Inspection Reports for Vista Adult Care
1079 Ricco Dr, Sparks, NV 89434, NV, 89434
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 8, 2024, found deficiencies related to medication administration errors, staffing schedules, and incident reporting following substantiated complaints about a resident receiving another resident’s medication. Earlier inspections showed a mix of clean surveys and some issues primarily involving sanitation concerns such as pests and expired food, as well as medication management and documentation problems. Complaint investigations prior to 2024 were mostly unsubstantiated, except for the recent substantiated medication error. Enforcement actions or fines were not listed in the available reports. The facility’s inspection history shows some recurring themes in medication management and sanitation, with recent findings indicating challenges in staff training and procedural compliance.
Deficiencies (last 12 years)
Deficiencies (over 12 years)
2.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% better than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
71% occupied
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 5
Capacity: 7
Deficiencies: 4
Date: Oct 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation triggered by two substantiated complaints alleging the facility administered medication to a resident belonging to another resident.
Complaint Details
Two complaints (#NV00071799 and #NV00072166) alleging the facility administered medication to a resident belonging to another resident were substantiated. The investigation confirmed Resident #1 was given another resident's Lorazepam for four days in July 2024, and the facility lacked proper incident reporting and investigation procedures.
Findings
The facility was found deficient in maintaining a written staffing schedule, having a medication plan, and having procedures to document and investigate incidents. A medication error was confirmed where Resident #1 was given another resident's medication for four days, and Resident #1's medication was not on site for several days. The facility failed to investigate the incident properly and lacked policies for incident reporting. The medication administration plan was incomplete, and staff training and supervision were inadequate.
Deficiencies (4)
Failed to maintain a written staffing schedule including times, staff type, and days worked.
Failed to provide a procedure to respond immediately to grievances, incidents, and complaints, including investigation and notification.
Failed to implement and maintain a medication management plan and ensure caregivers were trained on it.
Failed to administer medication as prescribed and ensure medications were on-site for Resident #1; medication error occurred where Resident #1 received another resident's medication.
Report Facts
Licensed beds: 7
Resident census: 5
Medication error days: 4
Medication missed days: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Molino | Owner/ Licensed Administrator | Named as Facility Administrator responsible for staffing, medication plan, and corrective actions |
Inspection Report
Annual Inspection
Census: 5
Capacity: 7
Deficiencies: 0
Date: Mar 5, 2024
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 4
Capacity: 7
Deficiencies: 2
Date: Mar 23, 2023
Visit Reason
This inspection was an annual State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had two regulatory deficiencies: presence of ants in the kitchen and restroom areas, and expired food items found in the refrigerator. Corrective actions were initiated immediately by the Administrator.
Deficiencies (2)
Facility failed to ensure it was free from ants observed on kitchen countertop and restroom areas.
Facility failed to ensure it was free from expired foods; expired margarine and shredded cheese were found in the refrigerator.
Report Facts
Licensed beds: 7
Current census: 4
Expired food items: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Molino | RFA | Signed as Laboratory Director's or Provider/Supplier Representative |
| Administrator | Confirmed presence of ants and expired food, instructed corrective actions |
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 3
Date: Apr 14, 2022
Visit Reason
This inspection was an annual State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a residential facility for groups.
Findings
The facility was found to have several regulatory deficiencies including presence of ants and rodents in the kitchen, expired foods in the refrigerator, and failure to conduct medication profile reviews within the required six-month period for some residents.
Deficiencies (3)
Facility failed to ensure it was free from ants and rodents; ants found in kitchen cabinet and sugar canister; mouse droppings and urine found in kitchen cabinets and under the sink.
Facility failed to ensure it was free from expired foods; expired coleslaw and potato salad found in refrigerator.
Facility failed to ensure medication profile reviews were conducted at least once every six months for 3 of 7 sampled residents.
Report Facts
Number of beds licensed: 7
Census: 6
Expired food container sizes: 30
Residents with medication review deficiencies: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Molino | RFA | Laboratory Director's or Provider/Supplier Representative's signature on report |
Inspection Report
Complaint Investigation
Census: 6
Deficiencies: 0
Date: Sep 7, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 09/07/21, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Complaint Details
Complaint #NV00064261 included allegations that a resident was wearing three incontinence briefs, a resident was left on a bedpan resulting in a deep tissue injury, facility staff were rough when providing care, a resident was not given enough time to eat, and a resident was severely dehydrated. All allegations were unsubstantiated due to lack of evidence.
