Above average — CMS composite of the measures below.
The next survey window likely opens around June 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 Oakview Skilled Nursing during CMS and state inspections, most recent first.
Failure to Provide Written Bed-Hold Notice at Transfer: The facility did not ensure written bed-hold notice was provided directly to a resident or the resident representative when a resident was transferred to the hospital. Staff later spoke with the resident's wife about holding the bed, and she declined, but the record lacked evidence of written notice being given at the time of transfer. The AD said notices were only discussed verbally, while an LVN said the notice was included in transfer paperwork and the DON acknowledged the facility did not routinely provide written notice.
A resident’s MDS failed to include active diagnoses of chronic iatrogenic constipation and chronic idiopathic constipation even though hospital records, the AR, and the OSR showed ongoing treatment with Methylnaltrexone Bromide and Prucalopride Succinate. The DON and MDSC confirmed the resident had unspecified constipation documented, but acknowledged the two specific constipation diagnoses were not entered in Section I of the MDS despite evidence they were active.
A resident admitted with a left femur fracture and atrial fibrillation had a PO for apixaban 2.5 mg BID for DVT prophylaxis, but the comprehensive care plan did not address anticoagulant use or the associated bleeding risk. The DON confirmed the care plan omission during review.
A resident with CHF, GERD, and oxygen dependence had a care plan for self-administration of meds that remained unchanged even after a later self-administration evaluation showed she no longer expressed interest in self-administering. The MAR still listed Tums and Cepacol as U-SA, and the DON confirmed the care plan and med orders should have been revised to match the resident’s current evaluation and preferences.
Nursing staff did not verify or document the wishes of two residents regarding CPR and advance directives upon admission, resulting in missing code status orders and POLST forms in their medical records. The required documentation was not completed as per facility policy, and the administrator confirmed these omissions during interviews and record reviews.
Staff failed to follow infection control protocols by entering a contact isolation room without PPE and not performing hand hygiene, despite clear signage and policy requirements. Additionally, a resident with a Foley catheter did not have enhanced barrier precautions signage posted, leaving staff unaware of the need for PPE during care.
The facility failed to document the administration of Tramadol, an opioid medication, leading to an inaccurate narcotic count. A blister pack was found to contain 29 tablets instead of the 30 indicated on the narcotic log. A nurse admitted to administering the medication without signing the log, and the DON confirmed the discrepancy, acknowledging the medication should have been signed out.
The facility failed to follow its policy to monitor food temperature controls consistently, missing temperature recordings for a dinner meal. The lead cook acknowledged the oversight, stating it slipped her mind.
Failure to Provide Written Bed-Hold Notice at Transfer
Penalty
Summary
The facility failed to ensure that written bed-hold notice was provided to the resident representative at the time of transfer to the hospital for one sampled resident. Resident 51 was admitted to the facility on 5/2/26, and on 5/26/26 was transferred to the hospital for further evaluations. The record showed that staff later spoke with the resident's wife about holding the resident's bed, and she declined to hold the bed, but the record did not contain evidence that written bed-hold notice was provided directly to the resident or the resident representative at the time of transfer. During interviews, the Admission Director stated she did not provide written bed-hold notices to residents or their representatives and only contacted families verbally to remind them of the facility's bed-hold policy. An LVN stated the written notice was included in the transfer documents sent with the resident to the hospital, but acknowledged it was not provided directly to the resident representative. The DON reviewed the facility's bed-hold notice policy and acknowledged the practice, stating staff did not routinely provide written notice because they did not know whether the resident would return the same day and some resident representatives did not want to pay privately to hold the bed.
MDS omitted active constipation diagnoses
Penalty
Summary
The facility failed to ensure that Resident 22’s MDS accurately included active diagnoses related to constipation. Record review showed that prior to admission, the resident’s hospital documentation listed a past medical history of chronic iatrogenic constipation and home medications including Methylnaltrexone Bromide and Prucalopride Succinate. The admission record also identified unspecified constipation among the resident’s admitting diagnoses, and the order summary showed ongoing medication orders for Methylnaltrexone Bromide to reduce constipation and Prucalopride Succinate for chronic idiopathic constipation. During review of the MDS assessment with an ARD of 5/30/26, Section I did not include chronic iatrogenic constipation or chronic idiopathic constipation. In interview, the DON and MDSC confirmed that unspecified constipation was listed in the record, but acknowledged that the two specific constipation diagnoses were not documented in the MDS despite the resident’s ongoing treatment for those conditions. After reviewing the CMS RAI Manual guidance on active diagnoses, they agreed those diagnoses should have been included to accurately reflect the resident’s current health status.
Care Plan Did Not Address Anticoagulant Use and Bleeding Risk
Penalty
Summary
The facility failed to develop a comprehensive care plan for Resident 17 that addressed anticoagulant medication use and the associated risk for bleeding. Resident 17 was admitted with diagnoses including a left femur fracture and atrial fibrillation. A physician order dated 6/25/26 directed Apixaban 2.5 mg by mouth twice daily for deep vein thrombosis prophylaxis. During a concurrent interview and review of Resident 17's comprehensive care plan with the DON on 7/15/26 at 1:17 PM, the care plan did not address the resident's anticoagulant medication use or the associated risk for bleeding related to apixaban therapy, and the DON confirmed the care plan.
