Inspection Reports for
Rancho Vista Senior Living

The facility was found to be in compliance with regulations including physical plant conditions, medication storage, food service, care and supervision, records review, disaster preparedness, and infection control. No deficiencies or violations were documented during this inspection.

No imminent health or safety concerns were observed during the visit. The facility had sufficient staff, adequate food and medication supplies, and no deficiencies were cited.

The complaint involved allegations of staff neglect causing two head injuries and multiple falls, failure to assist with dental hygiene, failure to provide written admission agreement to resident's responsible person, and retaining a resident beyond scope of care. The complaint was found unsubstantiated.

The investigation found multiple falls and head injuries occurred to the resident, but staff took precautions and provided care as needed. The allegations of neglect, failure to assist with dental hygiene, failure to provide admission agreement, and retaining a resident beyond scope of care were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included neglect and lack of supervision causing injury, dehydration, medication errors, nourishment issues, CPAP assistance failure, lack of call button, incontinence care neglect, and facility disrepair. Evidence did not support these claims.

After interviews with staff, residents, witnesses, and review of documentation, the allegations were found to be unsubstantiated due to insufficient evidence to prove violations. The resident was found to have refused some care and assistance, and the facility had appropriate systems in place.

The facility was found to be in compliance with all applicable regulations, with no deficiencies cited. Reviews of resident and employee records, physical plant safety, infection control, food service, and fire safety were satisfactory.

The complaint investigation addressed three allegations: 1) insufficient staff to meet resident care needs including transportation; 2) insufficient quantity of food for residents, with claims of food shortages during dinner; 3) improper sanitary practices during bathing, specifically reuse of bath water for face washing. Interviews with staff and residents, facility tours, and document reviews were conducted. Some residents confirmed issues, but the preponderance of evidence did not support the allegations, leading to an unsubstantiated conclusion.

The investigation included interviews, file reviews, and observations. While some residents and staff confirmed certain allegations, the overall evidence was insufficient to substantiate the complaints, resulting in an unsubstantiated finding.

The complaint involved allegations that staff yelled at another staff member in the presence of residents and that staff made residents feel uncomfortable. Interviews showed mixed responses with most denying the allegations. The complaint was determined unsubstantiated due to lack of preponderance of evidence.

The investigation included interviews with staff and residents and review of resident documents. Most staff and residents denied the allegations, with limited confirmation from one staff and one resident. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

The complaint included allegations that staff handled a resident roughly, threatened the resident, did not treat the resident with dignity and respect, and stole the resident's personal belongings. After investigation, all allegations were found to be unsubstantiated based on interviews, record reviews, and observations.

The investigation found insufficient evidence to substantiate the allegations that staff handled a resident roughly, threatened the resident, disrespected the resident, or stole the resident's personal belongings. Interviews with residents, staff, and review of records supported the findings of unsubstantiated allegations.

The complaint alleged that the facility does not provide sufficient portion sizes to residents. Interviews with five residents and six staff members, as well as the Executive Director, all denied the allegation. The facility serves three meals a day with snacks, allows second servings, and maintains a well-stocked food supply. The allegation was unsubstantiated.

Based on observations, interviews with residents, staff, and the Executive Director, and review of menus and food supply, the Licensing Program Analyst found no sufficient evidence to support the allegation. The allegation was determined to be unsubstantiated and no deficiencies were cited.

The complaint alleged that construction above resident #1's room disturbed the resident. Interviews with five residents and six staff members all denied the allegation. The Business Director confirmed no construction was occurring, only painting with no excessive noise. The allegation was unsubstantiated due to lack of evidence.

Based on observations and interviews with residents, staff, and the Business Director, the Licensing Program Analyst found no sufficient evidence to support the allegation. Residents and staff denied hearing construction noise or feeling uncomfortable, and no deficiencies were cited. The allegation was determined to be unsubstantiated.

The complaint alleged unlawful eviction of resident #1 due to an underlying medical condition. The allegation was unsubstantiated after investigation including interviews, record reviews, and site visits.

The investigation found insufficient evidence to substantiate the allegation of unlawful eviction. The facility sent a notice regarding discontinuation of diabetic management services but did not evict any residents. Residents were assisted with medication alternatives and some transitioned to other facilities. Resident #1, who required total medication assistance, passed away in hospice care at the facility.

