Inspection Reports for Palm Vista Senior Living
3850 W Rancho Vista Blvd, Palmdale, CA 93551, United States, CA, 93551
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with routine annual and complaint investigations consistently showing compliance. Several complaint investigations were unsubstantiated, including allegations related to resident care, medication management, and dietary concerns. The only substantiated issues occurred on January 4, 2023, when the facility failed to provide a variety and quantity of food and did not offer healthy meal alternatives for special dietary needs, posing a health and safety risk. Since then, inspections have shown improvement, with the most recent report on June 25, 2025, finding no deficiencies. No fines, enforcement actions, or severe issues were noted in the available reports.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 93
Capacity: 115
Deficiencies: 0
Jun 25, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found the facility to be in compliance with no deficiencies reported. Observations included adequate food supplies, clean and safe common areas, a recent fire drill, and secure medication rooms.
Report Facts
Water temperature: 116
Fire drill date: May 29, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Administrator | Met during inspection and confirmed census |
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection visit |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 89
Capacity: 115
Deficiencies: 0
Apr 18, 2025
Visit Reason
The visit was an unannounced case management visit to review residents' files and follow up on reports relating to an incident that occurred at the facility.
Findings
No deficiencies were found during the visit. The Licensing Program Analyst toured the facility, interviewed key staff, and reviewed residents' files without identifying any violations.
Inspection Report
Complaint Investigation
Census: 83
Capacity: 115
Deficiencies: 0
Mar 26, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff charged a resident for services not rendered and did not ensure that a resident's incontinence care needs were met.
Findings
The investigation found that the resident was provided the services billed, including escort services, and received a full refund for disputed charges. Staff and documentation confirmed that incontinence care needs and escort services were met. The allegations were unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint involved allegations that staff charged a resident for services not rendered and failed to meet a resident's incontinence care needs. The allegations were found to be unsubstantiated after review of documentation, interviews with staff and residents, and confirmation of a refund issued to the resident.
Report Facts
Capacity: 115
Census: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Administrator | Met with Licensing Program Analyst during investigation and provided information regarding allegations |
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation |
| Jeisy Pinoargot | Resident Care Director | Confirmed completion and presentation of Needs and Services Plan |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 115
Deficiencies: 0
Oct 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation initiated due to an allegation that staff were not allowing a resident to leave the facility.
Findings
The investigation found that the allegation was unsubstantiated. The resident's Power of Attorney (POA) had been contacted and did not permit the resident to leave with a friend due to safety concerns related to the resident's cognitive ability.
Complaint Details
The complaint alleged that staff were not allowing a resident to leave the facility. The allegation was unsubstantiated after interviews with staff, the resident, and review of documentation. The POA confirmed the resident was not allowed to leave for safety reasons.
Report Facts
Capacity: 115
Census: 84
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation |
| Stuart Montalvo | Administrator | Facility administrator met during investigation and confirmed POA contact |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 56
Capacity: 115
Deficiencies: 0
Jul 5, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found the facility to be well-maintained with no deficiencies reported. Areas such as dining, emergency supplies, common areas, memory care, medication rooms, and records were reviewed and found to be in compliance.
Report Facts
Water temperature: 116.2
Residents' medication reviewed: 4
Staff records reviewed: 5
Staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Stuart Montalvo | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 115
Deficiencies: 0
Apr 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted to address multiple allegations against the facility, including unlawful eviction, retaliation, failure to follow physician orders, medication mishandling, privacy violations, confiscation of personal belongings, and overcharging residents.
Findings
The investigation found all allegations to be unsubstantiated after reviewing resident files, interviewing staff and residents, and examining documentation. No evidence supported claims of retaliation, medication mishandling, privacy violations, or overcharging.
Complaint Details
The complaint investigation addressed allegations including unlawful eviction of a resident, staff retaliation, failure to follow licensed physician orders, mishandling of medications, lack of resident privacy, unlawful confiscation of personal belongings, and overcharging for services not received. All allegations were found unsubstantiated.
