REGENCY PALMS OXNARD

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence... This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as the ED at the time, did not report to the Department R1’s fall which poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

Interim ED stated that she will submit a statement of understanding regarding the regulation.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above, as S1 was observed to be rude or aggressive towards residents which poses an immediate health and safety risk to residents in care.

Official plan of correction

The interim ED stated that S1 was terminated on 03/16/2026. Additionally the interim ED conducted an Inservice regarding reporting requirements and personal rights.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above cited section as staff did not properly assist R1 while dressing which resulted in R1 falling, and sustaining injury which posed an immediate health and safety risk to persons in care.

Official plan of correction

The ED stated that staff will be retrained on ADLs and will send proof. The ED will notify the LPA within 24 hours of when training will be completed.

Deadline recorded: Aug 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal...shall be updated in writing as frequently as necessary... whichever occurs first...appraisal shall be referred to as the reappraisal.This requirement is not met as evidenced by: Based on record review and observation, the licensee did not comply with the above cited section, as R1’s care plan was not updated as necessary after significant change in condition which poses a potential health and safety risk to persons in care.

Official plan of correction

The ED stated that the Wellness Director and Designee will be trained on reassessments and reappraisals and will send proof to the LPA.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1 (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6)To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.... This requirement is not met as evidenced by: Based on observations, the Licensee did not comply with the section cited above when a resident was locked out in the memory care courtyard which posed a potential personal rights risk to residents in care.

Official plan of correction

Doors were unlucked and fixed on 05/12/24. Sales Director agrees to submit a statement of understanding on regulation 87468.1(a)(6) and ensure doors will remain unlocked. Submit letter by 05/23/25.

Deadline recorded: May 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87625(b)(2)

Regulation authority

CCR

What the official deficiency says

87625 Managed Incontinence (b) In addition to Section 87611, ... the licensee shall be responsible for ... (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, ...This requirement is not met as evidenced by: Based on observations and staff interviews, the Licensee did not comply with the section cited above when R1 who is an incontince resident was not checked/changed for over two hours.which posed a potential health risk to residents in care.

Official plan of correction

The administrator shall submit a plan on how he will ensure residents are receiving incontinence care in a timely manner and proof staff have received training on this plan to CCLD by 06/04/2025..

Deadline recorded: Jun 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87216(a)(1)

Regulation authority

CCR

What the official deficiency says

87216 (a)(1) Bonding (a)Each licensee..., who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company... (1) The amount of the bond shall be… This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as the facility did not obtained a surety bond in order to safeguard R1’s cash resources which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The ED stated that the facility will no longer safeguard R1’s cash resources, as R1 will safeguard their own cash resources. The ED will send proof of the safe containing R1’s cash in R1’s room.

Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 (d)(2) Administrator -Qualifications and Duties (d) The administrator shall have the qualifications specified...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above as the ED/ Administrator did not demonstrate knowledge nor comply with Title 22 Regulations which posed a potential health and safety risk to residents in care.

Official plan of correction

The ED stated that he will submit a Statement of understanding regarding the following regulations: 87216 Bonding and 87405 Administrator - Qualifications and Duties.

Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as one out of five residents did not get their medication as prescribed which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/25/2024 Plan of Correction Administrator agreed to conduct medication training for all MedTechs and subit to LPA by no later than end of day 1/25/24.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in three out of five staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction The Administrator has agreed to the following: 1. Submit the completed first aid certification for all three staff by POC due date.

Official classification

Type B

Official code

1569.696(a)

Regulation authority

HSC

What the official deficiency says

(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two out of five staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction The Administrator has agreed to the following: 1. Conduct restricted health conditon training for S1 and S2 and submit proof to LPA by 2/2/24.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two out of five staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/22/2024 Plan of Correction The Administrator has agreed to the following: 1. Conduct 8 hrs of medication training for S1 and S2 and submit proof to LPA by 2/2/24.

Official classification

Type B

Official code

87465(h)(6)(A-F)

Regulation authority

CCR

What the official deficiency says

The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as four medications were not documented on the centrally stored medication and destruction record which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction Administrator has agreed to conduct a medication records audit for MC and submit a self-certification letter to LPA by no latern than 2/2/24.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as laundry rooms in both MC & AL were left unlocked with chemicals accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/08/2024 Plan of Correction Laundry rooms were locked during the inspection. The Administrator agrees to submit proof of staff training regarding regulation 87309 and submit proof to CCL by 01/08/2023.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as prescribed and over the counter medication was observed in residents rooms memory care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/08/2024 Plan of Correction Items were secured upon observation. Administrator agreed to provide training regarding regulation 87705(f)(2). Submit sign in sheet no later than 1/08/2023.

Official classification

Type A

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the facility had food with past best by dates which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/30/2022 Plan of Correction The expired food items observed were removed during the inspection. The Administrator agreed to submit a written memo of understanding that The Director of Dining Services will go through the entire food supply today and remove any expired items and also submit an additional food order tomorrow and the food will arrive by Friday. The written of memo shall be submitted by 11/30/2022.