The complaint alleged the facility denied resident #1's hospice agency access to provide initial services. The investigation found that hospice services were provided starting August 27, 2021, and that the resident's direct power of attorney had chosen the hospice service. The allegation was unsubstantiated due to insufficient evidence.

The investigation included interviews and records review, finding insufficient evidence to substantiate the allegation that the facility denied the resident hospice services of their choosing. The allegation was deemed unsubstantiated.

The complaint alleged that staff left Resident #1 sitting on the toilet for 30 minutes or more, took an extended amount of time to answer call buttons, and that Resident #1 was charged for a pureed diet but did not receive pureed foods. Investigations including interviews with the resident, staff, administrator, and hospice nurse, as well as record reviews, found no evidence to substantiate these allegations.

Based on interviews, record reviews, and observations, the allegations that staff did not meet resident's dietary needs, toileting needs, and did not answer call buttons timely were found to be unsubstantiated due to lack of preponderance of evidence.

The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed client and employee records met regulatory standards, and safety, infection control, and medication storage practices were compliant.

The complaint alleged that the facility did not allow Resident #1 to access a telephone or receive visitors. The investigation included interviews, records review, and observations. It was found that the resident's POA had removed the cell phone and requested no visitors. Staff refused visitors accordingly, and law enforcement was involved to prevent a visitor from returning. The resident is cognitively impaired and unable to leave unassisted. The allegations were unsubstantiated.

The investigation found insufficient evidence to support the allegations. The resident was able to receive phone calls via the facility's reception area, and the resident's power of attorney had requested no visitors to help the resident adjust. Staff refused visitors at the POA's direction, and law enforcement was involved to restrict a disruptive visitor. The allegations were deemed unsubstantiated.

The complaint alleged that staff were not allowing resident #1 to leave the facility. The resident had cognitive impairment and was unable to leave unassisted. The allegation was found to be unsubstantiated after interviews, records review, and evidence evaluation.

The investigation found insufficient evidence to substantiate the allegation that the facility did not allow the resident to leave. The resident had cognitive impairments and was unable to leave unassisted, with safety measures in place as confirmed by staff and documentation.

The complaint was unsubstantiated based on interviews with staff and review of records, which showed that residents were checked and assisted with incontinence care approximately every two hours during waking hours, and no evidence supported the allegations of neglect or malodorous rooms.

The investigation included interviews and records review and found insufficient evidence to support the allegations. Staff reported managing resident care adequately despite short staffing, and no issues with residents being changed or rooms being malodorous were substantiated.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation found no evidence to support the allegations; rooms and attached bathrooms were clean and in good repair, and no malodorous conditions were observed. Interviews with staff and residents confirmed that caregivers clean residents' rooms daily. The allegations were determined to be unsubstantiated.

The facility was found to be clean, neat, and well organized with sufficient staff and food supplies. No health or safety concerns were observed, and no deficiencies were cited during the visit.

The complaint alleged staff neglect resulting in worsening of a resident's pressure injury. The investigation included review of records and interviews with staff and outside sources. The resident was receiving hospice care and had documented pressure injuries that progressed despite care. The allegation was unsubstantiated.

The investigation found no evidence that facility staff neglected or failed to reposition the resident in a manner that caused the pressure injury to worsen. The allegation of neglect/lack of supervision was unsubstantiated.

The complaint included allegations that Resident #1 was served an unlawful eviction notice due to a $20,000 payment backlog, and that staff were not providing adequate food service with long wait times. Both allegations were found to be unsubstantiated or unfounded after investigation.

The investigation found the allegation of an unlawful eviction notice to be unfounded as the letter received was a payment demand, not an eviction notice. The allegation regarding inadequate food service was unsubstantiated, with residents reporting reasonable wait times and no complaints corroborated.

No health or safety concerns were observed during the visit, and no deficiencies were cited. The facility was found to have sufficient staff, adequate food and medication supplies, and comfortable environmental conditions.

The facility was found to be in compliance with infection control measures, including adequate hand hygiene supplies, PPE availability, and use of EPA approved cleaners. No deficiencies were cited during the inspection.

No immediate health or safety concerns were observed during the visit. No deficiencies were cited.

During the visit, no deficiencies were cited. The team interviewed the Executive Director and conducted a walk-through of the facility, concluding with a debriefing.