VISTA KNOLL SPECIALIZED CARE FACILITY
VISTA KNOLL SPECIALIZED CARE FACILITY is a 119-bed nursing home in VISTA, California. CMS has certified it for Medicare and Medicaid since 1990-05-30. It averages 153.2 residents a day.
What harm was found in the violations cited at VISTA KNOLL SPECIALIZED CARE FACILITY?
CMS lists 35 health-inspection deficiencies for VISTA KNOLL SPECIALIZED CARE FACILITY since 2019-03-04, 15 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-06-11 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D |
| 2026-06-08 | F0684, F0919 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-09-26 | F0558, F0584, F0641, F0690, F0693, F0694, F0699, F0757, F0814 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Dispose of garbage and refuse properly. | D |
| 2024-09-04 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-04-15 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2022-08-26 | F0584, F0758, F0842 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2022-08-26 | F0550, F0755, F0756, F0761, F0804, F0806, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2019-03-04 | F0685, F0812, F0880 | Assist a resident in gaining access to vision and hearing services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2019-03-04 | F0600, F0609, F0610, F0688, F0689, F0695, F0849 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
How is VISTA KNOLL SPECIALIZED CARE FACILITY staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.78747 | 4.51570 |
| Total nursing staff turnover (%) | 39.8 | 36.7 |
| Average number of residents per day | 153.2 | 87.9 |
Who owns VISTA KNOLL SPECIALIZED CARE FACILITY, and what chain is it in?
VISTA KNOLL SPECIALIZED CARE FACILITY is registered with CMS as For profit - Limited Liability company, operates under the legal business name VISTA WOODS HEALTH ASSOCIATES, LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | FLAGSTONE HEALTHCARE SOUTH LLC | since 01/30/2006 |
| INDIRECT OWNERSHIP INTEREST | THE ENSIGN GROUP INC | since 10/01/2003 |
| MANAGING CONTROL - GOVERNING BODY | BAROUDI, SAM, BURNAM, SOON, GARDNER, CLAYTON | since 01/02/2014 |
| CORPORATE DIRECTOR | WILLITS, ADAM | since 01/30/2019 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD | since 01/30/2006 |
| OPERATIONAL/MANAGERIAL CONTROL | ELITE WORK FINDERS INC, BAROUDI, SAM, GARDNER, CLAYTON | since 04/12/2016 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | PORT, BARRY | since 06/22/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, OHI ASSET (CA), LLC, BAROUDI, SAM, GARDNER, CLAYTON | since 06/22/2025 |
Were you or a family member harmed at VISTA KNOLL SPECIALIZED CARE FACILITY?