Vista Manor Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Oct 11, 2024

  Based on observation, interview, and record review the facility failed to store food and maintain the kitchen under sanitary conditions when: 1. Several food items were undated for use by dates in the refrigerators, freezers, and dry goods area, 2. Ice buildup was noted on the Dessert Freezer #2, 3. A black electric fan had dust accumulated on its surface, 4. Black residue was on the caulking of the dishwasher round sink and 3-compartment sink. Failure to follow facility procedures and standards of practice for food safety has the potential of exposing residents, who are served food from the kitchen, to foodborne illnesses. Findings: 1. […]

• No harm, potential for more than minimal, patternF755Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to store medications in a safe and effective manner when expired medications were found in two of two medication rooms. This failure could result to unsafe medication administration to residents. Findings: During a concurrent observation and interview with nurse supervisor F (NS F) on 10/3/22 at 11:32 a.m , in medication room A, a bottle of acidophilus (probiotic) with an expiration date of 7/2022., was found inside the medication refrigerator. A vial of [MEDICATION(S)] (a medication to treat anxiety) with an expiration date of 9/2022 was also found in the emergency kit. […]

• No harm, potential for more than minimal, patternF759Oct 7, 2022

  Based on observation, interview, and record review, the facility had a 17.6% medication error rate when five medication errors out of 28 opportunities were observed during medication administration for four residents (Resident 2,50,63, and 122). This failure had the potential to compromise the resident's medical health. Findings: 1. During a concurrent observation and interview on 10/3/22 at 9:27 am, licensed vocational nurse C (LVN C) administered the scheduled morning medications to Resident 2 except [MEDICATION(S)] (blood pressure medication). LVN C stated [MEDICATION(S)] was not available. […]

• No harm, potential for more than minimal, patternF812Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was stored and labeled in accordance with professional standards for food safety when: 1. Two refrigerators did not have internal thermometers and; 2. A bag of food inside of the resident's refrigerator did not have a label, These failures had the potential to cause the growth of microorganisms and foodborne illness for the 64 residents eating at the facility. Findings: 1. During a concurrent observation and interview with the Registered Dietitian (RD) on 10/3/2022 at 11:49 a.m., in the kitchen, there was no thermometer inside the Refrigerator 1. […]

• No harm, potential for more than minimal, patternF880Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented when: 1. Staff did not wear N95 masks (a high filtering facepiece device designed to achieve a very close facial fit that filter at least 95% of airborne particles) properly; 2. Certified nursing assistant I (CNA I) did not disinfect the vital signs machine (blood pressure machine, pulse oximeter, thermometer in one machine attached to a pole with tray and wheels) after use; 3. Resident 35's oxygen tubing was not dated and labeled; 4. Licensed nurses did not label and date the oxygen tubing for Residents 12 and 24; 5. Staff did not perform hand hygiene during medication pass; 6. Staff did not disinfect the insulin vial rubber top; 7. […]