Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ventura Post Acute during CMS and state inspections, most recent first.
The facility did not follow its own policy or the manufacturer's instructions for sanitizing the ice machine, as only cleaning was performed and no separate sanitization procedure was documented or carried out. Staff responsible for maintenance were unaware of the requirement for monthly sanitization, and facility leadership confirmed the oversight after reviewing the relevant policies and manuals.
Three residents who were unable to perform their own nail care were observed with long, untrimmed, and discolored fingernails. Interviews with the residents and staff, including CNAs and an LPN, confirmed that nail trimming had not been provided for several weeks despite facility policy requiring assistance with grooming for those unable to do so themselves.
An emergency drug supply kit containing antibiotics and blood pressure medications was found unsealed and unsecured in a medication room. The e-kit, delivered by pharmacy, was not secured with a zip tie as required, and staff interviews confirmed that the kit should have been checked and locked upon receipt according to facility policy.
A resident with cerebral infarction and aphasia did not receive care plan interventions for communication support, as staff did not use available communication boards or picture aids and instead relied only on gestures. This failure to implement specified interventions was confirmed through observation and staff interviews.
A resident with a right chest catheter and left arm AVF for dialysis did not receive required pre- and post-dialysis assessments of the AVF site, with multiple instances of missing documentation. Additionally, licensed nurses inaccurately documented the presence of bruit and thrill at the catheter site, which is not clinically appropriate. The DON confirmed that documentation was incomplete and erroneous, and facility policy requiring regular assessment and documentation was not followed.
A resident with multiple health conditions did not receive proper medication administration and monitoring as per physician orders. Carvedilol was administered without adhering to blood pressure parameters, and elevated blood sugar levels were not reported to the physician as required. These discrepancies were confirmed by facility staff during a record review.
The facility failed to ensure the exterior sliding glass door opened and closed properly, resulting in cold air entering the facility. A resident complained about the cold environment, and multiple staff members confirmed the door's malfunction. Despite attempts to repair it, the problem persisted, and the hallway temperature was below the desired level.
Failure to Sanitize Ice Machine per Policy and Manufacturer Instructions
Penalty
Summary
The facility failed to ensure that the ice machine was properly and routinely sanitized according to both facility policy and the manufacturer's service manual. Review of the Bi-Monthly Ice Machine Cleaning Log showed that the ice machine was cleaned twice a month using a nickel-safe cleaner, but there was no documentation of any sanitization procedures being performed. The facility's policy required monthly sanitization of the ice machine, and the manufacturer's manual specified that cleaning and sanitizing were two separate procedures, each requiring different agents. Interviews with the Assistant Dietary Supervisor and Maintenance Supervisor revealed that the Maintenance Supervisor was responsible for ice machine maintenance but was unaware of the need for a separate sanitization process. The Administrator and Director of Nursing also confirmed they were not aware that sanitization was distinct from cleaning, and acknowledged that the required sanitization had not been performed. This oversight had the potential to result in the growth of harmful microorganisms in the ice machine.
Failure to Provide Timely Fingernail Care for Dependent Residents
Penalty
Summary
The facility failed to provide adequate fingernail care for three residents who were unable to perform this activity of daily living themselves. Observations revealed that these residents had visibly long, untrimmed, and in some cases discolored fingernails. Interviews with the residents confirmed that their nails had not been trimmed for several weeks, and they expressed a desire for this care to be provided. Staff members, including CNAs and a licensed nurse, acknowledged upon observation that the residents' nails were too long and required trimming. The staff also confirmed that nail care is part of the CNAs' responsibilities and that the residents did not refuse this care. A review of the facility's policy indicated that residents unable to perform activities of daily living should be provided with services to maintain grooming and personal hygiene. Despite this policy, the affected residents did not receive timely fingernail care, as confirmed by both staff and resident interviews. The lack of a specific schedule for nail trimming and reliance on staff judgment contributed to the deficiency, resulting in unmet hygiene needs for these residents.
Unsecured Emergency Drug Kit Found in Medication Room
Penalty
Summary
A deficiency occurred when an emergency drug supply kit (e-kit) in the medication room was found unsealed and unsecured, despite containing medications such as antibiotics and blood pressure drugs. The e-kit had been delivered by the pharmacy two days prior and was not secured with a zip tie as required. Interviews with a licensed nurse and the Director of Nursing confirmed that the e-kit should have been checked and secured upon receipt, in accordance with facility policy. The facility's policy states that a licensed nurse must verify the security of pharmacy deliveries and report any discrepancies within 24 hours, but this procedure was not followed in this instance.
