Health inspection·January 24, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on record review and interview, the facility failed to capture/be aware of, a resident diagnosis of cataracts (a clouding of the lens of the eye) for one of two sampled residents (Resident 1). Residents Affected - Few This facility failure had the potential for Resident 1 to experience negative outcomes in care. Findings: During a concurrent interview and record review, on 1/23/25, at 11:28 a.m., with the Director of Nursing (DON 1), the DON 1 was asked if facility records indicated Resident 1 had a diagnosis of Cataracts. The DON 1 verbalized Resident 1 did not have a diagnosis of Cataracts after examining Resident 1's medical records including but not limited to, the current list of Resident 1's diagnoses, care plan and physician orders. During a review of Resident 1's Eye Health Consult form dated 2/5/24, indicated in part, Resident 1 had a diagnosis of cataracts to both eyes. During a review of Resident 1's Complete Exam/Visit-Office form, dated 7/3/24, from an offsite eye specialty clinic, indicated in part, Resident 1 had an ocular history of OU (oculus uterque [both eyes]) Cataract. The form indicated in part Resident 1's medical doctor at the clinic Discussed indications for cataract surgery. Monitoring recommended. During a concurrent interview and record review, on 1/23/25, at 12:07 p.m., with the Director of Nursing (DON 1) and Administrator (Admin 1), the Admin 1 and DON 1 could not confirm how long Resident 1 had been at the facility with the diagnosis of cataracts. The DON 1 verbalized facility records should have indicated Resident 1 had a diagnosis of cataracts and that should have been reflected in Resident 1's care plan but was not. Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 056379 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 056379 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxnard Manor Healthcare Center 1400 West Gonzales Road Oxnard, CA 93036 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)