Cycle 1
Health 2026-01-16 · Fire 2026-01-16
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
15 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Ojai, CA
Community Memorial Continuing Care Center
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
1306 Maricopa Highway, Ojai, CA
(805) 640-2280
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
75
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1970-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.60
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.11
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.34
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.23
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.97
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.32
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.84
CMS adjusted RN staffing hours
Adjusted total hours
6.15
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,969
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9911
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.19
Baseline 20.17% · Performance 20.42% · Measure score 2.19 · Achievement 2.19 · Improvement 0
Healthcare-associated infections
0
Baseline 5.72% · Performance 9.08% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.85
Baseline 23.29% · Performance 39.78% · Measure score 5.85 · Achievement 5.85 · Improvement 0
Adjusted total nurse staffing
7.14
Baseline 5.55 hours · Performance 5.11 hours · Measure score 7.14 · Achievement 7.14 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.12% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 10% · Lower 95% interval 7.79% |
| Discharge to community | 62.11% |
50.57%
11.5 pts better
|
Better than the National Rate · Eligible stays 83 · Observed rate 65.06% · Lower 95% interval 53.94% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.62% |
95.27%
2.4 pts better
|
Numerator 41 · Denominator 42 |
| Falls with major injury | 2.38% |
0.77%
1.6 pts worse
|
Numerator 1 · Denominator 42 |
| Discharge self-care score | 65.71% |
53.69%
12 pts better
|
Numerator 23 · Denominator 35 |
| Discharge mobility score | 45.71% |
50.94%
5.2 pts worse
|
Numerator 16 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 42 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.08% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 17.07% · Lower 95% interval 5.18% |
| Staff COVID-19 vaccination coverage | 4.49% |
8.2%
3.7 pts worse
|
Numerator 11 · Denominator 245 |
| Staff flu vaccination coverage | 78.45% |
42%
36.5 pts better
|
Numerator 91 · Denominator 116 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 20 · Denominator 35 |
| Transfer of health information to provider | 58.33% |
95.95%
37.6 pts worse
|
Numerator 14 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 29.17% |
25.2%
4 pts better
|
Numerator 7 · Denominator 24 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.3
1.1 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
98.5%
0.7 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 98.4% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.3% |
98.2%
12.9 pts worse
|
95.5%
10.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
1.6%
0.8 pts worse
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 1.6% · Q3 1.6% · Q4 1.6% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.1% |
4.1%
2 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.0% · Q3 1.7% · Q4 0.0% · 4Q avg 2.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.3% |
13.7%
1.4 pts better
|
19.6%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 13.3% · Q3 9.7% · Q4 10.2% · 4Q avg 12.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
14.2%
1 pts worse
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 20.8% · Q3 13.7% · Q4 9.6% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.5% |
11.0%
4.5 pts worse
|
16.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.2% · Q3 15.4% · Q4 27.6% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.6% |
10.7%
0.9 pts worse
|
14.9%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.5% · Q3 12.3% · Q4 23.6% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.0%
0.5 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.2%
0.4 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.1% |
10.9%
2.8 pts better
|
19.8%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 9.1% · Q3 6.9% · Q4 12.9% · 4Q avg 8.1% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
4.7%
4.7 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 8.2% · Q3 8.7% · Q4 7.5% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
94.0%
About the same
|
81.7%
12.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 98.6% · Q3 90.6% · Q4 91.6% · 4Q avg 94.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
11.2%
2.4 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 8.2% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
93.2%
5.4 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.7% |
23.2%
0.5 pts worse
|
23.9%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 18.4% · Expected 18.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-01-16 · Fire 2025-01-16
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-04-21 · Fire 2023-04-21
11 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-16
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2026-02-11
F · Potential for more than minimal harm
2026-01-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-11
F · Potential for more than minimal harm
2026-01-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-02-11
F · Potential for more than minimal harm
2026-01-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-02-11
F · Potential for more than minimal harm
2026-01-16
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2026-02-11
E · Potential for more than minimal harm
2026-01-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-02-11
C · Minimal harm
2026-01-16
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2026-01-23
C · Minimal harm
2026-01-16
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2026-02-11
D · Potential for more than minimal harm
2025-01-16
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-20
D · Potential for more than minimal harm
2025-01-16
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-25
F · Potential for more than minimal harm
2023-04-21
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-04-21
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-04-21
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-04-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-04-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-04-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-27
D · Potential for more than minimal harm
2026-01-16
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2026-02-27
D · Potential for more than minimal harm
2026-01-16
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-02-27
D · Potential for more than minimal harm
2025-01-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-12
D · Potential for more than minimal harm
2023-11-30
F839 · Administration Deficiencies
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2023-12-30
D · Potential for more than minimal harm
2023-08-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-03
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-15
E · Potential for more than minimal harm
2023-04-21
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-21
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-21
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-21
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-21
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-21
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-21
Penalties and ownership
What sits behind the stars
Ownership
Canby, Neil
Corporate Director · Individual
Community Memorial Health System
Operational/Managerial Control · Organization
Frousiakis, Starleen
Operational/Managerial Control · Individual
Fukutomi, David
Corporate Director · Individual
Golden, Deborah
Corporate Director · Individual
Hopps, Lydia
Corporate Director · Individual
Johnson, Christopher
Corporate Director · Individual
Kearney, William
Corporate Director · Individual
Lashkari, Haady
Operational/Managerial Control · Individual
Lashkari, Haady
Corporate Officer · Individual
Loebl, Jeffrey
Corporate Director · Individual
Muegenburg, Frederick
Corporate Director · Individual
Norris, Judith
Corporate Director · Individual
Pavlov, Elizabeth
Corporate Director · Individual
Rush, Richard
Corporate Director · Individual
Salehpour, Mohammad
Corporate Director · Individual
Shuman, Alison
Corporate Director · Individual
White, Monica
Corporate Director · Individual
Wilson, Linda
Corporate Director · Individual
Wolfe, Gary
Corporate Director · Individual
Zacarias, Celina
Corporate Director · Individual
Zdeblick, Michael
Operational/Managerial Control · Individual
Zdeblick, Michael
Corporate Officer · Individual
Zitsman, Robert
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Ojai Health & Rehabilitation
Ojai, CA
4-star overall rating with 3-star inspections with 12 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#2
Ventura Post Acute
Ventura, CA
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Coastal View Healthcare Center
Ventura, CA
5-star overall rating with 4-star inspections with $8,278 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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