Valley Oaks Post Acute
Valley Oaks Post Acute in Santa Maria, CA — inspection on September 9, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain accurate medical records for one resident (Resident 1) when it was documented a medication was administered when in fact the resident left the facility, and the medication was administered by an outside provider.This failure resulted in Resident 1's medication administration record (MAR) reflecting inaccurate documentation of prescribed medication.Findings:During a review of Resident 1's Medication Administration Record (MAR), dated 8/2/25 through 8/7/25 the MAR indicated, on 8/3/25 and 8/7/25 medication given.During a review of Resident 1's outside provider's Medication Dosing Log (MDL), dated 8/2/25 through 8/7/25 the MDL indicated, on 8/3/25 and 8/7/25 medication was administered at their facility.
During an interview on 9/22/25 at 4:30 p.m. with Director of Nursing (DON), DON verbalized, the resident did not receive the medication in the facility, was receiving the medication from an outside provider.Review of [NAME] and [NAME], Tenth Edition, Fundamentals of Nursing, page 609 in the section titled, Medication Administration, indicated, After administering a medication, immediately document which medication was given on a patient's MAR per agency policy to verify that it was given as ordered.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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