Mira Vista Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 12, 2023

  Based on interview and record review, the facility failed to provide the necessary supervision for 1 of 3 residents (Resident 1) reviewed for wandering and elopement. The failure to provide necessary supervision caused harm to Resident 1 when found cold, wet, and confused after exiting the facility unsupervised, falling from their wheelchair (w/c) and subsequently located by a community member lying on the side of the road. Based on the reasonable person concept, Resident 1 was harmed and distressed not knowing where they were, how long they would lay there, or what might happen to them. This facility failed practice placed other residents at risk for elopement and injury. […]

• Actual harm, isolatedF660Jan 13, 2023

  Based on interview and record review the facility failed implement a safe discharge plan that included ensuring home health was set up for wound care treatments one of one residents (1) reviewed for discharge planning. In addition, failed to ensure clear concise instructions for care and follow up were given to the resident and their representative. This failure caused harm to Resident #1 when their pressure ulcer worsened due to lack of treatment required for pressure ulcers. Findings included . Resident 1 admitted to the facility on [DATE] with diagnoses including caude equina syndrome (dysfunction of lower spinal nerves), and conus medullaris syndrome (spinal injury that cause numbness). […]

• Actual harm, isolatedF686Jan 13, 2023

  Based on interview, and record review the facility failed to identify risk factors, initiate preventative measures, and monitor the assessment of the treatment ordered for the development of a facility-acquired pressure ulcer for one of two residents (1) reviewed for pressure ulcers. This failure caused harm to Resident 1, who developed a Stage III (full thickness skin loss) to their buttocks that was not present upon admission. This failed practice placed other potential residents at risk for the development of a pressure ulcer. Findings included . […]

• No harm, potential for more than minimal, widespreadF880Mar 11, 2026

  Based on observation, interview, and record review the facility failed to ensure staff were compliant with Infection Prevention and Control Guidelines and standards of practice for 3 of 3 halls (Residents 15,16, 18, 20, 27, 33, 43, 44, 47, 54, 64, 63, 67, 68, 70, 71, 5, 95, 94, 86) reviewed for influenza outbreak, 4 of 4 rooms reviewed for TBP (Rooms 212, 316, 213 and 115) and failed to implement their respiratory protection plan (RPP - a safety plan ensuring staff are properly trained, medically cleared, and fit-tested to wear an N95 mask) for 85 of 109 employed staff. […]

• No harm, potential for more than minimal, widespreadF813Jul 25, 2024

  Based on interview and record review the facility failed to ensure their policy related to foods brought in from outside sources included how the facility would safely store those foods and the manner in which it would ensure they were stored in a way that was either separate or easily distinguishable from facility food. This failure placed residents at risk for decreased quality of life related to an inability to exercise their right and preference to have food items of their choice brought into the facility and safely stored. […]