Findings
The facility received a grade of A. Five allegations related to resident care were investigated and all were found unsubstantiated due to lack of evidence. No regulatory deficiencies were identified and no further action was necessary.
Report Facts
Sample size: 3
Complaints investigated: 1
Inspection Report
Annual Inspection
Census: 7
Capacity: 7
Deficiencies: 0
Date: Jun 10, 2021
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 7
Employee files reviewed: 3
Inspection Report
Routine
Census: 6
Capacity: 7
Deficiencies: 0
Date: Sep 30, 2020
Visit Reason
The inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements during the COVID-19 pandemic.
Findings
The facility demonstrated appropriate COVID-19 infection control measures including visitor screening, PPE availability, cleaning protocols, and staff training. No regulatory deficiencies were identified during the survey.
Report Facts
Licensed beds: 7
Resident census: 6
Inspection Report
Routine
Census: 6
Capacity: 7
Deficiencies: 0
Date: Sep 21, 2020
Visit Reason
The inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements.
Findings
No regulatory deficiencies were identified; however, the facility did not have a documented Infection Control and Prevention Plan. The administrator committed to documenting the plan for follow-up review by 10/01/20.
Report Facts
Licensed beds: 7
Census: 6
Inspection Report
Deficiencies: 2
Date: Jul 10, 2020
Visit Reason
The inspection was conducted to assess compliance with health and sanitation standards and medication administration requirements at Vista Adult Care.
Findings
Two deficiencies were cited: one related to health and sanitation issues including odors, hazards, insects, and dirt; and another related to the administration and documentation of medications to residents.
Deficiencies (2)
Health and sanitation issues including offensive odors, hazards impeding resident movement, insects and rodents, and accumulations of dirt and refuse.
Failure to maintain proper medication administration records including type, date and time of administration, refusals, and instructions reflecting physician orders.
Inspection Report
Renewal
Census: 5
Capacity: 5
Deficiencies: 1
Date: Jun 13, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey for re-licensure of the facility.
Findings
The facility was found to have deficiencies related to the use of full side bed rails on two residents, which were considered restraints. The Administrator acknowledged the issue and adjusted the bed rails to an allowable size on the same day.
Deficiencies (1)
Failure to ensure 2 of 5 residents were not restrained with the use of full side bed rails.
Report Facts
Residents restrained: 2
Census: 5
Total capacity: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Molino | Administrator | Acknowledged the deficiency regarding bed rails and committed to monitoring correction. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 1
Date: Jun 13, 2016
Visit Reason
This annual State Licensure survey was conducted on 6/13/16 by the Division of Public and Behavioral Health to assess compliance with state regulations for Vista Adult Care.
Findings
The facility received a grade of A but was found deficient for using full side bed rails as restraints on 2 of 5 residents, which is prohibited by regulation.
Deficiencies (1)
Use of full side bed rails as restraints on Resident #1 and Resident #3.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 4
Facility licensed capacity: 5
Census: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Acknowledged the deficiency regarding bed rails |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 3
Date: Feb 21, 2014
Visit Reason
This inspection was a State Licensure annual grading survey conducted to evaluate compliance with regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to medication administration records, medication storage, and resident file security, with discrepancies confirmed by the Administrator.
Deficiencies (3)
Medication administration records (MAR) were incomplete for 4 of 5 residents receiving PRN medications, with missing signatures and documentation.
Medication storage was not secured; medication cabinet was found unlocked.
Resident files, including hospice and 'To Go' files, were found unsecured in unlocked cabinets and on tables.
Report Facts
Residents present: 5
Licensed capacity: 5
Severity 1 deficiencies: 1
Severity 2 deficiencies: 2
Scope: 3
Scope: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Armandino | Administrator | Confirmed discrepancies in medication administration and acknowledged deficiencies |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 3
Date: Feb 21, 2014
Visit Reason
This document is a State Licensure annual grading survey conducted on 2/21/2014 to assess compliance with regulations for Vista Adult Care, a residential facility for group beds for elderly and disabled persons.
