Thousand Oaks, CA

Thousand Oaks Post Acute, LLC

3-star overall rating with 3-star inspections with $20,703 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

93 West Avenida De Los Arboles, Thousand Oaks, CA

(805) 492-2444

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

123

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Abby Gl, LLC

Operator or chain grouping

Approved since

1971-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.65

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.24

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.86

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.92

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,192

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

24.52

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.64

Baseline 27.05% · Performance 24.91% · Measure score 1.64 · Achievement 0 · Improvement 1.64

Healthcare-associated infections

0.29

Baseline 11.19% · Performance 10.70% · Measure score 0.29 · Achievement 0 · Improvement 0.29

Total nurse turnover

5.44

Baseline 43.48% · Performance 41.44% · Measure score 5.44 · Achievement 5.44 · Improvement 0.59

Adjusted total nurse staffing

2.44

Baseline 3.96 hours · Performance 3.77 hours · Measure score 2.44 · Achievement 2.44 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.49%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 357 · Observed rate 10.36% · Lower 95% interval 8.48%
Discharge to community 42.49%
50.57%
8.1 pts worse
Worse than the National Rate · Eligible stays 366 · Observed rate 36.34% · Lower 95% interval 37.1%
Medicare spending per beneficiary 1.12
1.02
0.1 pts worse
Drug regimen review with follow-up 99.27%
95.27%
4 pts better
Numerator 273 · Denominator 275
Falls with major injury 1.09%
0.77%
0.3 pts worse
Numerator 3 · Denominator 275
Discharge self-care score 35.71%
53.69%
18 pts worse
Numerator 60 · Denominator 168
Discharge mobility score 32.14%
50.94%
18.8 pts worse
Numerator 54 · Denominator 168
Pressure ulcers or injuries, new or worsened 1.09%
2.29%
1.2 pts better
Numerator 3 · Denominator 275 · Adjusted rate 0.87%
Healthcare-associated infections requiring hospitalization 10.7%
7.12%
3.6 pts worse
Worse than the National Rate · Eligible stays 260 · Observed rate 13.46% · Lower 95% interval 7.84%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 140
Staff flu vaccination coverage 69.38%
42%
27.4 pts better
Numerator 111 · Denominator 160
Discharge function score 33.93%
56.45%
22.5 pts worse
Numerator 57 · Denominator 168
Transfer of health information to provider 97.73%
95.95%
1.8 pts better
Numerator 172 · Denominator 176
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 53 · Denominator 53
Resident COVID-19 vaccinations up to date 25.98%
25.2%
0.8 pts better
Numerator 33 · Denominator 127

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.3
0.6 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.6
0.7 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
1.6%
0.1 pts worse
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.6% · Q3 1.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 9.3%
6.8%
2.5 pts worse
11.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 5.3% · Q3 8.7% · Q4 8.1% · 4Q avg 9.3%
Percentage of long-stay residents who lose too much weight 4.9%
4.1%
0.8 pts worse
5.4%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 10.6% · Q3 5.4% · Q4 0.0% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.0%
13.7%
10.3 pts worse
19.6%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 20.6% · Q3 25.0% · Q4 25.9% · 4Q avg 24.0%
Percentage of long-stay residents who received an antipsychotic medication 14.1%
14.2%
0.1 pts better
16.7%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 19.2% · Q3 13.3% · Q4 8.7% · 4Q avg 14.1% · 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 7.4%
11.0%
3.6 pts better
16.3%
8.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 19.0% · Q3 3.5% · Q4 0.0% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.1%
10.7%
2.6 pts better
14.9%
6.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 6.8% · Q3 9.4% · Q4 8.2% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.0%
1 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
1.2%
0.8 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 3.9%
10.9%
7 pts better
19.8%
15.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 3.1% · Q3 3.1% · Q4 3.3% · 4Q avg 3.9%
Percentage of long-stay residents with pressure ulcers 2.8%
4.7%
1.9 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 1.1% · Q3 2.3% · Q4 2.4% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
94.0%
5.7 pts better
81.7%
18 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 99.6% · 4Q avg 99.7%
Percentage of short-stay residents who had an outpatient emergency department visit 8.6%
11.2%
2.6 pts better
12.0%
3.4 pts better
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.5% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.5%
0.3 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.7% · Q3 0.6% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.3%
93.2%
5.1 pts better
79.7%
18.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.7%
23.2%
4.5 pts worse
23.9%
3.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 28.9% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-25 · Fire 2025-04-25

