Thousand Oaks Post Acute, LLC

Name: Thousand Oaks Post Acute, LLC
Address: 93 West Avenida De Los Arboles, Thousand Oaks, CA, 91360, US
Telephone: 8054922444

93 West Avenida De Los Arboles, Thousand Oaks, CA 91360 · Ventura County · 123 certified beds · avg 101 residents/day · certified since Mar 1, 1971

4/5

Health inspection rating (on-site)

Serious findings on record

$20,703

Fines, last 3 years

4.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Dec 17, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 4, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (37)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 2, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 17, 2025	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
May 28, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
May 28, 2025	D · Potential for harm, one-off	The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results. · from a complaint
Apr 25, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 25, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 8, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 10, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Aug 15, 2024	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint
Aug 15, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 8, 2023	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Aug 2, 2023	D · Potential for harm, one-off	The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint
Nov 18, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 18, 2021	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Nov 18, 2021	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 18, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 5, 2019	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Dec 5, 2019	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 5, 2019	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 5, 2019	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Dec 5, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 5, 2019	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Dec 5, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 5, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 5, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 5, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2019	10	0	E
2021	10	0	F
2023	2	0	D
2024	3	0	D
2025	11	1	G ▲
2026	1	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $20,703.

Date	Type	Amount / length
Dec 17, 2025	Fine	$20,703

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.00	4.31	3.95	bottom 41% in California; top 39% in the U.S.
Registered Nurse hours	0.51	0.61	0.69	top 44% in California; bottom 40% in the U.S.
Weekend total nurse staffing	3.61	3.90	3.50	bottom 40% in California; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.51	0.48	top 44% in California; top 48% in the U.S.
Total nursing staff turnover (%)	39.6	36.7	45.8	bottom 39% in California; top 35% in the U.S.
RN turnover (%)	41.7	38.1	42.9	bottom 41% in California; top 50% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.10, RN 0.53, weekend 3.70. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Abby GL LLC	Organization	5% or Greater Direct Ownership Interest	92%	02/21/2019
Cruz, Julio	Individual	5% or Greater Indirect Ownership Interest	6%	02/21/2019
Ellie LLC	Organization	5% or Greater Direct Ownership Interest	6%	02/21/2019
Lynch, Jose	Individual	5% or Greater Indirect Ownership Interest	92%	02/21/2019
Sims, James	Individual	Direct Ownership Interest	NOT APPLICABLE	02/21/2019
Bukont, Elise	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Bukont, Elise	Individual	ADP of the SNF	NOT APPLICABLE	03/28/2025
Carlson, Chad	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2023
Carlson, Chad	Individual	ADP of the SNF	NOT APPLICABLE	03/28/2025
Eretz Thousand Oaks Properties LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/17/2019
Lynch, Jose	Individual	Operational/Managerial Control	NOT APPLICABLE	02/21/2019
Pursue Health LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Oakview Skilled Nursing	0.8 mi	Thousand Oaks, CA	★★★★★	5/5
Sherwood Oaks Post Acute	4.3 mi	Thousand Oaks, CA	★★★☆☆	2/5	abuse
Mary Health of the Sick Convalescent & Nursing Hos	4.4 mi	Newbury Park, CA	★★★★★	4/5
Alta Healthcare Center of Camarillo	6.3 mi	Camarillo, CA	★★★★☆	4/5
St. John's Hospital Camarillo D/P SNF	8.2 mi	Camarillo, CA	★★★★★	5/5
Camarillo Healthcare Center	9.7 mi	Camarillo, CA	★★★★★	4/5
Simi Healthcare Center	11.5 mi	Simi Valley, CA	★★★☆☆	2/5
Greenfield Care Center of Fillmore, LLC	12.3 mi	Fillmore, CA	★★★★★	4/5
Motion Picture and T.V. Hosp D/P SNF	14.3 mi	Woodland Hills, CA	★★☆☆☆	2/5
Santa Paula Post Acute Center	14.6 mi	Santa Paula, CA	★★★★☆	4/5
Topanga Terrace	15.4 mi	Canoga Park, CA	★★★★☆	3/5
West Hills Health and Rehabilitation Center	15.4 mi	Canoga Park, CA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Thousand Oaks →

Facility data as of CMS processing date 2026-08-01. CCN 055342.

The Care File

Visit checklist — Thousand Oaks Post Acute, LLC

93 West Avenida De Los Arboles, Thousand Oaks, CA 91360 · 8054922444

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $20,703

Most serious findings on record:

▲ Dec 17, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055342 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)