Mary Health of the Sick Convalescent & Nursing Hos — nursing home in Newbury Park, CA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 61 CMS-certified beds (not state-licensed beds)
Licensed beds: 59 state-licensed beds · California Department of Public Health
State license: 050000041 active · licensee MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL INC
Average residents per day: 49.7 CMS, MDS-derived
CMS Certification Number: 055022
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: Non profit - Corporation
Operator (legal business name): Mary Health of the Sick Convalescent and Nursing Hospital Incorporated
CMS chain: Not part of a CMS-reported chain
Phone: (805) 498-3644
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2

2003–2015

Class AA / A

1

no class AA

Since 2019

0

$4,800 final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

6

latest Jun 11, 2026

Citations

28

14 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E2	F8
Minimal	A·	B·	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 055022
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 61
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 16, 2026
Evidence: Verified

State license

Authority: California Department of Public Health (CDPH), Licensing & Certification
License number: 050000041
State facility ID: 050000055
License type: Skilled Nursing Facility
License status: active
Licensed beds: 59
Licensee: MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL INC · Nonprofit Corp
Initially licensed: Jul 1, 1964
Current license: Feb 1, 2026 → Jan 31, 2027
Certification (per state): Licensed and Certified
Federal programs (per state): Medicare (and possibly Medicaid)
As of: Oct 16, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 11, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 11, 2026	Health	Health Standard	5	Potential harm	—	Open →
Feb 26, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Feb 26, 2025	Health	Health Standard	1	Potential harm	—	Open →
Feb 10, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Feb 10, 2023	Health	Health Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Nov 3, 2015 violation Nov 27, 2014	Class A	Citation Citation A (HSC 1424)	Medication	$4,500	Closed	050011175
Feb 20, 2003 violation Nov 26, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$300	Closed	050001547

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E2	F8
Minimal	A·	B·	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 11, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 2, 2026
Jun 11, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 2, 2026
Jun 11, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 3, 2026
Jun 11, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 3, 2026
Jun 11, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 3, 2026
Jun 11, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 3, 2026
Jun 11, 2026	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 3, 2026
Jun 11, 2026	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jul 2, 2026
Jun 11, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jul 2, 2026
Feb 26, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 26, 2025	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 26, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 26, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 26, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 22, 2025
Feb 10, 2023	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Mar 14, 2023
Feb 10, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 14, 2023
Feb 10, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 14, 2023
Feb 10, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 14, 2023
Feb 10, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 14, 2023
Feb 10, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 16, 2023
Feb 10, 2023	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 16, 2023
Feb 10, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 16, 2023
Feb 10, 2023	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 16, 2023
Feb 10, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 16, 2023
Feb 10, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 16, 2023
Feb 10, 2023	F-0838	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. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Mar 16, 2023
Feb 10, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Mar 16, 2023
Feb 10, 2023	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Mar 14, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 4.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.53

State avg 4.54US avg 3.90

Registered nurse (RN)0.94

State avg 0.68US avg 0.69

Licensed practical nurse1.23

State avg 1.20US avg 0.86

Nurse aide3.35

State avg 2.66US avg 2.35

Weekend total nurse4.84

State avg 4.10US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.12 (case-mix index 1.26).

Staff turnover

Total nursing staff turnover25.0%

State avg 36.6%US avg 45.3%

Registered nurse turnover36.4%

State avg 37.8%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 11, 2026
Cycle 1 health score: 48
Total weighted score: 40

Operating entity

Mary Health of the Sick Convalescent and Nursing Hospital Incorporated

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

21

Organizations

1

Individuals

18

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Servants of Mary Ministers to the Sick Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Sep 20, 2007

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Servants of Mary Ministers to the Sick Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Sep 20, 2007
Servants of Mary Ministers to the Sick Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 20, 2007
Shideh Afshar	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 21, 2011
Lucia Dattoma	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Maria Hernandez Ramirez	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 24, 2024
Sister Adriana Olivares	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 24, 2024
Margarita Rico	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 24, 2024
Miriam Rivera Martinez	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 24, 2024
Maria Hernandez Ramirez	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 24, 2024
Sister Adriana Olivares	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 24, 2024
Margarita Rico	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 24, 2024
Miriam Rivera Martinez	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 24, 2024
Maria Hernandez Ramirez	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 24, 2024
Sister Adriana Olivares	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 24, 2024
Margarita Rico	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 24, 2024
Miriam Rivera Martinez	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 24, 2024
Servants of Mary Ministers to the Sick Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 17, 2026
Shideh Afshar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 21, 2011
Lucia Dattoma	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Margarita Rico	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 24, 2024
Miriam Rivera Martinez	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 24, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2929 Theresa Drive, Newbury Park, CA 91320
ZIP: 91320
County: Ventura County FIPS 06111
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Alta Healthcare Center of Camarillo 6000 Santa Rosa Road, Camarillo, CA 93012 CCN 5558766 state class AA/A	7 km	45	Jul 31, 2025	281 harm	$43k
Thousand Oaks Post Acute, LLC 93 West Avenida De Los Arboles, Thousand Oaks, CA 91360 CCN 0553424 state class AA/A	7 km	123	Jul 10, 2026	541 harm	$21k
Oakview Skilled Nursing 3557 Campus Drive, Thousand Oaks, CA 91360 CCN 5558573 state class AA/A	7.9 km	48	Jul 16, 2026	22	—
Sherwood Oaks Post Acute 250 Fairview Road, Thousand Oaks, CA 91361 CCN 5557944 state class AA/AAbuse icon	9.3 km	99	Jun 9, 2026	76	—
St. John's Hospital Camarillo D/P SNF 2309 Antonio Avenue, Camarillo, CA 93010 CCN 5552231 state class AA/A	10.1 km	99	Aug 13, 2026	362 open	—
Camarillo Healthcare Center 205 Granada Street, Camarillo, CA 93010 CCN 5557703 state class AA/A	10.9 km	114	Jun 5, 2026	48	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055022	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055022	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	050000055	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055022

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction