Vista Grande Villa

In the surveyor’s words

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

• Actual harm, isolatedF686Sep 21, 2022

  Based on observation, interview and record review, the facility failed to prevent the development of pressure ulcers and monitor pressure ulcers for 3 Resident (R3, R15, and R9) reviewed for alterations in skin integrity, resulting in the development of pressure ulcers and the potential for further skin breakdown, delayed wound healing, infection, and overall deterioration in health status. Findings: Resident #3 (R3) Review of an Admission Record revealed R3 was a [AGE] year-old female, originally admitted to the facility on [DATE], with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Review of a Minimum Data Set (MDS) assessment for R3, with a reference date of 6/10/22 revealed R3 was severely cognitively impaired. […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2026

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment affecting 42 residents who consume food products, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings Include:On 02/18/2026 at 9:17 A.M., The ambient air thermometer in the walk-in cooler was observed with accumulated and encrusted moist black droplets resting upon the metallic surface.On 2/18/2026 at 9:26 A.M., The walk in cooler metal wire shelving units was observed soiled with accumulated and encrusted food residue.On 2/18/2026 at 10:01 A.M., The clean equipment storage rack found two shallow pans with encrusted food residue on the rim. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2023

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment effecting 34 residents, resulting in the increased likelihood for cross-contamination and bacterial harborage. Findings include: On 10/16/23 at 06:56 A.M., An initial tour of the food service was conducted with Director of Food Services/Executive Chef D and Sous Chef E. The following items were noted: The Walk-In Cooler refrigeration unit fan blades and fan guards were observed heavily soiled with accumulated and encrusted soil deposits. The Walk-In Freezer automatic door closer assembly was observed weak, allowing the door to not completely close. Ice [NAME] were also observed protruding from the rear of the interior refrigeration unit. […]

• No harm, potential for more than minimal, widespreadF812Sep 21, 2022

  Based on observation, interview, and record review, the facility failed to maintain a sanitary kitchen, properly maintain equipment and properly date mark potentially hazardous food resulting in potential biological contamination of food products. These deficient practices affect all residents who consume food from the kitchen. Findings include: On [DATE] at 10:28 AM, an initial tour of the food service area was conducted with Director of Dining Services S and District Manager N. The following items were noted: The high temperature dish machine was in use following the breakfast service. Thermal test strips used to determine the final rinse temperature of the machine was not available. Director of Dining Services S was not able to locate any thermal test strips or temperature logs. […]

• No harm, potential for more than minimal, widespreadF812Jun 24, 2021

  Based on observation, interview, and record review, the facility failed to effectively clean and maintain food service equipment effecting 21 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and cross-connections between the potable (drinking) and non-potable (non-drinking) water supplies. Finding include: On 06/21/21 at 11:01 A.M., An initial tour of the food service was conducted with Assistant Director of Dining Services J. The following items were noted: The ceiling surface was observed (bubbled, peeling, and particulate) within the Dry Storage Room. […]