Inspection visit

complaintMarch 18, 2022

VISTAS AT OXNARD SENIOR LIVING,THELicense 565802425

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

The LPA informed Admin of LPA’s observation. Admin proceeded to call housekeeping and clean the room again. The LPA’s observation throughout the facility and other residents’ rooms revealed a clean and sanitary environment for residents. Based on observation and interviews, the allegation is unsubstantiated at this time. The complaint also alleged that resident requires a higher level of care. During the course of the investigation, LPA Ascencio conducted interviews with staff, residents, responsible parties, and outside agencies on 10/20/2020, 12/10/2020, 08/12/2021 and 10/06/2021. On 10/06/2021, LPA also reviewed facility files and obtained pertinent documents. Interviews stated that resident #2 (R2) had a fall on or around 03/23/2020. File review and interviews on 10/06/2021 confirmed R1 was receiving hospice services before the fall. R2 had a hospice diagnosis of Alzheimer’s Disease unspecified. R2 was regularly monitored and seen by a hospice nurse 2-3 times a week. Interview with R2 could not be conducted as they passed on 09/20/2020. On 08/12/2021, LPA obtained photographs of R2 from facility file between the dates of 03/23/2020 and 03/30/2020, which revealed puffiness and yellow, green, red and purple discoloration on the right side of the face above and below eye. Review of R2’s facility file and chart notes revealed that following the fall, R2 was placed on hourly checks and was given as needed medication for pain management. Review of R2’s hospice notes on 10/06/2021 confirmed R2’s fall on 03/21/2020 and hospice visit on day of and days following of fall. Hospice note on 03/30/2020 states that “R2 continues to walk with eyes closed and needs constant redirection.” Based on interviews and file reviews, the allegation is unsubstantiated at this time. It was also alleged that facility did not provide adequate staff to meet residents' needs. During the course of the investigations, LPA Ascencio conducted staff interviews on 10/21/21 and 10/26/21. During the interviews, it was revealed that in the morning (am) and evening (pm) shifts, there is a total of three (3) staff members always present. During the night (noc) shift, the facility is staffed with two (2) staff members. Further interviews revealed that there are times that the facility only has two (2) staff members, but the medication tech helps out as caregivers. During resident interviews on 10/21/21 and 10/26/21, it was revealed that when a resident pushes their pendant, the wait time can take between 10-20 minutes before they receive help from a staff. Although the allegation may have happened, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview conducted. Copy of the report provided via email to Admin

Citations

7 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.

87217(b)Type B
87217(b) Safeguards for Resident Cash, Personal Property, and Valuables. Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources.This requirement is not met as evidenced by: Based on interviews with witnesses, R1 was missing personal care items that had been left by a skilled nursing professional, as well as a remote left by family, which posed a potential health and safety risk to residents in care.
87465(d)(1)Type A
87465(d)(1) Incidental Medical and Dental Care. If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met:Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication. This requirement is not met as evidenced by: Based on interviews and records review
87466Type A
87466 Observation of the resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs…the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. The facility failed to observe, document and communicate R1's pressure injuries/wounds which attributed to
87468.2(a)(4)Type B
87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews and record review of alert response times, some responses were not completed in a timely manner and otehr calls went unanswered, which posed a potential
8755(a)Type B
8755(a) General Food Service Requirements. (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by: Based on interviews, while tray service was being provided to all residents due to COVID-19, some residents were receiving cold food which should have been served hot, which posed a potential health and safety risk to residents in care.
87303(i)(1)(A)Type B
87303(i)(1)(A) Maintenance and Operation. Facilities shall have signal systems which shall meet the following criteria: All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: Operate from each resident's living unit. This requirement was not met as evidenced by: Based on interviews and record review, R1's call button was not working on 8/24/2020. In addition, other call button alerts went unresponded for other residents during the period of June 2020 - September 2020, which poses a potential health and safety risk to residents in care.
1569.312(a)Type A
1569.312(a) Basic service requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (a) Care and supervision as defined in Section 1569.2This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Licensee failed to provide adequate care and supervision to R1 which attributed to R1 sustaining pressure injuries not reported and not cared for, which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 18, 2022 inspection of VISTAS AT OXNARD SENIOR LIVING,THE?

This was a complaint inspection of VISTAS AT OXNARD SENIOR LIVING,THE on March 18, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to VISTAS AT OXNARD SENIOR LIVING,THE on March 18, 2022?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·March 18, 2022