing a potential safety risk.

The complaint was substantiated based on observations during the visit. The allegation was that Resident #1's apartment was a safety hazard, which was confirmed by the Licensing Program Analyst.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 03/10/2023 regarding incontinent residents not being changed timely and residents not being bathed.

The investigation found insufficient evidence to support the allegations. Staff and resident interviews indicated that incontinent residents were changed every two hours or as needed and residents were bathed at least twice a week or when soiled. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included incontinent residents not being changed timely and residents not being bathed. Interviews and record reviews did not support these allegations.

The inspection visit was conducted in response to a complaint alleging that the facility is in financial distress, including concerns about bankruptcy and its impact on residents.

The investigation substantiated the allegation of financial distress, finding that the licensee filed Chapter 11 bankruptcy, did not maintain sufficient cash reserves, had an operating loss, failed to pay property taxes, and did not file State or Federal tax forms. The licensee's monthly food expenses were below USDA guidelines, posing potential health and safety risks to residents.

The complaint was received on 09/21/2022 alleging the facility is in financial distress due to bankruptcy. The complaint was substantiated based on evidence including bankruptcy filing, financial losses, insufficient cash reserves, unpaid taxes, and inadequate food expenses.

An unannounced complaint investigation was conducted regarding allegations that staff did not attend to a resident in a timely manner, gave wrong medication dose, spoke inappropriately to a resident, and did not safeguard resident's personal belongings.

The investigation substantiated the allegation that staff did not attend to a resident's call for assistance in a timely manner, resulting in the resident calling 911 for help. The other allegations regarding wrong medication dose, inappropriate staff behavior, and missing personal belongings were found to be unsubstantiated.

The complaint investigation was triggered by an allegation that staff did not attend to Resident #1 in a timely manner after a fall on 01/16/2022. The allegation was substantiated based on interviews, record reviews, and the Oxnard Fire Department Incident Detail Report. Other allegations about medication errors, staff behavior, and missing belongings were unsubstantiated.

The inspection was conducted as an unannounced complaint investigation following allegations received on 03/08/2023 regarding medication assistance, timely medication administration, staff treatment of residents, and assistance with paying bills.

The investigation found insufficient evidence to support any of the allegations. No medication errors, delays, or disrespectful staff behavior were substantiated, and the resident was reported to be independent in managing bills. Therefore, all allegations were deemed unsubstantiated.

The complaint investigation was initiated due to allegations that staff were not assisting the resident with medications correctly, the resident did not receive medication timely, staff did not treat the resident with dignity and respect, and staff were not assisting the resident with paying their bills. All allegations were found unsubstantiated based on interviews, record reviews, and observations.

An unannounced complaint investigation visit was conducted in response to an allegation that residents were not being provided with activities.

The investigation found that activities were provided to residents, including an activities board, sign-up sheets, and a monthly activities calendar. Staff assisted residents to participate in activities, and observations and interviews did not support the allegation. Therefore, the complaint was deemed unsubstantiated.

The complaint alleged that residents were not being provided with activities. The allegation was investigated and found to be unsubstantiated based on observations, interviews, and document review.

An unannounced complaint investigation was conducted following allegations that facility staff did not safeguard a resident's personal belongings and had inappropriate interaction with a resident.

The investigation found insufficient evidence to substantiate the allegations. Interviews and record reviews revealed no reports of missing items or inappropriate staff behavior, and the allegations were deemed unsubstantiated.

The complaint involved allegations that staff did not safeguard Resident #1's personal belongings, specifically approximately $200 missing, and that Staff #1 was disrespectful to Resident #1. Both allegations were found unsubstantiated based on interviews and record reviews.

An unannounced Required 1 Year annual inspection was conducted with a specific emphasis on infection control practices and procedures.

The facility was found to be generally compliant with Title 22 Regulations, with functional safety equipment and adequate infection control measures. However, expired food items were observed in the emergency food supply and were removed during the inspection.

An unannounced complaint investigation was conducted regarding the allegation that the administrator was not providing a former resident prompt access to receive a copy of their facility records.

The investigation found sufficient evidence that the licensee did not provide the former resident prompt access to their medical records as required by regulations, which do not support the need for an authorization form to be completed. The allegation was substantiated and a deficiency was cited for failure to comply with prompt access requirements.

The complaint alleged that the administrator was not providing a former resident prompt access to their facility records. The allegation was substantiated based on evidence that the resident's request on 09/09/2022 was not fulfilled promptly and the facility policy requiring an authorization form was not supported by regulations.

An unannounced complaint investigation was conducted regarding the allegation that the facility signal system is in disrepair.

The investigation found insufficient evidence to support the allegation that the facility signal system was in disrepair. Testing of pendants and pull cords in multiple apartments and staff interviews revealed no issues with the signal system functioning properly. The allegation was deemed unsubstantiated.

The complaint alleged that the pendant or pull cords do not function when pulled or pressed. After testing and interviews, the allegation was found unsubstantiated.

The inspection was an unannounced Required 1 Year annual inspection with a specific emphasis on infection control practices and procedures.

The facility was found to be in compliance with Title 22 Regulations, with no deficiencies cited. Infection control practices were adequate, physical plant areas were safe, and safety equipment such as smoke detectors, carbon monoxide detectors, and fire extinguishers were functional and properly maintained.

The visit was a pre-licensing inspection conducted virtually due to COVID-19 to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE).

The inspection found the facility clean, sanitary, and well-equipped with operational safety systems including smoke alarms, carbon monoxide detectors, and locked medication storage. No corrections were needed at the time of the inspection.

report_4_565850112_inx3_2023-03-14.pdf