Vista Center, The

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 2, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY: Based on observation, record review, review of a facility investigation, review of the facility Elopement policy and procedure, interviews with staff, a family member and police detective the facility failed to provide adequate supervision and interventions to prevent Resident #4, who was cognitively impaired, utilized a rollator walker for mobility, was frequently exit seeking and identified at risk for elopement, from exiting the facility without staff knowledge. This resulted in Immediate Jeopardy and the potential risk for actual harm, injury or death on [DATE] at 5:28 P.M. when Resident #4 left the facility via an alarmed door, without staff knowledge. […]

• No harm, potential for more than minimal, widespreadF804Feb 19, 2026

  Based on observation, sampled test tray, and interview the facility failed to provide palatable meals at preferred temperatures to residents. This had the potential to affect all 46 residents who received meals from the kitchen. The facility census was 46. Findings include: Interview on 02/17/26 at 9:42 A.M. with Resident #126 revealed food is sometimes cold and believes it is due to being at the very end of the 100 Hall and last to be served. Interview on 02/17/26 at 11:51 A.M. with Resident #32 revealed food is often cold or warm but not hot. Interview on 02/17/26 at 3:17 P.M. […]

• No harm, potential for more than minimal, widespreadF921Feb 19, 2026

  Based on observation, interview and record review, the facility failed to provide a comfortable and sanitary environment for residents. This had the potential to affect all residents living in the facility. The facility census was 46. Findings include:1. On 02/17/26 at 9:34 A.M., an observation of the west hallway between rooms [ROOM NUMBERS] revealed the hallway was full of equipment on both sides. Between room [ROOM NUMBER] and 215, there was a large covered laundry cart, a blue straight back chair, a dirty linen cart, and a housekeeping cart. These were blocking the handrails. Across the hall, there was a medication cart between room [ROOM NUMBER] and 214. There was also a nurse standing at the medication cart, preparing medications. […]

• No harm, potential for more than minimal, widespreadF562May 1, 2025

  Based on observation and interviews with family, staff, residents, and the Ombudsman, the facility failed to ensure residents and family members were able to contact facility staff members via the telephone. This had the potential to affect all residents in the facility. The facility census was 45. Findings include: Review of the two anonymous complaint intake reports reported to the state agency revealed facility staff did not answer the facility telephones. Attempted phone calls made by the State agency on 04/29/25 at 5:36 P.M., 04/29/25 at 5:40 P.M., 04/29/25 at 5:44 P.M., and 04/30/25 at 7:07 A.M. revealed the facility staff members did not answer the telephone and there was not a way to leave a message. […]

• No harm, potential for more than minimal, widespreadF725Jan 16, 2025

  Based on observations, interview, review of schedules, and record review, the facility failed to ensure there was sufficient staff to provide residents with timely care. This had the potential to affect all 48 residents. Findings include: 1. During confidential interviews of residents and family, concerns were addressed regarding staffing levels. Interviewees did not wish to be identified but concerns addressed included failure of staff to provide timely assistance with three of the residents interviewed revealing wait times for call light response had extended to an hour or more. […]