Care Plan Not Updated for Self-Administration Preferences
Penalty
Summary
The facility failed to keep Resident 47’s care plan for self-administration of medications updated to match the resident’s current evaluation and preferences. Resident 47 was a [AGE]-year-old female admitted with chronic diastolic congestive heart failure, GERD, and dependence on supplemental oxygen. Her care plan, initiated on 4/21/23 and revised on 3/7/25, addressed her right/need/desire to exercise self-determination by administering her own eye drops, Cepacol lozenges, and Tums tablets and keeping them in her nightstand, but it had not been updated since 3/7/25. The July 2026 MAR showed orders for Tums 500 mg as needed for unsupervised self-administration and Cepacol lozenges as needed for unsupervised self-administration, and staff continued to document these medications as U-SA. However, self-administration evaluations dated 1/20/26 and 4/21/26 showed a change in the resident’s status: the earlier evaluation stated she had the ability to self-administer medications and was trainable to self-administer with supervision and independently, while the most recent evaluation documented that she answered no to whether she expressed an interest in self-administration of medication. During interview and record review, the DON verified that the resident declined the opportunity to self-administer her medications and acknowledged that the care plan and medication orders for unsupervised self-administration should have been revised to reflect the resident’s current evaluation and expressed preferences.
Failure to Document and Verify Code Status and Advance Directives on Admission
Penalty
Summary
The facility failed to implement its policies and procedures regarding residents' rights to determine their code status and complete advance directives upon admission. Specifically, for two of three sampled residents, nursing staff did not verify or document the residents' wishes regarding Cardiopulmonary Resuscitation (CPR) at the time of admission. Review of the facility's policy indicated that a POLST form and code status order should be completed and documented during the admission assessment, and the resident's wishes should be communicated to the physician to obtain appropriate orders. However, for one resident, there was no order for code status in the medical record at admission, and the POLST form was not present in the chart until after discharge. For another resident, there was no order for code status, and neither a POLST nor an advance directive was found in the medical record. During interviews and record reviews, the administrator confirmed that the required documentation for code status and advance directives was missing for both residents at the time of admission, contrary to facility policy. The absence of these documents meant that staff did not have clear guidance on the residents' wishes regarding life-sustaining treatment, such as CPR, at the time of admission.
Failure to Implement Infection Control Precautions and Signage
Penalty
Summary
The facility failed to implement proper infection control practices in two separate instances involving residents on isolation precautions. In the first instance, rehabilitation staff entered a room marked with an orange contact isolation sign, indicating the need for personal protective equipment (PPE), but did not wear a gown or gloves while providing care to a resident with an active multidrug-resistant organism (MDRO) infection. The staff member also failed to perform hand hygiene upon leaving the room and re-entered the room without donning PPE or using hand sanitizer. Interviews with facility staff, including the Director of Rehab and nursing staff, confirmed that the staff member was unaware of the resident's isolation status and the requirement to use PPE, despite the presence of the isolation sign and facility policy mandating its use for residents with MDROs. In the second instance, a resident with an indwelling Foley catheter, which requires enhanced barrier precautions (EBP) due to the risk of MDRO transmission, did not have the required EBP signage posted on the door to alert staff to use PPE. Facility policy specifies that color-coded signs must be used to indicate the need for isolation precautions, and staff interviews confirmed that such signage should have been posted upon the resident's admission. The absence of the EBP sign meant that staff were not properly alerted to the need for PPE when providing care to this resident.
Failure to Document Opioid Administration
Penalty
Summary
The facility failed to ensure proper documentation of an opioid medication, Tramadol, which was administered but not recorded on the appropriate narcotic log. During a medication observation, it was found that a blister pack of Tramadol 50 mg contained 29 tablets, whereas the narcotic log indicated there should be 30 tablets. This discrepancy was confirmed by a Licensed Nurse (LN 1) who admitted to punching out the medication from the blister pack without signing the narcotic log, leading to an inaccurate narcotic count. The Director of Nursing (DON) confirmed the discrepancy during a concurrent observation and interview, acknowledging that the medication should have been signed out. The facility's policy and procedure on inventory control of controlled substances, revised in 2013, requires that all Schedule II controlled substances and other medications with a risk of abuse or diversion be counted at the change of each shift. The failure to document the administration of Tramadol resulted in an inaccurate narcotic count and had the potential to result in the diversion of a controlled medication.
Failure to Monitor Food Temperature Controls
Penalty
Summary
The facility failed to follow its policy and procedure to consistently monitor temperature controls from the time food leaves the kitchen to transport and distribution to residents. This failure was identified in one of 21 opportunities for monitoring, specifically for the dinner meal on 11/07/23. During a review of the facility's policy titled 'Service Temperature of Food,' it was noted that temperature readings should be recorded at the beginning and end of the tray line. However, the temperature log for the dinner meal on 11/07/23 was missing. The lead cook (LC) acknowledged the missing temperature recordings and confirmed that it was her responsibility to fill out the log. She admitted that it slipped her mind and could not provide a reason for the oversight.
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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 Thousand Oaks
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Thousand Oaks Post Acute, Llc | 0.8 mi | ★★★★★ | 19 | 0 |
| Mary Health Of The Sick Convalescent & Nursing Hos | 4.9 mi | ★★★★★ | 9 | 0 |
| Sherwood Oaks Post Acute | 5 mi | ★★★★★ | 17 | 0 |
| Alta Healthcare Center Of Camarillo | 6.3 mi | ★★★★★ | 0 | 0 |
| St. John's Hospital Camarillo D/p Snf | 8 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.