St. John's Hospital Camarillo D/P SNF
2309 Antonio Avenue
Camarillo, CA, 93010
8053895848
CCN: 555223
5
Overall5
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| DIGNITY HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| COMMONSPIRIT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| SHIH, ELIZABETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| CARSWELL, SCOTT | CORPORATE DIRECTOR | NOT APPLICABLE |
| MELFI, MITCH | CORPORATE DIRECTOR | NOT APPLICABLE |
| O'QUINN, MARVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MELFI, MITCH | CORPORATE OFFICER | NOT APPLICABLE |
| PETERSDORF, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| SCHARMANN, STEVEN | CORPORATE OFFICER | NOT APPLICABLE |
| SHIH, ELIZABETH | CORPORATE OFFICER | NOT APPLICABLE |
| MORISSETTE, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| O'QUINN, MARVIN | CORPORATE OFFICER | NOT APPLICABLE |
| COMMONSPIRIT HEALTH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHARMANN, STEVEN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| PETERSDORF, JOHN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-03-24 | Payment Denial | 36 days |
Health Deficiencies (22)
2025-04-10 · Health
D
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
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
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.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-08-29 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-07-23 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2024-03-07 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
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
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F660 · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-10-19 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2023-09-15 · Health
D
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2023-03-24 · Health
E
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
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
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
8.55
RN Hrs/Resident/Day0.54
1.64
LPN Hrs/Resident/Day0.81
3.44
CNA Hrs/Resident/Day2.33
3.46
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01