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Inspection visit

Incident investigation

VISTA MONTANA SENIOR LIVINGLicense 3364263301 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility for a case management visit to follow up on the elopement of a resident in care. The LPA was allowed entrance into the facility and met with Interim-Administrator, Raquel Montes. The LPA informed Montes of the purpose for the visit. A report was received by the Department from the facility on 06/19/2024 regarding Resident One (R1) not being able to be located at the facility on 06/11/2024. Staff One (S1) attempted to locate R1 during their scheduled round; however, the resident was not found. According to the Unusual Incident/Injury Report (UIR) and a staff interview, R1 was last seen at 10:00 AM on 06/11/2024. The report states staff searched for the resident; however, their attempts were unsuccessful. Per Interim-Administrator Montes, R1 has not been found as of this date. R1's medical assessment (Physician's Report for Residential Care Facilities for the Elderly) was reviewed. The report, dated 12/14/2023, revealed the resident is diagnosed with a condition which does affect their cognition; however, the report also states the resident is able to leave the facility unassisted. According to staff interviews, R1 frequently leaves the facility without supervision and has returned on their own or with an escort from law enforcement. Montes reported that when R1 returns to the facility they have never returned injured. The UIR (written report), regarding the elopement of R1 was not submitted within seven (7) days. Based on a fax transmittal the incident, which occurred on 06/11/24, was reported on 06/19/2024. A citation will be issued. An exit interview was conducted; this report was reviewed with Interim-Administrator and a copy was provided, along with the LIC 811, LIC 9098, and instructions on appeal rights.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)(1)Type B

    REPORTING REQUIREMENTS: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to...: (1) A written report shall be submitted to the licensing agency... within 7 days of the occurrence of any of the events specified in (A) through (D)... This requirement was not met, as evidenced by: Based on record review the licensee did not ensure a written report was submitted within 7 days regarding R1's elopment from the facility. This poses a potential threat to the health, safety and personal rights of the resident in care.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff members who did not have the required training. 2 staff members, S3 & S5, did not have proof of Dementia Care training. S2, S3, & S4 did not have Restricted Healthcare training. S2, S3, S4, & S5 did not have postural support training or the complete hours for hospice care training. This poses a potential health, safety and personal rights risk to persons in care.

  • 1569.69(a)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 1 staff members who did not have the required training. Initial medication training was not observed on file for S5. This poses a potential health, safety and personal rights risk to persons in care.

  • 87467(a)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents who did not have a current written record of care. The Appraisal/Needs and Services Plan for R2 was last completed on 02/27/2023. The Appraisal/Needs and Services Plan for R3 and R5 were last completed on 02/24/2023. This poses a potential health, safety or personal rights risk to persons in care.

  • 87609(b)(4)Type B

    Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents who did not have a written agreement on file between the home health agency and the facility. This poses a potential health, safety and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 31, 2024 inspection of VISTA MONTANA SENIOR LIVING?

This was a other inspection of VISTA MONTANA SENIOR LIVING on July 31, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to VISTA MONTANA SENIOR LIVING on July 31, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "REPORTING REQUIREMENTS: (a) Each licensee shall furnish to the licensing agency such reports as the Department may requi..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.