Vista Pacifica Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Vista Pacifica Convalescent Hospital, in the surveyor’s own words.

• Immediate jeopardy, patternF688Feb 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure, for seven of seven residents (Residents 1, 16, 21, 22, 28, 29, and 151) reviewed for range of motion (ROM the full movement potential of a joint), a system or process was in place to: 1. Identify, assess, evaluate, and monitor residents with limited ROM and contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to (abnormality and stiffness of the joints); and 2. Provide an appropriate care and treatment to improve, maintain, or prevent contractures and/or limitation with ROM. […]

• No harm, potential for more than minimal, widespreadF814Feb 11, 2022

  Based on observation, interview, and record review, the facility failed to ensure a clean environement for the residents and visitors was provided when the dumpster was observed overflowing and was not securely closed with the dumpster lids. This failure had the potential to attract pests, insects, and vermin which could create an unsanitary environment for vulnerable residents residing in the facility. Findings: On February 8, 2022, at 2:30 p.m., four dumpsters were observed outside the facility. One dumpster was observed to be open with garbage overflowing over the top and the dumpster lid was not completely closed. On February 8, 2022, at 2:33 p.m., an interview was conducted with the Dietary Services Supervisor (DSS). […]

• No harm, potential for more than minimal, patternF880Feb 27, 2025

  Based on observation, interview, and record review, the facility failed to implement infection control and prevention program when: 1. For one of three residents reviewed (Resident 12), the facility did not ensure the oxygen nasal cannula (a plastic device that delivers oxygen through a tube and into the nose) was stored in an appropriate container or bag when not in use; and 2. For 16 of 47 residents reviewed (Residents 2, 5, 6, 8, 13, 16, 20, 26, 28, 30, 31, 36, 39, 40, 46, and 47), annual TB (tuberculosis-a type of contagious respiratory infection) skin test (test used to diagnosed TB) was not conducted timely. These failures increased the potential for the spread of infection to an already medically compromised resident population of 47 residents. Findings: 1. […]

• No harm, potential for more than minimal, patternF656Feb 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure a comprehensive care plan (specific interventions to provide effective and person-centered care to meet the resident's needs) was initiated, for five of seven residents (Residents 1, 21, 22, 29, and 151) when: 1. Residents 1, 21, 22, 29, and 151 had limited range of motion (ROM- the full movement potential of a joint) and/or contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to abnormality and stiffness of the joints); and 2. Resident 21 had Apixaban (medication that helps prevent blood clots) These failures had the potential to result in the delay in treatment and care for Residents 1, 21, 22, 29, and 151. Findings: 1. […]

• No harm, potential for more than minimal, patternF710Feb 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure the medical supervision of the care of each resident by a physician and that orders for the resident's immediate care and needs were provided for seven of seven residents (Residents 1, 16, 21, 22, 28, 29, and 151 ) with limited range of motion (ROM- the full movement potential of a joint), and or contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to abnormality and stiffness of the joints). These failures resulted in the delay in treatment and care for Residents 1, 16, 21, 22, 28, 29, and 151. Findings: 1. On February 8, 2024, at 12:26 p.m., a concurrent observation and interview was conducted with Resident 1. […]