Failure to Implement Communication Interventions for Resident with Aphasia
Penalty
Summary
A deficiency occurred when the facility failed to implement care plan interventions for a resident with cerebral infarction and aphasia. The resident was observed to be non-verbal, awake, and alert, but did not have a communication board at the bedside as specified in the care plan. Staff interviews revealed that both a CNA and a licensed nurse were not utilizing available communication tools, such as picture aids or communication binders, to assist the resident. Instead, staff relied solely on gestures to communicate with the resident. A review of the resident's care plan indicated that the use of a communication board was an intended intervention for managing aphasia. However, this intervention was not put into practice, as confirmed by staff interviews and direct observation. The facility's policy required care plans to include measurable objectives and describe the services to be provided, but the specified communication support was not furnished to the resident.
Failure to Perform and Document Required Dialysis Access Assessments
Penalty
Summary
The facility failed to provide consistent professional dialysis care for a resident who required such services. Specifically, the resident, who had a right chest catheter and a left lower arm arteriovenous fistula (AVF) for dialysis access, did not receive required pre- and post-dialysis assessments of the AVF site. Review of the resident's dialysis binder revealed that, over a period of approximately two months, there were 18 instances where no pre-dialysis assessment and 19 instances where no post-dialysis assessment of the AVF for thrill and bruit were documented. Additionally, the electronic medication administration record (eMAR) showed that licensed nurses incorrectly documented the presence of bruit and thrill at the right chest catheter site, which is not clinically appropriate as dialysis catheters do not have these characteristics. During interviews and record reviews, the DON confirmed that the pre- and post-dialysis forms and monitoring orders in the eMAR were incomplete, inaccurate, and erroneous. The facility's own policy required that shunt sites be checked for patency every shift and that the condition of the access site and dressing be documented both before and after dialysis. The documentation practices observed did not meet these requirements, resulting in incomplete and inaccurate medical records for the resident.
Failure to Follow Physician Orders for Medication Administration and Monitoring
Penalty
Summary
The facility failed to adhere to physician orders for a resident, leading to discrepancies in medication administration and monitoring. The resident, an elderly male with conditions including interstitial pulmonary disease, drug-induced diabetes with hyperglycemia, and essential hypertension, was prescribed Carvedilol with specific blood pressure parameters. On one occasion, the medication was held without a documented blood pressure reading, and on another, it was administered despite the blood pressure being below the ordered threshold. These actions were confirmed by the Assistant Director of Nursing and Director of Staff Development during a review of the resident's records. Additionally, the facility did not notify the physician of the resident's elevated blood sugar levels as required by the physician's orders. The resident was prescribed Humulin R insulin with instructions to call the physician if blood sugar levels exceeded a certain threshold. On two occasions, the resident's blood sugar levels were significantly elevated, yet there was no documentation of physician notification. This oversight was acknowledged by the Assistant Director of Nursing during a review of the resident's medication administration records and progress notes.
Failure to Maintain Proper Functioning of Exterior Sliding Glass Door
Penalty
Summary
The facility failed to ensure the exterior metal framed sliding glass door across the hallway that led to the outside of the facility opened and closed properly. The door was observed to be partially open and could not be securely closed, allowing cold air to enter the facility. This issue was first noted during an observation in Resident 2's room, where the resident complained about the cold air entering their room due to the door being left open. Further observations confirmed that the door had a gap that allowed outside air to blow inside, and the bottom track of the door was bent and broken. Multiple staff members, including a housekeeper, the head of maintenance, and a CNA, confirmed the door's malfunction and indicated that it had been in this condition for some time. The head of maintenance attempted to fix the door by replacing the rollers, but the problem persisted, and the hallway temperature was recorded to be below the desired level. The administrator acknowledged being informed about the sliding glass door problem by the head of maintenance. Despite efforts to repair the door, outside air continued to enter through the gap. The facility's policy and procedure for general maintenance, dated January 2017, indicated that maintenance should ensure all functional equipment is repaired and maintained, but this was not adhered to in this case. The failure to properly maintain the sliding glass door resulted in a cold environment inside the facility, affecting the comfort and safety of the residents.
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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 Ventura
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Coastal View Healthcare Center | 0.6 mi | ★★★★★ | 11 | 0 |
| Victoria Care Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Oxnard Manor Healthcare Center | 5 mi | ★★★★★ | 13 | 0 |
| Glenwood Care Center | 5.6 mi | ★★★★★ | 1 | 0 |
| Shoreline Care Center | 7.7 mi | ★★★★★ | 17 | 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 July 2026) and official state health department websites.