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Deficiency Records for Thousand Oaks Post Acute, LLC

View the most recent health deficiencies and inspection results for Thousand Oaks Post Acute, LLC. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Thousand Oaks Post Acute, LLC. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide and implement an infection prevention and control program. Health 2026-03-02 2026-03-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-12-17 2026-02-04 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 2025-12-17 2026-02-04 Y
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-12-17 2026-02-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-12-17 2026-02-04 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-12-17 2026-02-04 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-12-17 2026-02-04 Y
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2025-05-28 2025-06-29 Y
Ensure each resident receives an accurate assessment. Health 2025-05-28 2025-06-29 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2025-04-25 2025-05-24 N
Ensure each resident receives an accurate assessment. Health 2025-04-25 2025-05-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-25 2025-05-22 N
Provide properly protected cooking facilities. Fire Safety 2025-04-25 2025-05-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-04-25 2025-05-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-04-25 2025-05-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-04-25 2025-05-22 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2025-04-25 2025-05-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-04-25 2025-05-22 N
Have proper medical gas storage and administration areas. Fire Safety 2025-04-25 2025-05-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-04-08 2025-04-29 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-12-10 2025-01-10 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2024-08-15 2024-09-13 Y
Provide and implement an infection prevention and control program. Health 2024-08-15 2024-09-13 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2023-11-08 2023-11-21 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-08-02 2023-08-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-05 2023-05-17 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-11-18 2021-12-20 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-11-18 2021-12-20 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-11-18 2021-12-20 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 2021-11-18 2021-12-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-18 2021-12-20 N
Provide care by qualified persons according to each resident's written plan of care. Health 2021-11-18 2021-12-20 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-11-18 2021-12-20 N
Ensure that residents are free from significant medication errors. Health 2021-11-18 2021-12-20 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 2021-11-18 2021-12-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-18 2021-12-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-11-18 2021-12-07 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-11-18 2021-12-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-11-18 2021-12-07 N
Meet requirements for the use of electrical equipment. Fire Safety 2021-11-18 2021-12-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-11-18 2021-12-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-11-18 2021-12-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-11-18 2021-12-07 N
Use approved construction type or materials. Fire Safety 2021-11-18 2021-12-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-05 2020-02-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-05 2020-02-24 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-12-05 2020-02-24 N
Provide properly protected cooking facilities. Fire Safety 2019-12-05 2020-02-24 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-12-05 2020-02-24 N
Use approved construction type or materials. Fire Safety 2019-12-05 2020-02-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-05 2020-02-24 N
Implement a program that monitors antibiotic use. Health 2019-12-05 2020-01-03 N
Provide and implement an infection prevention and control program. Health 2019-12-05 2020-01-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-12-05 2020-01-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-05 2020-01-03 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 2019-12-05 2020-01-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-12-05 2020-01-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-05 2020-01-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-12-05 2020-01-03 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2019-12-05 2020-01-03 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 2019-12-05 2020-01-03 N

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