Vista Real Post Acute

In the surveyor’s words

From the most serious findings on record at Vista Real Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 23, 2024

  Based on interview and record review the facility failed to provide an environment free of physical abuse for one of five residents (Resident 2) when staff did not intervene and redirect Resident 2 away from Resident 3, who had previously alleged that Resident 2 had taken his belongings. This failure resulted in Resident 3 punching Resident 2 on the right side of the face, causing Resident 2 to fall and sustain a laceration (broken skin) and swelling on the right side of the face. Findings: On December 23, 2024, Resident 2' s admission record was reviewed. […]

• Actual harm, isolatedF689Dec 16, 2024

  Based on observations, interviews, and record review, the facility failed to provide effective supervision for one of five sampled residents (Resident 2), who had history of exhibiting unprovoked aggressive behavior towards staff members and had history of altercation with another resident. This failure resulted in Resident 2 to be able to hit a resident (Resident 1) on the left side of her face with a plastic plate cover. Resident 1 sustained a black bruise and swelling above the corner of the left upper lip. Findings: On November 19, 2024, at 11:13 am., an unannounced visit to the facility was conducted to investigate a complaint and facility Reported Incident on an allegation of abuse. […]

• No harm, potential for more than minimal, widespreadF814Jun 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper disposal of garbage when multiple cardboard boxes were found on the ground outside of the designated container and not stored appropriately. This failure had the potential to attract pests and cause infection control issues. Findings: On June 23, 2025, at 10:55 a.m., during an observation of the garbage and refuse storage area, multiple cardboard boxes were found on the ground near the recycling container and not stored inside the container. On June 23, 2025, at 11:03 a.m., during a concurrent observation and interview with the Dietary Supervisor (DS), in front of the containers, the DS stated there should not be any debris or cardboard boxes on the ground around the containers. […]

• No harm, potential for more than minimal, widespreadF812Feb 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure food items were stored in accordance with the professional standards for food service safety when: 1. Multiple food items in the dry storage room were not labeled with received by date or open date as per facility policy and procedure; 2. Five pounds thickener in a bucket was not labeled with an open date; 3. Multiple rotten food items were in the walk-in refrigerator available for use; and 4. Six loaves of bread and 6 pieces of bun were stored outside the walk-in refrigerator available for use. These failures had the potential to result in contamination of food, causing food-borne illnesses to vulnerable population of 46 residents. Findings: 1. […]

• No harm, potential for more than minimal, patternF578Jun 26, 2025

  Based on interview and record review, the facility failed to ensure, seven of 14 residents reviewed for Advance Directive (AD - written statement of a person's wishes regarding medical treatment) (Residents 1, 6, 10, 21, 23, 32, 42) the resident or their resident representative (RP) had been provided follow up information regarding the formulation of an AD. This failure had the potential to result in the ADs for Residents 1, 6, 10, 21, 23, 32, and 42 not being readily accessible to staff and physicians, which could lead to the residents' wishes regarding medical treatment being unknown and ultimately not honored. Findings 1. On June 24, 2025, at 11:16 a.m., an interview was conducted with Resident 6. […]