Inspection Reports for Vista Harden Ranch

An unannounced visit was conducted for the facility’s annual inspection to evaluate compliance with California Code of Regulations, Title 22.

The inspection found no deficiencies. The facility was clean, well-maintained, and compliant with safety regulations including fire extinguisher, smoke alarms, carbon monoxide detector, and disaster drills. Resident and staff files, hospice care plans, and emergency plans were reviewed and found satisfactory.

An unannounced complaint investigation visit was conducted due to an allegation that a resident sustained stage 4 pressure ulcers due to neglect.

The investigation substantiated the allegation that a resident developed stage 4 pressure ulcers due to neglect. Records showed the resident had redness and an open sore on 07/14/2024 and was admitted to the hospital with a stage 4 wound on 07/17/2024.

The complaint was substantiated based on the preponderance of evidence standard. The resident sustained stage 4 pressure ulcers due to neglect.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-04-26 regarding failure to seek timely medical attention, inadequate resident care, unlawful eviction, and medication administration issues.

The investigation found one allegation substantiated: facility staff did not ensure that a resident was taking prescribed medications, citing a deficiency under Title 22 regulations. Other allegations including failure to seek timely medical attention, inadequate care, and unlawful eviction were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Sarah Hurt. Allegations included failure to seek medical attention timely, inadequate resident care, unlawful eviction, and failure to ensure medication administration. Only the medication administration allegation was substantiated; others were unsubstantiated.

Unannounced visit/investigation of a complaint alleging that staff did not follow a resident's physician's order regarding medications.

The investigation found that the medication in question was given per the physician's orders and that the complaint was unfounded. No deficiencies were cited.

The complaint was found to be unfounded, meaning the allegation was false, could not have happened, and/or was without reasonable basis. The complaint was dismissed after investigation.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-08-29 alleging that a resident sustained an unexplained injury in care.

The investigation found that Resident 1 did sustain an unexplained injury on 2023-08-14 and the facility sought timely medical care. However, there was no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated. No deficiencies were cited.

The complaint alleged that a resident sustained an unexplained injury in care. The allegation was unsubstantiated after investigation.

Unannounced complaint investigation visit conducted in response to multiple allegations received on 07/27/2023 regarding resident safety and care during electrical outages and safeguarding of personal belongings.

All allegations were investigated and found to be unsubstantiated or unfounded due to lack of preponderance of evidence. No deficiencies were cited per Title 22 Regulations.

The complaint included allegations that staff did not ensure a safe environment during electrical outages, left a resident on the floor for an extended period, did not respond to resident pendents, and failed to safeguard residents' personal belongings. Each allegation was investigated and found unsubstantiated. An additional allegation regarding inadequate oxygen supply was found unfounded.

The inspection was an unannounced annual inspection conducted by Licensing Program Analysts to evaluate compliance with regulatory requirements.

The facility was generally clean and in good repair with adequate food supply and safety equipment operational. However, deficiencies were noted including black discoloration on the kitchen ice machine, soda machine needing cleaning, incomplete first aid kits, and four memory care residents lacking current updated medical assessments.

An unannounced complaint investigation was conducted regarding an allegation that staff did not provide proper notification of a rate increase.

The investigation found that the facility initially sent letters with incorrect rate increase amounts and effective dates, but corrected these errors with subsequent letters. No resident paid any increased amount before the corrected notification. The complaint was found to be unfounded and dismissed.

The complaint alleged improper notification of rate increase. The complaint was investigated and found to be unfounded based on interviews and record review.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-06-13 regarding lack of planned activities, failure of staff and kitchen staff to perform hand hygiene, and failure of staff to bathe residents.

All allegations were found to be unsubstantiated based on observations, interviews, and documentation reviewed. The facility had planned activities, staff training on hand hygiene was documented, and residents were being bathed as per logs and staff interviews. No deficiencies were cited per Title 22 regulations.

The complaint investigation was unsubstantiated. Allegations included lack of planned activities, staff not performing hand hygiene, and staff not bathing residents. Evidence did not support these allegations.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 04/13/2023 regarding failure to seek timely medical attention, resident elopement due to lack of supervision, inadequate food supply, failure to assess residents prior to admission, call button accessibility, staff response to call buttons, and food service provision.

Two allegations were substantiated: failure to seek timely medical attention for Resident 1 and lack of supervision leading to Resident 2 eloping from the facility. Other allegations including inadequate food supply, failure to assess residents prior to admission, call button accessibility, staff response to call buttons, and food service provision were found to be unsubstantiated or unfounded based on interviews and record reviews.

The complaint investigation was substantiated for allegations that staff did not seek timely medical attention for Resident 1 and that Resident 2 went AWOL due to lack of supervision. Other allegations were found to be unsubstantiated or unfounded.

Licensing Program Analyst Sarah Hurt conducted an unannounced facility visit to conduct a Case Management visit and met with the facility Administrator Joy Carter to explain the purpose of the visit.

A deficiency was cited for a violation of Title 22 regulations regarding the personal rights of residents. Specifically, Resident 1 was observed fully exposed to other residents in a common area, posing a potential health, safety, or personal rights risk.

An unannounced complaint investigation was conducted following a complaint received on 2023-01-11 regarding staff not enforcing public health guidelines.

The investigation substantiated that the facility did not enforce public health guidelines properly, specifically failing to notify visitors of a COVID-19 outbreak on December 20, 2022, despite having visitor logs. The facility reported COVID positive residents to responsible parties but did not notify visitors.

The complaint alleged staff were not enforcing public health guidelines. The allegation was substantiated based on interviews and records showing failure to notify visitors of a COVID outbreak.

The visit was an unannounced Post Licensing inspection conducted to evaluate compliance with licensing requirements following the facility's initial licensing.

The inspection found no deficiencies. The facility met all regulatory requirements including safety measures, medication storage, food supplies, and first aid kit contents.

An unannounced pre-licensing inspection was conducted for a change of ownership at the facility.

The facility was observed to be in good repair with appropriate safety measures, clean and furnished resident rooms, and proper food storage. No issues were noted, and the facility was deemed ready to be licensed pending final approval by the Central Applications Bureau.