Vista Del Lago Memory Care

Requirements for locking exterior exits

Licensees that lock exterior doors or perimeter fence gates shall meet the following initial and continuing requirements...Locked exterior doors or perimeter fences with locked gates shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents

Arrange appropriate medical and dental care

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews conducted and records reviewed, R1 was observed with a container of powdered chlorine bleach cleaner. R1 applied the cleaner to hand, face, and in their cup of water. When asked if consumed, R1 initially reported they did. The incident report documents R1 was sent to the hospital via non emergency medical transport rather than activating emergency services, which poses a potential health and safety risk to residents in care.

Ensure hazardous items are locked and not unattended

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This poses a potential health and safety risk to residents in care. Based on interviews conducted and records reviewed, the facility failed to secure a powdered cleaning solution by leaving a container unattended and accessible to R1. R1 then applied the cleaner onto their hand, face and in their cup of water. When asked if consumed, R1 initially reported they did. This poses a health and safety risk to residents in care.

Protection from punishment and intimidation

87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Based on interviews conducted, records and video footage reviewed, S1 physically and psychologically abused multiple residents on November 25, 2024 and November 29, 2024. This poses a potential health, safety, and personal rights risk to residents in care.

Arrange appropriate medical and dental care

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews conducted and records reviewed, R1 sustained a wound that required stitches and RSD instructed facility staff to not activate emergency services and treat the wound instead. This poses a potential health, safety, and personal rights risk to residents in care.

Basic services requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services:(b) Assistance with instrumental activities of daily living in the combinations which meet the needs of residents. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure resident needs were met for 1 out of 89 residents in care [R1] which posed a potential health and safety risk to persons in care.

Arrange appropriate medical and dental care

Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall... provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange...for medical and dental care appropriate to the conditions and needs of residents. This was not met by: The Licensee did not comply with the above regulation with 1 out of 1 residents. As R1 was not given their medication as prescribed on multiple occassions. This is an immedaite health, safety and personal rights risk to persons in care.

Incidental Medical and Dental Care- (j) In all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated as having primary responsibility for assuring that each resident receives...and for assisting residents as needed with self-administration of medications. This requirement was not met as evidenced by: The Licensee did not ensure assistance was provided with self-administration of medications. Based on records reviewed and interviews conducted, R1 was not provided assistance with their prescription of Plaxovid as ordered. This poses a potential health, safety, and personal rights risk to residents in care.

Infection control plan required in operations plan

Based on record review, the Licensee did not comply with the section cited above in one (1) of one (1) facility files reviewed which poses a potential health, safety and personal rights risk to persons in care.

Refund of fees paid: (c) A refund of any fees paid in advance ... covering the time after the resident’s personal property has been removed ... shall be issued ... within 15 days after the personal property is removed. This requirement is not met as evidenced by: Based on interviews and record reviews, thelicensee did not issue a refund within 15 daysin two of ninety residentswhich posed a potential personal rights risk toresidents in care.

Criminal Record Clearance: (e) All individuals...shall prior to working, residing or volunteering in a licensed facility: (b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. This requirement was not met as evidenced by: Based on observation and interviews, the Licensee did not comply with the above regulation with at least two staff (S1, S2). LPA George learned that S1 and S2 are not associated to this facility. This is an immediate safety risk to all residents in care.

Maintain separate complete record for each resident

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: the facility staff did not have access to the resident's emergency paperwork when needed when a resident was sent out.