Vista Center of Boardman

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 28, 2024

  Based on medical record review, review of a facility Self-Reported Incident (SRI) and investigation, review of the facility Abuse policy and interviews with staff, resident and family, the facility failed to ensure Resident #5, who was assessed to have severe cognitive impairment and unable to provide consent, was free from resident-to-resident sexual abuse. This resulted in Immediate Jeopardy and the potential for psychosocial and physical harm on 03/12/24 at 3:17 P.M. for Resident #5, when Resident #42, who was cognitively intact, and had a known history of sexual behaviors towards other residents and staff prior to 03/12/24 and without planned interventions, was observed on her knees, naked from the waist down, performing oral sex on Resident #5. […]

• No harm, potential for more than minimal, widespreadF839Aug 26, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on interview and record review the facility failed to verify a nursing license prior to training nursing staff for the position of registered nurse. This had the potential to affect all residents in the facility. The facility census was 43. Findings include:Review of a police report dated 08/04/26 revealed police were dispatched to the facility in reference to an identity theft report. Officers met with facility staff who stated Certified Nursing Assistant (CNA) #863 had provided them with a falsified Registered Nurse (RN) license. […]

• No harm, potential for more than minimal, widespreadF812Feb 19, 2026

  Based on observation, interview, policy review and review of the microessentiallab.com website, the facility failed to have unexpired test strips to test for proper sanitization levels at the three-sink manual dish washing area. This had the potential to affect 45 residents receiving food from the facility kitchen. There was one (Resident #19) identified by the facility as receiving nothing by mouth. The facility census was 46.Findings include:An observation during the initial tour of the kitchen on 02/17/26 at 8:15 A.M. revealed Hydrion test strips (test strips used to test for proper sanitization levels of chemicals to ensure efficacy) with an expiration date of 11/01/25 at the three-sink manual dish washing area. […]

• No harm, potential for more than minimal, widespreadF814Feb 19, 2026

  Based on observation, interview and facility policy review, the facility failed to maintain a sanitary garbage storage area. This had the potential to affect all residents. The facility census was 46.Findings include:An observation of the outside dumpster area on 02/17/26 at 8:30 A.M. revealed approximately six pairs of used vinyl medical gloves scattered on the ground around the dumpster. The lid to the dumpster was open. The side slide door was open. Dietary [NAME] #513 verified the findings at the time of the observation.A review of the facility policy titled; Garbage Removal and Dumpster, dated 12/21/21, revealed garbage can attract pests and contaminate food, equipment and utensils if not handled correctly. […]

• No harm, potential for more than minimal, widespreadF880Feb 19, 2026

  Based on record review, observation, interview, review of the Centers for Disease Control and Prevention (CDC) guidelines and facility policy review, the facility failed to maintain a clean and sanitary laundry environment to prevent the spread of germs, failed to ensure staff performed hand hygiene to prevent cross contamination of germs during medication administration for Resident #33 and Resident #21, failed to properly clean the glucometer after use to obtain Resident #39's blood sugar, failed to contain Resident #60's contaminated linen and personal protective equipment (PPE) appropriately and failed to provide Resident #1 with a sanitary area to eat his meal. […]