Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mary Health Of The Sick Convalescent & Nursing Hos during CMS and state inspections, most recent first.
Kitchen food safety practices were not maintained when an opened, undated, and expired frozen orange drink was found spilled in the walk-in freezer, debris and trash were observed under kitchen equipment, and a cook preparing puree food was not wearing a beard net over his mustache. The DFNS, DON, and RD confirmed the facility policies required dating food, keeping kitchen floors and equipment areas clean, and covering facial hair during food preparation.
Improper disposal of garbage and refuse was observed in the exterior trash receptacle storage area when one of two trash receptacles was open and overflowing with trash. The DM stated staff were responsible for keeping lids closed and preventing overflow, and also acknowledged a plan should have been in place to ensure proper weekend trash disposal. The DON stated garbage bins should not be full or overflowing and acknowledged the bins were not monitored adequately to ensure they were properly sealed and emptied.
Three residents received PRN lorazepam without proper behavior documentation or clinical indication. One resident was given multiple doses despite zero documented anxiety behaviors, another had doses that did not match the limited anxiety episodes recorded, and a third received doses with no behavior monitoring documented in the MAR. RN and DON interviews confirmed the mismatches and lack of monitoring.
Inaccurate Hearing Assessment on MDS: A resident had difficulty hearing during an interview, yet the MDS repeatedly assessed the resident as highly impaired with absence of useful hearing while the physician’s H&P documented hearing as mildly impaired. The MDSC confirmed the inconsistency between the clinical record and the MDS, noting that the H&P was used in resident assessment and that assessments should accurately reflect the resident’s status.
Failure to follow care plan interventions affected two residents. One resident with COPD had a care plan directing O2 sat checks every shift, but staff checked them only twice daily, and the DON confirmed the missed frequency. Another resident with BLE edema had a care plan directing leg elevation with pillows, but was observed lying in bed with both legs not elevated; an LVN confirmed the care plan called for pillow elevation to reduce swelling.
The facility failed to store and cool food according to professional standards, risking resident safety. Warm milk was improperly covered, frozen foods were left exposed, and a utensil rack was dusty. Staff acknowledged these oversights, and the cleaning schedule lacked a task for utensil racks.
Kitchen Food Storage, Cleaning, and Facial Hair Control Deficiencies
Penalty
Summary
Safe and sanitary food preparation and storage practices were not maintained in the kitchen when an opened frozen concentrated orange drink was found spilled in its tray, undated, and expired inside the walk-in freezer during an initial kitchen observation. The Director of Food and Nutrition Services (DFNS) stated the item was not seen during his check of the freezer. The DFNS later confirmed that food items should be dated when opened and expiration dates should be routinely checked, and acknowledged the facility policy on refrigerator and freezer storage should have been followed. Food crumbs, dirt, and trash were also observed on the floor beneath the dishwasher, compartment sink, and walk-in refrigerator areas during the kitchen tour. The DFNS stated these areas should be kept clean and free of crumbs, trash, and dirt daily, and that the kitchen floor and underneath areas should be swept and mopped after breakfast trays were removed. The DFNS confirmed the facility policy for general cleaning required floors to be mopped at least once per day and debris to be removed as it accumulates, including under and around equipment. During the same kitchen observation, the cook preparing the puree meal was not wearing a beard net over his mustache. The DFNS stated the mustache should have been covered to prevent hair from falling into the pureed food. The DFNS later confirmed the facility dress code required beard restraint for facial hair, and the DON and RD both stated facial hair should be covered to support food safety and prevent contamination of resident food.
Improper Exterior Trash Disposal and Overflow
Penalty
Summary
Improper disposal of garbage and refuse was identified in the exterior trash receptacle storage area outside the facility. During a facility tour and observation on 06/08/2026 at 9:11 AM, one of two trash receptacles was observed open, and trash was overflowing from the receptacle. The Director of Maintenance stated garbage was collected daily except Sundays and that staff who disposed of trash were responsible for keeping the receptacle lids closed and preventing overflow. The Director of Maintenance also stated unit supervisors should instruct staff not to overfill the receptacles and to ensure trash was disposed of properly during weekends. During a later interview, the Director of Maintenance stated the trash receptacle lids should remain closed, should not overflow, and the surrounding area should be kept free of trash to prevent attracting flies and rodents. The Director of Nursing stated garbage bins should not be full or overflowing and that the Maintenance Director should inspect the garbage bins daily because garbage collection was scheduled daily. A review of the facility policy titled Exterior Waste Storage and Sanitation Policy stated exterior waste storage areas and garbage containers should be maintained to prevent excessive accumulation of waste and that container lids should remain closed when practical and when not actively in use.
