Inspection visit

complaintMarch 18, 2022

VISTAS AT OXNARD SENIOR LIVING,THELicense 565802425

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Further interviews revealed that the majority of resident don’t require as much help but those that do, are kept in a two (2) hour check in or as needed for toileting needs. Interview with previous Administrator stated that R1 had a machine in their room and did not know how to use it. Admin also said that R1 needed additional help but Family Member #1 (FM1) didn’t want to pay extra or have R1 on hospice services. Because R1 needed additional help, Admin wanted to move R1 to Memory Care but FM1 did not want to pay for those services. R1 was also not incontinence. Our staff helped R1 with stand-by toileting assistance. R1 would administer their own medication because the FM1 didn’t want to pay for a higher level of medication management. Admin added, R1 needed a higher level of med management because R1 didn’t know how to use the machine in their room. R1’s Physician Report dated 05/30/2019 indicates that R1 is able to administer own prescription medication, able to administer own PRN medication, and able to store own medication. The report also states that R1 can transfer independently from the bed, is non-ambulatory, does not have bowel or bladder impairment, and is able to care for own toileting needs. LPA also reviewed R1’s Preplacement Appraisal Information and revealed that R1 needs assistance with bathing, hair care, personal hygiene, and does not need assistance with toileting or incontinence control. LPA reviewed R1’s Needs and Services Plan signed and dated on 05/06/2020 revealed that R1 needed total assistance with bathing, and dressing, stand-by assist with transfers and toileting, and self administer of own medication. Interview with FM#1 on 05/12/2020 starting at around 11:00 am, revealed that R1 would tell FM1 that the staff don’t change R1’s diapers. FM1 also added that they would arrive at the facility to visit R1 and would find them in soiled diapers. Regarding medication, FM1 added that R1 had a medication machine in their room that dispensed medication. FM1 added there was one instance that FM1 dropped of medication for R1, staff was confused since the facility doesn’t help R1 with medication. FM1 personally went to R1’s room to refill the machine. LPA reviewed R1’s chart notes and a Narrative Chart note entry dated on 05/06/2020 stated “ Followed up with FM1. FM1 placed antibiotics in the machine. FM1 was called at 3:22 pm.” Although the allegations may have happened, there is not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview conducted. Copy of the report was provided to Admin and Business Office Manager via email.

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