Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vista Knoll Specialized Care Facility during CMS and state inspections, most recent first.
A resident in an LTC facility did not receive prescribed morphine for comfort care before passing due to a failure in obtaining the medication from the contracted pharmacy. The facility did not contact the pharmacy for an emergency delivery, and the available Ativan was not administered. The resident had multiple serious health conditions and was at the end of life. The facility's policy for pharmaceutical services was not effectively utilized.
A resident with chronic osteomyelitis and a foot ulcer did not receive scheduled showers, leading to potential poor hygiene and decreased well-being. Staff failed to document refusals and offer alternative bathing options, contrary to facility protocol.
Failure to Administer Comfort Care Medication
Penalty
Summary
The facility failed to obtain and administer an ordered medication for a resident who was receiving comfort care at the end of life. The resident, who had multiple serious health conditions including acute kidney failure, pneumonia, COPD, heart failure, Parkinson's disease, and Alzheimer's disease, was prescribed morphine for pain relief and comfort. Despite the physician's order, the morphine was not administered before the resident's passing. The Assistant Director of Nursing (ADON) confirmed that there was no documentation of the pharmacy being contacted for an emergency delivery of the medication, and the Director of Nursing (DON) acknowledged that the standard of care was not met as the medication was not given. The contracted pharmacy did not receive a complete prescription order, as it lacked a physician's signature and quantity, and was not alerted by the facility of the urgent need for the medication. The pharmacy owner stated that the order was received via fax without indication of urgency and that no phone call was made by the facility to expedite the process. Additionally, Ativan, which was available in the emergency kit, was not administered to the resident. The facility's policy required regular and reliable pharmaceutical services, including emergency deliveries, but these were not utilized effectively in this case.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident received showers as scheduled, which could lead to poor personal hygiene and decreased psycho-social well-being. The resident, who was admitted with chronic osteomyelitis and a foot ulcer, was alert and oriented with moderate cognitive impairment. The resident was scheduled to receive showers twice a week, but records showed that from November to February, the resident was often only given sponge baths or no documented showers at all. There was also no documentation of the resident refusing showers during this period. Interviews with staff, including the Director of Staff Development, Licensed Nurse, and Certified Nurse Assistant, revealed that the protocol for handling shower refusals was not followed. The staff should have documented refusals and offered alternative bathing options, but this was not consistently done. The Assistant Director of Nursing confirmed that the resident should have received showers twice a week and that refusals should have been documented and communicated to the Licensed Nurse. The facility's policy on providing ADL/shower to residents was requested but not available.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Vista
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pacific Villas Post Acute | 0.7 mi | — | 0 | 0 |
| La Paloma Healthcare Center | 0.7 mi | — | 0 | 0 |
| Vista View Post Acute | 1.3 mi | — | 1 | 0 |
| Bayshire Carlsbad | 2.6 mi | — | 1 | 0 |
| Santa Fe Post-acute | 3.1 mi | — | 8 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.