Cerritos Vista Healthcare Center

In the surveyor’s words

From the most serious findings on record at Cerritos Vista Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 10, 2023

  Based on interview and record review, the facility failed to ensure the resident, who was confused with poor safety awareness and history of falls, was provided with supervision to prevent from fall and injury for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure Resident 1 was supervised after the fall on 9/17/2022, and again less than a month later, on 10/13/2022 and sustained a fracture (broken bone). 2. Ensure Resident 1's plan of care was revised after the fall on 9/17/2022 to incorporate assistive devices and close supervision, as per the director of rehabilitation (DOR) assessment to assist Resident 1 from having a second fall and prevent further falls. 3. […]

• No harm, potential for more than minimal, widespreadF814Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to dispose garbage and refuse properly when:There was trash of paper, plastic and soiled gloves left in the bottom of the dumpster (a movable waste container designed to be brought and taken away by special collection vehicle, or to a bin that a specially designed garbage truck lifts)One trash can was not covered and has no lid near the residents' refrigerator in Hall 1 when actively not used. These failures had potential to attract birds, flies, insects, pests and possibly spread infection to 129 of 129 facility residents.Findings: a. […]

• No harm, potential for more than minimal, widespreadF644Mar 1, 2024

  Based on interview and record review, the facility failed to follow up and accurately assess the Preadmission Screening and Resident Review ([PASARR]- a comprehensive evaluation that ensures people who have been diagnosed with serious mental illness, intellectual, and/or developmental disabilities are able to live in the most independent settings while receiving the recommended care and interventions to improve their quality of life) Level I and Level II evaluation for eight of nine sampled residents (Resident 4, Resident 117, Resident 32, Resident 54, Resident 66, Resident 29, Resident 71 and Resident 113) to determine the facility's ability to provide the special need of the residents.] This deficient practice placed (Resident 4, Resident 117, Resident 32, Resident 54, Resident 66,… […]

• No harm, potential for more than minimal, widespreadF867Mar 1, 2024

  Based on interview and record review the facility's Quality Assessment and Assurance (QAA) Committee, (group of staff which is responsible in identifying and responding to quality deficiencies throughout the facility) failed to implement corrective action (a written and implemented plan of action for correcting or improving performance in response to an identified quality deficiency) to the systemic problems identified: 1. Weight loss, treatment/wound care. 2. Residents food preferences. 3. Pain medication orders not being followed. 4. Staffing hours posting. 5. Basic life support training/certificate taken online. 6. Preadmission Screening and Resident Review (PASARR) 7. […]

• No harm, potential for more than minimal, patternF550Feb 26, 2026

  Based on observation, interview, and record review the facility failed to provide care in a manner that promoted dignity and respect by failing to ensure residents were served in China wares during lunch time.This deficient practice had the potential to affect 116 of 129 residents' self-esteem and self-worth. Findings:During an observation on 2/23/2026 at 12:06 p.m., observed [NAME] 2 using paper bowls for the chili.During an observation on 2/23/2026 at 12:20 p.m., observed dietary staff using paper plates for fruit salad and sandwiches sides for lunch.During a concurrent observation and interview on 2/23/2026 at 1:06 a.m. […]