| Mary Health of the Sick Convalescent & Nursing Hos | |
| 2929 Theresa Drive, Newbury Park, California 91320 | |
| (805) 498-3644 | |
| Name | Mary Health of the Sick Convalescent & Nursing Hos |
|---|---|
| Location | 2929 Theresa Drive, Newbury Park, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 61 |
| Occupancy Rate | 87.38% |
| Medicare ID (CCN) | 055022 |
| Legal Business Name | Mary Health of the Sick Convalescent and Nursing Hospital Incorporated |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1821096066 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Mary Health of the Sick Convalescent and Nursing Hospital Incorporated |
| Address | 2929 Theresa Dr, Newbury Park, CA 91320 |
| Phone Number | 805-498-3644 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.97 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.77 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.07 | 0.86 |
| Nurse aide hours per resident per day | 3.13 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.49 | 3.42 |
| RN hours per resident per day on the weekend | 0.63 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 17.5% | 45.8% |
| Registered nurse turnover | 36.4% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 11, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jul 3, 2026 |
| Jun 11, 2026 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jul 3, 2026 |
| Jun 11, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2026 |
| Jun 11, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2026 |
| Jun 11, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2026 |
| Feb 26, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 22, 2025 |
| Feb 10, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2023 |
| Feb 10, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.57 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.45 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.58 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.02 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.55 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.06 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.25 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.93 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.75 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.92 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.68 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.71 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 2.76 | 15.38 |