Vista Prado

87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff…when there is significant change in the resident’s condition…This requirement has not been met as evidence by: Based on records review, the facility did not notify resident’s (R1) responsible party about R1’s change of condition, which possess potential health, safety, personal rights risk to clients in care.

Report specified resident events within seven days

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency & to the person responsible for the resident within 7 days of the occurrence of any of the events specified in (A) through (D) below: This requirement has not been met as evidence by: Based on interview & records review the facility failed to submit written incident report to licensing agency for resident (R1) after noticing skin discoloration on their left eye, which possess potential health, safety, personal rights risk to clients in care.

Based on LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above in four out of four staff do not have additional training 20 hours completed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/Director observation, interview and record review, the licensee did not comply with the section cited above in four out of four staff have not completed CPR training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on LPA's/Director observation, interview and record review, the licensee did not comply with the section cited above in two out of eight faucets used by residents in care that measured less than 105 degree F, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/Director observation, interview and record review, the licensee did not comply with the section cited above in two out of two residents who did not have their care plan updated which poses/posed a potential health, safety or personal rights risk to persons in care.

1569.269(a)(16) Enumerated Rights. To reasonable accommodation of individual needs and preferences in all aspects of life in the facility, except when the health or safety of the individual or other residents would be endangered.*** Based on statements, this requirement not met as evidenced by: R1’s visitors were told by staff not to bring outside food to R1 at the facility. This posed an immediate violation of R1’s enumerated rights.

Night supervision when dementia residents require it

87705(b)(2) Care of Persons with Dementia. … Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. ***Based upon review of documents, this requirement not met as evidenced by: On 4/11/2022, R1 wandered off facility property alone until returned an hour later. This posed an immediate risk to safety of R1.

Document behavioral expression and related causes

Based on record review, the licensee did not comply with the section cited above in 4 of 6 records. Appraisals were not updated at least every 12 months, which poses/posed a potential health, safety or personal rights risk to persons in care.