Vista Harden Ranch

Allegation investigated: Staff is mismanaging resident's medications.

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to investigate the above allegations. LPA met with facility Administrator Maria Perez, and explained the purpose of today's visit. Licensing Program Analyst (LPA) conducted an interview with the reporting party, who is the resident’s physician. The physician stated that during a recent appointment, facility staff transported the resident with a medication list that included medications the resident was no longer prescribed, which had been discontinued. The physician expressed concern that the medication list was inaccurate and did not reflect current physician orders. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 30, 2026 · control 24-AS-20260409140057

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not prevent outbreak of scabies. Staff did not prevent outbreak of covid. Staff falsifying documents. Staff not wearing PPE or gloves when assisting residents with scabies. Staff does not provide assistance to residents in a timely manner resulting in falls sustaining injury(ies).

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to investigate the above allegations. LPA met with facility Administrator Maria Perez, and explained the purpose of today's visit. Regarding the allegation Staff did not prevent outbreak of scabies. LPA spoke with local county Health department who stated the facility is following required infection control guidlines. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 29, 2026 · control 24-AS-20250909115322

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Due to neglect, resident sustained stage 4 pressure ulcers.

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above . LPA met with facility Administrator, Maria Perez and explained the purpose of today's visit. Regaring the allegation Due to neglect, resident sustained stage 4 pressure ulcers. Resident 1's Progress Notes document on 07/14/2024 redness and open sore on bottom. Resident 1 was re assesed by the facility nurse on 07/14/2024. Resident 1's Progress Notes document they were to be admitted to home health .Resident 1 was seen by Home health staff on 07/17/2024 and sent to the local emergency room. Resident 1's was admitted to the emergency room on 07/17/2024 with a stage 4 sacrococcyged wound. Based on documents reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with Executive Director Maria Perethe state’s words, verbatim · CDSS document, Dec 5, 2024 · control 24-AS-20240725145545

Allegation investigated: Facility staff did not seek medical attention for resident in a timely manner Facility staff is not adequately meeting resident care needs. Unlawful eviction.

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above . LPA met with facility Administrator, Joy Carter and explained the purpose of today's visit. Regarding the allegation Facility staff did not seek medical attention for resident in a timely manner. Resident 1 frequently refused assistance with incontinent care, and also refused to take prescribed medications. Resident 1 at times also refused to see a physician. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 23, 2024 · control 24-AS-20240426114057

Allegation investigated: Staff did not follow resident's physician's order regarding medications

On 01/24/24, Licensing Program Analysts (LPAs) L. Salazar and Sarah Hurt arrived to the facility unannounced to deliver findings on the above allegation. LPAs met with Joy Carter via telephone and stated the purpose of the visit. During the investigation, LPA S. Hurt observed Centrally Stored Medication Destruction (CSMDR) from 04/04/22, which shows the medication in question, was given per the physician's orders. LPA Hurt also observed the active medication list that was faxed from R1's physician on 03/30/22. Facility communication logs show the responsible party (RP) for R1, contacted Staff S1 on 08/17/22 for an update on resident's medication being discontinued. S1 informed RP the facility did not receive any changes for R1's medications to be changed. S1 advised RP to contact R1's physician and request the order of discontinuation be faxed to the facility if medication is discontinued. On 08/18/22, facility received discontinuation order from R1's physician. On 08/18/22, the medicathe state’s words, verbatim · CDSS document, Jan 24, 2024 · control 24-AS-20240110113508

Allegation investigated: Resident sustained unexplained injury in care.

Licensing Program Analysts (LPA's) Sarah Hurt and Lisa Salazar conducted an unannounced facility visit deliver findings on the above allegations. LPA met with facility Administrator, Joy Carter over the phone and explained the purpose of today's visit. Regarding the allegation Resident sustained unexplained injury in care. Facility Resident 1 did sustain an unexplained injury at the facility on 08/14/23. The facility did seek medical care for Resident 1 in a timely manner. LPA reviewed Resident`R1's Physicians report that does not indicate R1 is in need of 1:1 staffing. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficincies cited Per 22 Regulations. Exit interview conducted with Administrator, Joy Carter, and a copy of this report left at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 24, 2024 · control 24-AS-20230829083953

Allegation investigated: Staff did not ensure a safe and healthful environment for residents during an electrical outage Staff left resident on floor for an extended period of time Staff did not respond to residents pendent Staff do not safeguard residents personal belongings

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above. LPA met with facility Business Office Director, Maria Perez and explained the purpose of today's visit. Regarding the allegation Staff did not ensure a safe and healthful environment for residents during an electrical outage. The facility conducts Disaster drill trainings and has specific protocols on how to handle electrical outages including hourly checks on residents. LPA interviewed four facility residents and a majority agreed the facility staff does ensure a safe and healthful environment during electrical outages. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Continued.. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 12, 2024 · control 24-AS-20230727085845

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide proper notification of rate increase.

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to open a complaint investigation. LPA met with facility Administrator, Joy Carter and explained the purpose of today's visit. Regarding the allegation. Staff did not provide proper notification of rate increase. The facility did send letters to residents and their responsible parties documenting a rate increase with an incorrect effective date, and incorrect rate increase amounts. The dates of the rate increase was corrected, and new letters sent out to residents and their responsible parties. However the amounts of the rate increase on the second letter was still incorrect. A third round of letters went out with the correct rate, and effective date. Continued.. Unfoundedthe state’s words, verbatim · CDSS document, Nov 28, 2023 · control 24-AS-20231122121138

Allegation investigated: Staff did not seek timely medical attention for resident. Resident went AWOL due to lack of supervision.

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the above allegations. LPA Hurt met with facility Administrator, Joy Carter, and explained the purpose of today's visit. Regarding the allegation Staff did not seek timely medical attention for residents. LPA Hurt reviewed facility records documenting Resident 1 had persistent coughing for several days beginning 03/01/2023. The care notes document a chest Xray was ordered on 03/11/23 for persistent cough. Facility records do not document Xray was given to Resident 1. LPA reviewed hospital records documenting Resident 1 was taken to the hospital after a fall at the facility on 03/24/2023. Hospital records document Resident 1 had several injuries resulting in hospitalization. Based on records reviewed, and LPA's observation during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time. Continuthe state’s words, verbatim · CDSS document, Oct 13, 2023 · control 24-AS-20230413155047

Allegation investigated: Facility does not have planned activities Facility staff and kitchen staff are not performing hand hygiene Facility staff are not bathing residents

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the above allegations. LPA Hurt met with facility Administrator, Joy Carter, and explained the purpose of today's visit. Regarding the allegation Facility does not have planned activities. LPA observed the facility does have an activities calendar posted, and there are activities staff in Memory Care doing activities with residents. LPA has observed activities staff doing manicures, scenic drives, bingo, and assisting residents with facetime calls. LPA also observed a musical performance for residents at the facility. Based on observation, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 13, 2023 · control 24-AS-20230613110242

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.