Report Facts
Facility capacity: 115
Resident census: 63
Staff interviewed: 5
Residents interviewed: 6
Complaint control number: 31-AS-20240201160406
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Stuart Montalvo | Administrator | Facility administrator involved in providing documentation and statements during investigation |
| Jeisy Pinoargote | Resident Care Director | Met with Licensing Program Analyst and provided information during investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 115
Deficiencies: 0
Apr 19, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-05-02 regarding multiple allegations about resident care and facility conditions at Palm Vista Senior Living Facility.
Findings
The investigation reviewed multiple allegations including inaccurate assessment of resident needs, lack of communication with families, inadequate care, pressure injuries, and other concerns. After interviews with residents, staff, and review of documentation, all allegations were found to be unsubstantiated.
Complaint Details
The complaint investigation addressed nine allegations including inaccurate resident needs assessment, poor communication with families, cluttered rooms, pressure injuries, inadequate care and assistance, lack of hot water, missed medical attention, feeding issues, and medication concerns. All allegations were determined to be unsubstantiated based on interviews with residents, staff, and documentation review.
Report Facts
Number of residents interviewed: 63
Number of staff interviewed: 26
Facility capacity: 115
Facility census: 115
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Jeisy Pinoargote | Resident Care Director | Met with Licensing Program Analyst during investigation and provided information |
| Stuart Montalvo | Administrator | Facility Administrator mentioned in report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 115
Deficiencies: 0
Apr 18, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that staff inappropriately forced a resident into memory care without a prior diagnosis of dementia, potentially for financial gain.
Findings
The investigation included interviews, observations, and record reviews which revealed that the resident had a physician-diagnosed dementia and demonstrated progression in their condition requiring memory care. The allegation was found to be unsubstantiated.
Complaint Details
The complaint alleged that staff inappropriately forced a resident into memory care without a prior dementia diagnosis. The investigation found the resident had a dementia diagnosis from May 2023 and showed progression in needs, with all assessments and plans having proper consent. The allegation was unsubstantiated.
Report Facts
Capacity: 115
Census: 63
Dates of resident assessments: 05/12/2023, 06/20/2023, 12/14/2023, 01/25/2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted complaint investigation and interviews |
| Troy Agard | Licensing Program Manager | Conducted complaint investigation and interviews |
| Stuart Montalvo | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 115
Deficiencies: 0
Oct 12, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that the facility was not meeting dietary needs of residents, not providing a variety and quantity of food necessary, and not providing various activities.
Findings
Based on interviews with residents and staff, review of dietary communication notifications, menus, and observations, the allegations were found to be unsubstantiated. The facility provides meals meeting dietary needs, a variety of food choices in sufficient quantity, and a variety of activities enjoyed by residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet dietary needs, insufficient variety and quantity of food, and lack of activities. Interviews and document reviews confirmed the facility met these requirements.
Report Facts
Residents interviewed: 7
Staff interviewed: 5
Dietary needs reviewed: 3
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
| Isabel Cortes | Business Officer Manager | Met with during investigation |
| Stuart Montalvo | Administrator | Facility Administrator named in report |
Inspection Report
Annual Inspection
Census: 56
Capacity: 115
Deficiencies: 0
Jun 13, 2023
Visit Reason
The inspection was an unannounced required one-year visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was toured and various areas including dining, emergency supplies, common areas, residents' rooms, medication rooms, and records were reviewed. No deficiencies were found during the inspection.
Report Facts
Water temperature: 110.7
Fire drill date: Mar 8, 2023
Staff records reviewed: 5
Memory care residents medication reviewed: 4
Assisted living residents medication reviewed: 4
Inspection Report
Complaint Investigation
Census: 46
Capacity: 115
Deficiencies: 0
Apr 25, 2023
Visit Reason
The visit was conducted regarding an incident report received on 2023-04-10 involving a resident experiencing hydration symptoms and heat exhaustion.
Findings
The licensing analyst conducted a tour and interviews, found no health or safety issues, and confirmed the resident was monitored and received medical attention. No deficiencies were reported.
Complaint Details
The complaint involved Resident 1 who was observed with hydration symptoms on 2023-04-10, was taken to the hospital for heat exhaustion, and returned the same day. Staff confirmed monitoring and fluid intake.
