Thousand Oaks Healthcare Center
93 W Avenida De Los Arboles, Thousand Oaks, CA 91360


Thousand Oaks Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055342. The address is 93 W Avenida De Los Arboles, Thousand Oaks, CA 91360. The zip code is 91360. The phone number is 8054922444.


Thousand Oaks Healthcare Center · 93 W Avenida De Los Arboles, Thousand Oaks, CA 91360

Federal Provider Number 055342
Provider Name THOUSAND OAKS HEALTHCARE CENTER
Address 93 W AVENIDA DE LOS ARBOLES
THOUSAND OAKS, CA 91360
Phone Number 8054922444
SSA County Code 660
County Name Ventura
Ownership Type For profit - Corporation
Certified Beds 123
Certified Beds Residents 66
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FIVE STAR QUALITY CARE-CA II LLC
Date First Approved to Provide Medicare Medicaid Services 03/01/1971
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating Footnote Data Not Available
RN Staffing Rating Footnote Data Not Available
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.61058
Expected LPN Staffing Hours per Resident per Day 0.65574
Expected RN Staffing Hours per Resident per Day 1.03669
Expected Total Nurse Staffing Hours per Resident per Day 4.30301
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 02/10/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 246
Cycle 2 Standard Health Survey Date 02/15/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 246
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 48
Cycle 3 Standard Health Survey Date 01/15/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 104
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 10
Number of Fines 1
Total Amount of Fines in Dollars $11180.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Thousand Oaks Healthcare Center

Owner Name Role Association Date
ABAD, MENDRA (Individual) MANAGING EMPLOYEE since 02/03/2016
BLACKROCK INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 12/31/2015
CLARK, JENNIFER (Individual) OFFICER since 07/01/2000
DIMENSIONAL FUND ADVISORS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 12/31/2015
DOYLE, RICHARD (Individual) OFFICER since 01/01/2016
FIVE STAR QUALITY CARE - CA II, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/26/2004
FIVE STAR QUALITY CARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2000
FSQ INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2000
HERZIG, ROBERT (Individual) OFFICER since 11/07/2012
MACKEY, BRUCE (Individual) OFFICER since 05/01/2008
MARTIN, GERARD (Individual) DIRECTOR since 07/01/2000
MARZELLI, ANTHONY (Individual) MANAGING EMPLOYEE since 01/01/2011
PHAM, ANTHONY (Individual) MANAGING EMPLOYEE since 11/17/2014
PORTNOY, BARRY (Individual) DIRECTOR since 07/01/2000
POTTER, KATHERINE (Individual) OFFICER since 02/27/2012
SENIOR HOUSING PROPERTIES TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
since 12/31/2015

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