Deficiency Records for Vista Knoll Specialized Care Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for Vista Knoll Specialized Care Facility. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-05-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-26 | 2022-09-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-26 | 2022-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-26 | 2022-09-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-26 | 2022-09-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-08-26 | 2022-09-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-08-26 | 2022-09-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-26 | 2022-09-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-26 | 2022-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-26 | 2022-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-26 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-10-22 | 2021-11-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-04 | 2019-03-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-04 | 2019-03-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-04 | 2019-03-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-04 | 2019-03-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-04 | 2019-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-04 | 2019-03-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-04 | 2019-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-04 | 2019-03-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-03-04 | 2019-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-04 | 2019-03-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Develop a communication plan. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-05-02 | 2018-05-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-03-08 | 2018-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-08 | 2018-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-08 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-08 | 2018-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-08 | 2018-04-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-03-08 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-08 | 2018-04-30 | N |
