Deficiency Records for Thousand Oaks Post Acute, LLC
Updated as of February 01, 2020
This is not the most recent data for Thousand Oaks Post Acute, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Thousand Oaks Post Acute, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-25 | 2019-11-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-25 | 2019-11-14 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-09 | 2019-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-09 | 2019-07-25 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-09 | 2019-07-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-07-09 | 2019-07-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-10 | 2019-06-27 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-05-16 | 2019-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-16 | 2019-05-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-26 | 2019-05-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-08 | 2019-03-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-12 | 2019-03-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-26 | 2019-02-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-26 | 2019-02-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-26 | 2019-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-26 | 2019-02-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-26 | 2019-02-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-26 | 2019-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-26 | 2019-02-07 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-26 | 2019-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-26 | 2019-02-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-12-26 | 2019-02-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-26 | 2019-02-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-12-26 | 2019-02-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-12-26 | 2019-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-26 | 2019-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-26 | 2019-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-26 | 2019-02-07 | N |
| Keep all essential equipment working safely. | Health | 2018-12-26 | 2019-02-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-11-15 | 2018-12-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-15 | 2018-12-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-15 | 2018-12-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-15 | 2018-12-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-11-15 | 2018-12-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-15 | 2018-12-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-15 | 2018-12-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-06 | 2018-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | 2018-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-09-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-05 | 2018-09-20 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-07-26 | 2018-08-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-25 | 2018-02-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-01-25 | 2018-02-09 | N |
| Develop a communication plan. | Fire Safety | 2018-01-25 | 2018-02-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-25 | 2018-02-09 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2018-01-25 | 2018-02-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2017-12-15 | 2018-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-15 | 2018-01-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-15 | 2018-01-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2017-12-15 | 2018-01-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2017-12-15 | 2018-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-21 | 2017-12-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-20 | 2017-12-18 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-11-20 | 2017-12-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-10 | 2017-03-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-10 | 2017-03-10 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-10 | 2017-03-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-10 | 2017-03-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-10 | 2017-03-10 | N |
