Vista Park Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Vista Park Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF692Sep 11, 2025

  Based on observations, record reviews, interviews, and review of the facility's policy titled, Weight and Nutrition Management, the facility failed to ensure timely interventions and assessments were completed after a significant weight loss for one of seven Residents (R) (R115) reviewed for weight loss out of 43 sampled residents. This failure had the potential to lead to additional weight loss concerns and malnutrition.Findings include:Review of the facility's policy titled, Weight and Nutrition Management, reviewed 12/27/202024, revealed It is the intent of this center to review and assess nutritional aspects related to significant weight changes. […]

• No harm, potential for more than minimal, isolatedF812Sep 11, 2025

  Based on observations, interviews, and review of the facility's policy titled, Meal Service, the facility failed to ensure ready-to-eat food was not touched with bare hands during meal assistance for one of seven Residents (R) (R115) reviewed for weight loss out of a total sample of 43 residents. This failure had the potential to lead to the spread of infection and food borne illness. Findings include: Review of the facility's policy titled, Meal Service, reviewed 12/27/2024, revealed Associates should not need to wear gloves with distributing foods to patients or when assisting residents to dine unless touching ready to eat foods.During a lunch observation on 9/10/2025 at 1:47 pm, Certified Medication Aide (CMA) 1 assisted R115 with feeding. […]

• No harm, potential for more than minimal, isolatedF554Mar 7, 2024

  Based on observations, resident and staff interviews, record review, and review of the facility policies titled, Self -Administration of Drugs, the facility failed to ensure two of 25 residents (R) (R59 and R87) did not have unsecured, unauthorized medications stored at the bedside. This deficient practice had the potential to allow unauthorized access of medications to other residents and visitors in the facility. Finding include: Review of the facility policy titled, Self-Administration of Drugs dated 12/29/2023 under intent: It is the intent to promote safe medication administration practices for patients that choose to self-administer medications. […]

• No harm, potential for more than minimal, isolatedF656Mar 7, 2024

  Based on observations, staff interviews, record review, and review of the facility policy, titled, Patient's Plan of Care the facility failed to follow the care plan for one of 20 Residents (R) R85 that required assistance with Activities of Daily Living (ADL). Findings include: Review of the facility policy titled, Patient's Plan of Care, dated 12/29/2023 revealed under Intent: to promote person-centered comprehensive care plan. Under Guideline: Each patient will have a person-centered comprehensive care plan developed and implemented to meet his or her other preferences and goals, and address the patient's medical, physical, mental, and psychosocial needs. […]

• No harm, potential for more than minimal, isolatedF677Mar 7, 2024

  Based on observations, resident interview, staff interviews, and review of the facility policy titled, Care of fingernails/Toenails, the facility failed to ensure that nail care was provided for one of 20 residents (R) R85 with contractures. Findings include: Review of the facility policy titled, Care of fingernails/Toenails, dated12/29/2023 under Intent: It is the intent of this center to provide appropriate nail care to patients. Record review revealed the Quarterly Minimum Data Set (MDS) Section C - Brief Interview for Mental Status (BIMS) was a 15 indicating resident had little to no cognitive impairment; section GG - Functional Limitation in Range of Motion - impairment both sides upper extremity; impairment on one side lower extremity; uses wheelchair; needs set up or clean up… […]