11 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Thousand Oaks, CA
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
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
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
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
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
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
| 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
| 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
Top issue: Resident Assessment and Care Planning (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-22
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
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
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2021-12-07
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
Fire Safety
Use approved construction type or materials.
Corrected 2021-12-07
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-12-07
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-12-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-12-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-07
Fire Safety
Use approved construction type or materials.
Corrected 2020-02-24
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
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-02-24
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2020-02-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-02-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-24
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-04
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-04
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
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
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-29
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-06-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-29
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-01-10
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-09-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-13
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-11-21
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
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
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-03-21
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
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-12-20
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-12-20
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-12-20
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
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2021-12-20
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
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-12-20
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
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-03
Health
Implement a program that monitors antibiotic use.
Corrected 2020-01-03
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
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
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-01-03
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
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
Fine · fine $20,703
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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