B-
71/100

Sherwood Oaks Post Acute Inspection Report, Violations & Safety Grade (Thousand Oaks, California)

250 Fairview Road, Thousand Oaks, California 91361

Phone: 8054941233

CMS Overall:3/5

Overview & Bed Count

Certified Beds
99
Avg Residents/Day
94.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Ventura
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall3/5
Health2/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.580.68-0.10
Total Nurse Hours per Resident per Day4.264.54-0.28
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover28.2%36.6%-

Health Citation History

34 health citations on record

DateCategoryDescriptionSeverity
2026-06-09Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-06-09Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-05-21Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2026-05-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2026-04-07Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-04-07Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-07-31Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-07-31Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.D – Moderate Harm Potential
2025-02-06Resident Rights DeficienciesPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.F – Moderate Harm Potential
2025-02-06Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-02-06Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-01-28Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D – Moderate Harm Potential
2024-12-30Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2024-12-17Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-11-06Resident Rights DeficienciesLet each resident or the resident's legal representative access or purchase copies of all the resident's records.D – Moderate Harm Potential
2024-10-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-10-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-08-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-08-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-05-29Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-04-24Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-03-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-02-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-11-17Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2022-11-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-11-17Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-11-17Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2022-11-17Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2022-11-17Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2022-11-17Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2022-11-17Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D – Moderate Harm Potential
2022-11-17Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D – Moderate Harm Potential
2022-11-17Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D – Moderate Harm Potential
2022-11-17Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

42 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.F – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-05-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesEnsure precautions for handling oxygen cylinders and equipment are correctly followed.E – Moderate Harm Potential
2026-05-21Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.D – Moderate Harm Potential
2026-05-21Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2026-05-21Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.C – Minimal Harm Potential
2026-05-21Emergency Preparedness DeficienciesProvide primary/alternate means for communication.C – Minimal Harm Potential
2026-05-21Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2026-05-21Emergency Preparedness DeficienciesImplement emergency and standby power systems.C – Minimal Harm Potential
2025-03-03Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2025-02-06Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-02-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-02-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-02-06Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2025-02-06Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-02-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-02-06Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2025-02-06Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2025-02-06Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-02-06Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-02-06Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-02-06Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2025-02-06Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2022-11-17Smoke DeficienciesHave a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.F – Moderate Harm Potential
2022-11-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-11-17Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2022-11-17Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2022-11-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.D – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.D – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.D – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.D – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.D – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesProvide primary/alternate means for communication.D – Moderate Harm Potential
2022-11-17Emergency Preparedness DeficienciesImplement emergency and standby power systems.D – Moderate Harm Potential
2022-11-17Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2022-11-17Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2022-11-17Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2022-11-17Miscellaneous DeficienciesMeet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.D – Moderate Harm Potential
2022-11-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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