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Inspection visit

Follow-up on corrections

REGENCY PALMS OXNARDLicense 5658501122 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Emily Peraldi conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20241113085831). The purpose of the visit is to issue citations for deficiencies observed during the complaint investigation. At 11:15 a.m., the LPA met with staff and explained the reason for the visit. At 11:17 a.m., the Executive Director (ED) Kenneth "Ken" Mahler met with the LPA. During the complaint investigation of complaint # 29-AS-20241113085831, the following deficiencies was observed: Per record review, Resident #1 (R1) had multiple falls and hospitalizations between October 2024 and January 2025. The timeline of R1’s falls and hospitalizations are as follows: 10/15/2024 - R1 had a fall resulting in a left-sided facial contusion; 11/06/2024- R1 had a fall while two (2) caregivers were assisting R1 with dressing resulting in R1 having a subdural hematoma and being sent to a Skilled Nursing Facility (SNF); 12/25/2024- R1 was sent to the hospital due to being lethargic and returned with Home Health orders; 01/01/2025- R1 had a fall and was hospitalized. Per hospital records, R1 was admitted to the hospital on 11/06/2024 with the reason for admission listed as “fall and subdural hematoma” and was discharged on 11/12/2024. Per interviews with staff and record review, R1 was transferred and admitted to a Skilled Nursing Facility (SNF) on 11/12/2024 with the principal diagnosis of “Traumatic subdural hemorrhage without loss of consciousness, subsequent encounter.” During a record review, the LPA did not observe an updated reappraisal for R1 after R1’s fall of 11/06/2024. R1 did have a reassessment/ reappraisal on 10/17/2024 after R1’s 10/15/2024 fall. Per the 10/17/2024 reappraisal/ care plan, R1 required “Complete Assist (x2 per day)” for dressing and “extensive assist” with bathing. Staff neglect led to R1’s basic services not being met and a fall on 11/06/2024 resulted in R1 having a subdural hematoma. Per the California Code of Regulations, Title 22, Division 6, Chapter 8 and Health and Safety Code the following deficiencies were observed and cited during the visit (See 9099-D). Exit interview conducted. A copy of the report and appeal rights were provided.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87463(a)Type B

    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.

  • 87464(f)(4)Type A

    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.

FAQ · About this visit

Common questions about this visit

What happened during the August 14, 2025 inspection of REGENCY PALMS OXNARD?

This was a other inspection of REGENCY PALMS OXNARD on August 14, 2025. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to REGENCY PALMS OXNARD on August 14, 2025?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87463 Reappraisals (a) The pre-admission appraisal...shall be updated in writing as frequently as necessary... whichever..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.