Vista Cove At Rancho Mirage

Allegation investigated: Lack of staff supervision resulted in resident sustaining a broken hip. Lack of staff supervision resulted in resident sustaining a head laceration. Lack of supervision resulting in resident being assaulted by another resident. Staff neglect resulted in resident dehydration. Residents are not provided activities

Licensing Program Analyst (LPA), Abdoulaye Zerbo made an unannounced visit to deliver findings for the allegations listed above. LPA met with Executive Director PATRICK MCADOO-MORTON, who was informed of the purpose of the visit. It was alleged that Lack of staff supervision resulted in resident sustaining a broken hip. Interviews and records establish that R1 fell in a hallway, initially presenting with a head laceration, and later was diagnosed with a comminuted right femoral neck fracture. Staff were in proximity at the time and facilitated medical evaluation for the laceration. No evidence was provided that R1’s care plan required a 1:1 supervision at the time, nor that the lack of supervision caused the fracture. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 23, 2026 · control 18-AS-20220126152553

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 adequate supervision resulting in resident being assaulted by another resident

Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced subsequent complaint visit to investigate the above listed allegation. The purpose of this visit is to deliver findings for the above listed allegation. Upon arrival at 11:50 a.m., LPA Mosley was greeted by Marketing Coordinator, Angel Ibarra who called the Manager on duty and the Executive Director. LPA met with Residences Services Director Jennifer “Lola” Andrews and Executive Director (ED) Patrick McAoo-Morton and the reason for the visit was explained. Entrance interview conducted. On 06/21/2023, the Department received a complaint regarding the following allegation, Staff did not provide adequate supervision resulting in resident being assaulted by another resident. On 06/27/2023 LPA Venus Mixson conducted the unannounced initial 10-day complaint visit, conducted a physical plant tour and obtained copies of pertinent documents relevant to the investigation. On 06/23/2023 and 7/18/2023 attempts were made to contathe state’s words, verbatim · CDSS document, Nov 8, 2025 · control 18-AS-20230621170419

Allegation investigated: Facility is threatening to evict a resident

Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced subsequent complaint visit to investigate the above listed allegation. The purpose of this visit is to deliver findings for the above listed allegation. Upon arrival at 11:50 a.m., LPA Mosley was greeted by Marketing Coordinator, Angel Ibarra who called the Manager on duty and the Executive Director. LPA met with Residences Services Director Jennifer “Lola” Andrews and Executive Director (ED) Patrick McAoo-Morton and the reason for the visit was explained. Entrance interview conducted. On 09/07/2023, the Department received a complaint regarding the following allegation, Facility is threatening to evict a resident. On 9/11/2023 LPA Yolanda Delgado conducted the unannounced initial 10-day complaint visit, conducted an in-person interview with one (1) staff, and obtained copies of pertinent documents relevant to the investigation. On 9/11/2023 corresponded via email and telephonically with the Spouse of Resident #1 (SRthe state’s words, verbatim · CDSS document, Nov 8, 2025 · control 18-AS-20230907114355

Allegation investigated: Resident developed unstageable wounds while in care Neglect/Lack of care and supervision

Allegation #1: Resident Developed Unstageable Wounds While in Care Licensing Program Analyst (LPA) Javier Prieto conducted an unannounced visit to deliver findings on the listed allegations. LPA met with Patrick McAdoo-Morton and explained the purpose of the visit. The investigation was conducted by Department staff. The investigation consisted of records review and interviews with relevant parties. The allegations indicates that due to resident 1 (R1) developed unstageable wounds while in care. Interviews conducted and records reviewed disclosed the facility staff followed required protocols, promptly notifying R1’s Primary Care Physician (PCP) and Home Health providers when wounds were identified. On 07/07/2021, R1’s PCP identified a blister on the resident's left heel, for which facility staff provided routine care and bandaging. On 07/19/2021, R1’s Podiatrist observed ulcerations on both heels but found no evidence of eschar and subsequently recommended Home Health intervention. Unthe state’s words, verbatim · CDSS document, Apr 10, 2025 · control 18-AS-20210727164731

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.