Vista Ridge Nursing & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Apr 2, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for one (Resident #1) of five residents reviewed supervision. The facility failed to ensure Resident #1 (who was ordered a pureed diet and was a known aspiration risk) was provided with adequate supervision during the lunch meal on 04/01/25. Resident #1 was sat at a table with another resident who offered her a cookie, which Resident #1 accepted and ate, which led to her coughing several times before finishing the cookie. […]

• No harm, potential for more than minimal, patternF812Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. The facility failed to ensure stored canned goods had uncompromised seals and were free from dents.The facility failed to ensure the handwashing sink #2 of #2 garbage receptacle contained only paper towels.These failures could place residents at risk for food-borne illness, cross contamination, and infection.findings included: During an observation of the #1 handwashing sink's garbage receptacle on 03/17/2026 at 11:15 a.m., the following was revealed: #1 of #2 handwashing sinks had garbage receptacles that contained items other than disposable paper… […]

• No harm, potential for more than minimal, patternF880Mar 19, 2026

  Based on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three of four staff members (MA A, MA B and CNA C) and six of six residents (Resident #71, #89, #4, #13, #88 and #76) reviewed for infection control procedures. 1. The facility failed to ensure MA A performed hand hygiene after direct contact with Resident #71, while serving meals in the dining room. 2. The facility failed to ensure MA A disinfected the blood pressure cuff in between vital sign checks for Resident #89 and Resident #4. 3. […]

• No harm, potential for more than minimal, patternF919Nov 26, 2025

  Based on observation, interview, and record review the facility failed to ensure the nurse call system was accessible for residents to call for staff assistance through a communication system which relays the call directly to a staff member of a centralized staff work area for seven of ten residents (Residents #1, #2, #4, #5, #6, #7, and #9) reviewed for Reasonable Accommodation of Needs. The facility failed to ensure the call light system in Residents #1, #2, #4, #5, #6, #7, and #9's rooms were in a position accessible to the residents on 10/07/25 on the 200, 300, and 400 halls. This failure could place residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings included: 1. […]

• No harm, potential for more than minimal, patternF695May 22, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that residents, who needed respiratory care, was provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three (Resident #1, Resident #2, and Resident #3) of eight residents reviewed for quality of care. 1. The facility failed to ensure Resident #1's nasal cannula nasal cannula (flexible tube used to deliver oxygen to the nose through two prongs) was stored properly. 2. The facility failed to ensure Resident #1's nasal cannula and humidifier were changed weekly. 3. The facility failed to ensure there was an Oxygen in Use sign outside Resident #1's door. 4. […]