11 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2021-11-18 · Fire 2021-11-18

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-12-05 · Fire 2019-12-05

14 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-25

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-25

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 2025-05-22

D · Potential for more than minimal harm 2025-04-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-22

C · Minimal harm 2025-04-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-22

F · Potential for more than minimal harm 2021-11-18

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2021-12-07

E · Potential for more than minimal harm 2021-11-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-12-07

D · Potential for more than minimal harm 2021-11-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2021-12-07

D · Potential for more than minimal harm 2021-11-18

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 2021-12-07

D · Potential for more than minimal harm 2021-11-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-07

D · Potential for more than minimal harm 2021-11-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-12-07

D · Potential for more than minimal harm 2021-11-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-12-07

D · Potential for more than minimal harm 2021-11-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-12-07

D · Potential for more than minimal harm 2019-12-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2020-02-24

D · Potential for more than minimal harm 2019-12-05

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 2020-02-24

D · Potential for more than minimal harm 2019-12-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-02-24

D · Potential for more than minimal harm 2019-12-05

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2020-02-24

D · Potential for more than minimal harm 2019-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-24

D · Potential for more than minimal harm 2019-12-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-02-24

C · Minimal harm 2019-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-02-24

Inspection history

Recent health citations

G · Actual harm 2025-12-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-17

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-17

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-17

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-05-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-29

D · Potential for more than minimal harm 2025-05-28

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-06-29

D · Potential for more than minimal harm 2025-04-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-04-25

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-04-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-29

D · Potential for more than minimal harm 2024-12-10

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 2025-01-10

D · Potential for more than minimal harm 2024-08-15

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-13

D · Potential for more than minimal harm 2023-11-08

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-08-02

F836 · Administration Deficiencies

Health

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.

Corrected 2023-08-15

D · Potential for more than minimal harm 2023-05-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-03-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-03-21

F · Potential for more than minimal harm 2021-11-18

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 2021-12-20

E · Potential for more than minimal harm 2021-11-18

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2021-12-20

E · Potential for more than minimal harm 2021-11-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-18

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-18

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 2021-12-20

D · Potential for more than minimal harm 2021-11-18

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-18

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-18

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-18

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-12-20

E · Potential for more than minimal harm 2019-12-05

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2020-01-03

E · Potential for more than minimal harm 2019-12-05

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 2020-01-03

E · Potential for more than minimal harm 2019-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-03

E · Potential for more than minimal harm 2019-12-05

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

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 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-01-03

Penalties and ownership

What sits behind the stars

$20,703 2025-12-17

Fine

Fine · fine $20,703

Fine

Ownership

Abby Gl LLC

5% Or Greater Direct Ownership Interest · Organization

92% 7 facilities 2019-02-21
Lynch, Jose

5% Or Greater Indirect Ownership Interest · Individual

92% 11 facilities 2019-02-21
Cruz, Julio

5% Or Greater Indirect Ownership Interest · Individual

6% 3 facilities 2019-02-21
Ellie LLC

5% Or Greater Direct Ownership Interest · Organization

6% 3 facilities 2019-02-21
Bukont, Elise

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Carlson, Chad

Operational/Managerial Control · Individual

0% 1 facilities 2023-07-01
Lynch, Jose

Operational/Managerial Control · Individual

0% 11 facilities 2019-02-21

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5-star overall rating with 5-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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#2

Sherwood Oaks Post Acute

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5-star overall rating with 4-star inspections with 5 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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#3

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5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$0

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