Canyon Vista Post Acute

In the surveyor’s words

From the most serious findings on record at Canyon Vista Post Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF689Mar 6, 2025

  Based on interview, record review, and observation, the facility failed to ensure three of three residents sampled for accidents (Resident 14, 34, and 116) had interventions implemented to identify hazards and risks associated with smoking. The facility failed to ensure: 1) Resident 14 with a lighter and cigarettes did not attempt to put a used cigarette in a trash can within the resident's room, 2) Resident 34 was a documented smoker with an Oxygen Concentrator (a device delivering up to 95 percent Oxygen, Oxygen when in contact with flammable materials through heat can cause severe burns) in the resident's room, and 3) a non-smoking policy and procedure was enforced when Resident 116 (R116) took out a black lighter from the left chest pocket. […]

• No harm, potential for more than minimal, patternF812Mar 6, 2025

  Based on observation, interview, and document review, the facility failed to ensure that opened items in the refrigerator and freezer were properly labeled and discarded upon expiration per policy. This deficient practice had the potential to result in the serving of expired or improperly stored food items to residents, potentially leading to foodborne illness. Findings include: On [DATE] at 7:51 AM, during an initial brief inspection of the kitchen, the surveyor, accompanied by the Director of Dietary Services, observed the following inside the walk-in refrigerator: a large bin of chopped onions dated [DATE], a half-cut large tomato wrapped in plastic wrap without a label, and a large plastic bin of canned fruits that was unlabeled. […]

• No harm, potential for more than minimal, patternF565Mar 29, 2024

  Based on interview, and document review, the facility failed to document a response to concerns raised by the Resident Council group, and report actions taken and their rationale to the Resident Council. The deficient practice had the potential to adversely affect resident quality of life. Findings include: The policy and procedure titled Resident Council, revised 04/2017, indicated Resident Council meetings were scheduled monthly. The policy indicated the purpose of the Resident Council was to provide a forum for discussion of concerns and suggestions for improvement. The policy indicated a Resident Council Response Form would be utilized to track issues and their resolution. […]

• No harm, potential for more than minimal, patternF812Mar 29, 2024

  Based on observation, interview, and document review, the facility failed to label and date food items and maintain clean floors. The deficient practice posed a potential risk to safety and health standards as it could lead to contamination, inadequate storage, or place the residents at risk for foodborne illness. Findings include: On [DATE] at 7:46 AM, an initial kitchen tour was conducted with the Dietary Director. The following concerns were identified: Food items in the walk-in refrigerator not labeled and/or dated: -a bag of diced yellow onion -a bag of diced red onion -a bag of diced green and red peppers -a bag of diced celery Food items in the walk-in refrigerator not labeled with an open date: -a gallon container of milk (half full) -a five pound container of teriyaki sauce… […]

• No harm, potential for more than minimal, patternF693Jun 28, 2023

  Based on observation, interview and record review, the facility failed to ensure the gastrostomy tube (G-tube) feeding was administered per physician order for 2 of 4 sampled residents (Resident 4 and 5). The deficient practice had the potential for the residents not receiving the needed nutrients and the potential for weight loss. Findings include: Resident 4 (R4) R4 was admitted on [DATE] and discharged on [DATE], with diagnoses including spastic quadriplegic cerebral palsy. […]