Mary Health of the Sick Convalescent & Nursing Hos
2929 Theresa Drive
Newbury Park, CA, 91320
8054983644
CCN: 055022
5
Overall5
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
MARINA CONVALESCENT HOSPITAL
1128a2
Excluded 1989-01-25
Ownership
| Name | Role | % |
|---|---|---|
| SERVANTS OF MARY MINISTERS TO THE SICK INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LARA, LOURDES | CORPORATE DIRECTOR | NOT APPLICABLE |
| PEREA, YESENIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| RODRIGUEZ, CARMEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| GARCIA VALENCIA, LUCERO | CORPORATE OFFICER | NOT APPLICABLE |
| LARA, LOURDES | CORPORATE OFFICER | NOT APPLICABLE |
| PEREA, YESENIA | CORPORATE OFFICER | NOT APPLICABLE |
| RODRIGUEZ, CARMEN | CORPORATE OFFICER | NOT APPLICABLE |
| ZAMORA, CLAUDIA | CORPORATE OFFICER | NOT APPLICABLE |
| AFSHAR, SHIDEH | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SCHMIDT, BETTY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (12)
2025-02-26 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2023-02-10 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F838 · Administration Deficiencies
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.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F693 · Quality of Life and Care Deficiencies
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.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2019-10-10 · Health
D
F761 · Pharmacy Service Deficiencies
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.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.54
RN Hrs/Resident/Day0.54
0.95
LPN Hrs/Resident/Day0.81
0.77
CNA Hrs/Resident/Day2.33
2.82
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01