Report Facts
Residents in memory care unit: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Administrator | Met with licensing analyst and confirmed census and incident details |
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and interviews |
| Cassandra Harris | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 115
Deficiencies: 2
Jan 4, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility was not meeting dietary needs of residents, not providing a variety and quantity of food necessary to meet residents' needs, and not providing various activities.
Findings
The investigation substantiated that the facility failed to meet dietary needs of residents and did not provide a variety and quantity of food necessary. However, the allegation regarding lack of various activities was unsubstantiated. No health or safety issues were observed during the visit.
Complaint Details
The complaint investigation was substantiated for allegations related to dietary needs and food variety/quantity but unsubstantiated for the allegation regarding activities. The complaint was received on 2022-11-29 and investigated on 2023-01-04.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to provide a variety and quantity of food for the residents. | Type B |
| Facility did not provide healthy meal alternatives to residents with special dietary needs, posing a health and safety risk. | Type B |
Report Facts
Capacity: 115
Census: 41
Plan of Correction Due Date: Jan 11, 2023
Number of residents interviewed for dietary needs: 4
Number of residents interviewed for food variety: 6
Number of residents observed participating in activities: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Cassandra Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Stuart Montalvo | Administrator | Facility administrator met with the investigator and was involved in the exit interview |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 115
Deficiencies: 0
Nov 23, 2022
Visit Reason
The visit was conducted regarding an incident report received by the Community Care Licensing (CCL).
Findings
The facility was observed to be neat and clean with staff following COVID protocols. There were no deficiencies reported based on the review of resident files and discussions with the Administrator and Resident Care Director.
Complaint Details
The visit was complaint-related due to an incident report. Based on discussions with the Administrator and Resident Care Director, there were no issues found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Administrator | Met with during the inspection and discussed incident reports. |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 115
Deficiencies: 0
Jul 15, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations of staff mismanaging resident's medication, staff inaccurately recording resident medications on the facility MAR, and staff yelling at a resident in care.
Findings
The investigation found no health or safety issues. Interviews with residents, staff, and the Resident Care Director, as well as medication documentation review, confirmed that medications were properly managed and recorded, and staff did not yell at residents. All allegations were unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated for all three allegations: staff mismanaged resident's medication, staff inaccurately recorded resident medications on the facility MAR, and staff yelled at resident in care.
Report Facts
Capacity: 115
Census: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Administrator | Met with during the investigation and mentioned in findings |
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation |
| Cassandra Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 12
Capacity: 115
Deficiencies: 0
Jul 12, 2022
Visit Reason
The visit was an unannounced post licensing inspection conducted to evaluate the facility's compliance following licensing.
Findings
The facility was observed to be clean and well-maintained with appropriate infection control measures in place. No deficiencies were reported during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Administrator | Met with during the inspection and confirmed resident census. |
Inspection Report
Complaint Investigation
Census: 12
Capacity: 115
Deficiencies: 0
Jul 12, 2022
Visit Reason
The visit was an unannounced complaint investigation regarding allegations that staff retained a resident requiring a higher level of care, failed to ensure wound care, and did not feed memory care residents in a timely manner.
Findings
The investigation found no health or safety issues. All allegations were unsubstantiated after interviews with staff, review of resident files, and observation of facility operations.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff retaining a resident requiring higher care, failure to provide wound care, and untimely feeding of memory care residents. Interviews and file reviews confirmed no deficiencies.
Report Facts
Capacity: 115
Census: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation |
| Stuart Montalvo | Administrator | Facility administrator interviewed during investigation |
| Cassandra Harris | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Capacity: 115
Deficiencies: 0
Jun 1, 2022
Visit Reason
The visit was a prelicensing, unannounced inspection to evaluate the facility prior to licensing.
Findings
The Licensing Program Analyst toured the facility, observing the assisted living and memory care sections, common areas, safety features, and emergency supplies. No issues or deficiencies were observed during the inspection.
Report Facts
Water temperature: 118
Dining hall seating capacity: 97
Apartments in assisted living section: 70
Apartments in memory care section: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stuart Montalvo | Executive Director | Met with Licensing Program Analyst during the inspection and provided facility information |
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