Vineyards at Fowler

In the surveyor’s words

From the most serious findings on record at Vineyards at Fowler, in the surveyor’s own words.

• Immediate jeopardy, patternF684May 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure seven of 13 sampled residents (Residents 10, 11, 13, 25, 32, 33, and 36) received diabetic (disease in which the body's ability to produce or respond to the hormone insulin is impaired) management care in accordance with professional standards of practice when: 1. Resident 10 did not have a baseline (starting point) hemoglobin A1C (HBA1c- test tells you your average level of blood sugar over the past two to three months; the target A1c level for people with diabetes is usually less than 7% [percent]. […]

• No harm, potential for more than minimal, widespreadF801Jan 9, 2026

  Based on observation, interview and record review, the facility failed to ensure the Dietary Manager was qualified to perform the duties of a dietary supervisor when the facility was unable to provide documentation the Dietary Supervisor (DS) completed a state-approved program in dietetic service supervision. Regulatory requires individuals in this role to meet one of seven recognized qualification pathways. The DS Food Handler Card, high school transcripts, and Regional Occupational Program (ROP-hands on training and career preparation in various fields including culinary arts, health care, automotive and technology) course documentation were insufficient to meet the regulatory requirements under HCS (Health and Safety Code- state laws and regulations governing public health, healthcare… […]

• No harm, potential for more than minimal, widespreadF812Jan 9, 2026

  Based on observation, interview and record review the facility failed to ensure the food preparation sink was equipped with a required air gap to prevent contamination, when the food preparation sink was observed without an air gap, creating the potential for backflow and contamination of food and food-contact surfaces.This failure had the potential to affect 40 of 41 residents who received meals prepared in the facility. During an observation on 9/30/25 at 8:16a.m. in the kitchen, the one-compartment sink located next to Fridge 2 was observed with beans soaking. During an interview on 1/6/26 at 12:51p.m. with Kitchen Staff (KS) 1, KS 1 stated the small, one-compartment sink was used as the food preparation sink. […]

• No harm, potential for more than minimal, widespreadF814Jan 9, 2026

  Based on observation, interview and record review the facility failed to ensure garbage was stored and disposed of in a manner that prevented unsanitary conditions when 3 of 3 outdoor dumpsters were observed with lids open and one dumpster was overflowing.This failure had the potential to attract pests, create offensive odors and negatively impact food safety and the overall sanitary environment of the facility. During an observation on 1/6/26 at 12:44 p.m. the facility's dumpsters located behind the building were observed with all three lids in the open position. One dumpster contained overflowing boxes, which prevented the lid from closing securely. During an interview on 1/6/26 at 12:51 p.m. […]

• No harm, potential for more than minimal, widespreadF838Sep 20, 2024

  Based on interview, facility document review, and facility policy review, the facility failed to ensure the facility-wide assessment was updated and reviewed annually. This deficient practice had the potential to affect all residents who resided in the facility. Findings included: A facility policy titled, Facility Assessment, implemented 06/2024, revealed, 10. The facility assessment will be reviewed and updated as necessary and at least annually. A Facility Assessment Tool, revealed the sections for Date(s) of assessment or update and Date(s) assessment reviewed with QAA [Quality Assurance Assessment]/QAPI [Quality Assurance and Performance Improvement] committee, were dated 08/31/2023. […]