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Deficiency Records for Thousand Oaks Post Acute, LLC

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.

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?
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
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-03-09 2023-03-21 Y
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 2022-09-10 2022-09-16 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-16 2022-07-20 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
Use approved construction type or materials. Fire Safety 2021-11-22 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 2021-11-22 2021-12-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-11-22 2021-12-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-11-22 2021-12-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-11-22 2021-12-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-11-22 2021-12-07 N
Meet requirements for the use of electrical equipment. Fire Safety 2021-11-22 2021-12-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-11-22 2021-12-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-04 2021-12-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-04 2021-12-03 Y
Use approved construction type or materials. Fire Safety 2020-02-06 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 2020-02-06 2020-02-24 N
Provide properly protected cooking facilities. Fire Safety 2020-02-06 2020-02-24 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2020-02-06 2020-02-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-06 2020-02-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-06 2020-02-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-06 2020-02-24 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
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
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
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
Ensure services provided by the nursing facility meet professional standards of quality. 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
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
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
Provide and implement an infection prevention and control program. Health 2019-12-05 2020-01-03 N
Implement a program that monitors antibiotic use. Health 2019-12-05 2020-01-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-02-07 2019-02-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-02-07 2019-02-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-02-07 2019-02-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-02-07 2019-02-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-02-07 2019-02-20 N
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

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