Unnecessary PRN Lorazepam Use Without Required Behavior Documentation
Penalty
Summary
The facility failed to ensure three sampled residents were free from unnecessary psychotropic medication use involving lorazepam. Resident 4 had an order for lorazepam solution 2 mg/ml, 0.25 ml sublingually every 12 hours as needed for anxiety manifested by increased worry and fear about health, with a separate order to monitor for anxiety every shift. During review of the March 2026 MAR, a licensed nurse administered lorazepam 17 times even though the MAR documented 0 behaviors of anxiety at those times. RN 1 verified the medication was given when Resident 4 did not exhibit or verbalize anxiety, and LVN 1 stated that a documented zero behaviors meant there was no indication to give the PRN lorazepam. Resident 8 had an order for lorazepam solution 2 mg/ml, 0.5 mg sublingually every 2 hours as needed for anxiety manifested by inability to relax with SOB. The MAR showed four doses of PRN lorazepam were administered, while only two episodes of anxiety were documented during the same period. The DON reviewed the record and verified the mismatch between the lorazepam administrations and the documented anxiety behaviors, stating they should match and that behavior monitoring was supposed to be documented to account for appropriate behavior. Resident 15 had multiple lorazepam orders for anxiety, including orders for anxiety manifested by SOB, seizure, and excessive worry over health/family. Review of the April and May 2026 MARs showed six doses of PRN lorazepam were administered when there were no documented anxiety behaviors, and RN 1 verified the resident was not monitored for behaviors of anxiety. RN 1 stated there was no documentation for behavior monitoring in the MAR and that nurses were supposed to monitor and document the number of anxiety behaviors on each shift for residents receiving lorazepam.
Inaccurate Hearing Assessment on MDS
Penalty
Summary
Ensure each resident receives an accurate assessment was not met for one of four sampled residents, Resident 16, when the facility’s MDS did not match the physician’s hearing assessment. During a concurrent observation and interview on 6/8/26 at 12:24 AM, Resident 16 was observed in the dining area having difficulty hearing questions during an interview, and some questions had to be repeated several times before the resident responded. A review of the admission record showed Resident 16 was admitted on [DATE]. During a concurrent interview and record review on 6/9/26 at 4:40 PM, the MDS Coordinator reviewed the resident’s H&P dated 5/8/25, which documented under the ear examination that hearing was mildly impaired. The MDS Coordinator stated the H&P was one of the clinical documents used in assessing residents and that assessments were completed quarterly. However, Resident 16’s MDS Section B, Hearing, Speech, and Vision, dated 6/10/25, 9/9/25, 12/9/25, and 3/10/26, each assessed the resident as highly impaired with absence of useful hearing. The MDS Coordinator stated there was inconsistency between the H&P and the MDS assessment and that assessments should accurately reflect Resident 16’s status.
Failure to Follow Care Plan Interventions for Respiratory Monitoring and Edema Management
Penalty
Summary
Resident 1 was admitted with COPD, and the care plan identified a problem of being at risk for alteration in respiratory status/difficulty breathing related to COPD/asthma. The care plan intervention directed the licensed nurse to check oxygen saturation every shift, and the facility’s schedule showed three shifts per day. During interview, Resident 1 stated the nurses checked his oxygen saturation twice a day, and the DON later verified that the oxygen saturation was not checked every shift as indicated in the plan of care. Resident 16 was admitted with bilateral lower extremity edema and had a telephone physician’s order for Bumetanide for BLE edema. The care plan for chronic pitting edema in both the right and left lower extremities directed staff to elevate the extremities with a pillow as needed. During observation, Resident 16 was lying in bed with edema on both lower legs and both legs at the same level as the waist, and later the resident was again observed lying in bed with both legs not elevated with pillows. An LVN reviewed the active care plan and stated the resident’s legs should be elevated with pillows to reduce the swelling from edema.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food safety, as evidenced by several observations and interviews. A pan of warm milk was found tightly covered with plastic wrap in the walk-in cooler, contrary to the facility's policy that requires potentially hazardous food to be loosely covered to facilitate cooling. The staff member responsible acknowledged the mistake, citing a concern about spillage. The Director of Food and Nutrition Services confirmed that staff were trained to vent warm foods to ensure proper cooling, and the Director of Nursing expected adherence to this policy to prevent potential resident illness. Additionally, the facility did not store frozen food items according to its policy, which mandates airtight, moisture-resistant wrapping to prevent freezer burn. Observations revealed that boxes of frozen carrots and fish fillets were left open, exposing the contents to air. The Director of Food and Nutrition Services acknowledged the expectation for staff to store frozen foods in sealed containers. Furthermore, the utensil storage rack was found with an accumulation of dust and debris, and the cleaning schedule did not include this task. The Director of Food and Nutrition Services admitted the oversight and recognized the need to add the utensil racks to the cleaning schedule.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Newbury Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alta Healthcare Center Of Camarillo | 4.4 mi | ★★★★★ | 0 | 0 |
| Thousand Oaks Post Acute, Llc | 4.4 mi | ★★★★★ | 19 | 0 |
| Oakview Skilled Nursing | 4.9 mi | ★★★★★ | 7 | 0 |
| Sherwood Oaks Post Acute | 5.8 mi | ★★★★★ | 17 | 0 |
| St. John's Hospital Camarillo D/p Snf | 6.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.