Findings
The facility received a grade of A but was found deficient in medication administration record completeness for 4 of 5 residents receiving PRN medications, medication storage security, and resident file security. Deficiencies included incomplete MAR documentation and unlocked medication cabinets and resident files.
Deficiencies (3)
Incomplete medication administration records (MAR) for 4 of 5 residents receiving PRN medications, missing documentation of medication type, administration time, caregiver initials, and results.
Medication cabinet was observed unlocked, failing to secure medications properly.
Resident files, including Hospice and former resident files, were found unsecured in unlocked cabinets and offices.
Report Facts
Residents present: 5
Licensed capacity: 5
Deficiency severity count: 1
Deficiency severity count: 2
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 0
Date: Jan 22, 2013
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 01/22/2013.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A. Four resident files and two employee files were reviewed.
Report Facts
Licensed capacity: 5
Resident census: 4
Inspection Report
Plan of Correction
Capacity: 5
Deficiencies: 0
Date: Feb 1, 2012
Visit Reason
The facility completed a self-attestation questionnaire in lieu of a 2012 annual survey because it was in good standing with no major regulatory deficiencies found in the 2011 annual survey.
Findings
The questionnaire indicated the facility was in regulatory compliance and will receive a grade of A. No deficiencies were cited and no further action is necessary.
Report Facts
Licensed beds: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 0
Date: Feb 21, 2011
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted between 2011-02-16 and 2011-02-21 at Vista Adult Care.
Findings
The facility was reviewed for compliance with state licensure requirements, including review of five resident files and four employee files. The facility received a grade of A with no deficiencies cited in this report.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 3
Date: Feb 22, 2010
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 2/22/2010 at Vista Adult Care.
Findings
The facility received a grade of A but had deficiencies including failure to ensure background checks for 2 of 5 caregivers, failure to maintain bathroom floor cleanliness due to vinyl cracks, and inaccurate medication administration records for 4 of 4 residents. The medication record deficiency was a repeat citation from the previous year's survey.
Deficiencies (3)
Failed to ensure 2 of 5 caregivers met background check requirements.
Failed to ensure the floor of 1 of 2 bathrooms was sealed and capable of being kept clean due to cracks and lifting of the vinyl along the seams.
Failed to ensure medication administration records were accurate for 4 of 4 residents; administrator signed for medications given from 2/20 through 2/22/10 when MARs were requested.
Report Facts
Number of caregivers not meeting background check requirements: 2
Number of residents with inaccurate medication records: 4
Number of beds licensed: 5
Number of residents present: 4
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Date: Feb 10, 2009
Visit Reason
The inspection was conducted as an annual State Licensure survey to assess compliance with regulations for a residential facility for elderly and disabled persons.
Findings
Two deficiencies were identified related to medication administration records and medication labeling. The facility failed to ensure accurate timing of medication administration documentation and proper labeling of medications for residents.
Deficiencies (2)
The medication administration record (MAR) was not accurate because caregivers were initialing the MAR that medication was given hours before the medications were actually administered to 2 of 5 residents.
The facility failed to ensure medications were plainly labeled for 1 of 5 residents (Resident #3 - Omeprazole).
Report Facts
Residents present: 5
Total licensed capacity: 5
Deficiency severity: 2
Deficiency scope: 2
Deficiency scope: 1
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Date: Feb 10, 2009
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on February 10, 2009.
Findings
The survey identified deficiencies related to medication administration records being inaccurate, with caregivers initialing medication administration before actual administration for 2 of 5 residents, and failure to ensure medications were plainly labeled for 1 of 5 residents.
Deficiencies (2)
Medication administration record (MAR) was not accurate because caregivers were initialing the MAR that medication were given hours before the medications were actually administered to 2 of 5 residents (Resident #2 and #5).
Facility failed to ensure medications were plainly labeled for 1 of 5 residents (Resident #3 - Omeprazole).
Report Facts
Residents present: 5
Licensed capacity: 5
Viewing
Loading inspection reports...
