El Rancho Vista Health Care Center

In the surveyor’s words

From the most serious findings on record at El Rancho Vista Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Nov 11, 2021

  Based on observation, interview, and record review, the facility failed to ensure the licensed vocational nurses did not practice outside of their standard scope of duties to provide safe treatment and care in accordance with professional standards of practice, for one of one sampled resident (Resident 1). The facility failed to ensure: 1. The licensed nurses did not write and carry out the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 1. The licensed nurses notified Resident 1's attending physician when the resident had a change in condition. 2. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and preparation practices when:1. Three frozen packs of ham were unlabeled.2. [NAME] 1 wore a cuff bracelet (a band with an open back that slides onto the wrist without a clasp) during lunch preparation and trayline (meal assembly system).3. Food in the resident's refrigerator was not labeled properly.4. Non-Resident drinks were stored in the resident's refrigerator.These deficient practices had the potential to result in incorrect use of the unlabeled ham and placed the residents at risk for exposure to bacteria and contaminants, increasing the risk of foodborne illness, infection, and compromised health and safety.Findings:1. […]

• No harm, potential for more than minimal, widespreadF812Mar 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary practices in the kitchen that affected 67 residents out of 67 sampled residents when: 1. The refrigerator contained food with no in date (the date when the food was placed in the refrigerator) and no use by date (date the food item must be consumed by). 2. The freezer had food that was not labeled with an in date and a use by date. 3. Food items in the refrigerator and freezer that were removed from original packaging were not labeled with what it was. 4. Refrigerator and freezer temperatures were not within acceptable range. 5. […]

• No harm, potential for more than minimal, widespreadF759Dec 6, 2021

  Based on observations, interviews and record review, the facility failed to ensure a medication error rate of less than five (5) percent, due to improper medication administration for two (2) of four (4) randomly selected residents (Resident 5 and 10). The outcome was five (5) medication errors out of twenty-five opportunities for errors, which resulted in a medication administration error Rate of twenty (20) percent, that exceeded the five(5) percent threshold. Findings: a.During a record review of Resident 5's admission record (face sheet), the face sheet indicated the facility admitted Resident 5 on 9/10/2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2021

  Based on observation, interview, and record review, the facility failed to ensure to kitchen equipment in a sanitary manner to prevent growth of microorganisms that could cause food borne illness (food poisoning: any illness resulting from the food spoilage of contaminated food pathogenic bacteria, viruses, or parasites that contaminate food, as well as toxins) for 56 residents in the facility by: 1. Failing to ensure the fan in the food preparation area was clean. 2. Failing to ensure staff member used a clean handheld mixer in food preparation. […]