The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Vista Knoll Specialized Care
Registered name: VISTA KNOLL SPECIALIZED CARE FACILITY
VISTA, CA · Medicare-certified · 119 beds
In good standing
For-profitChain member
Data as of September 1, 2026
5 of 5 overall
Vista Knoll Specialized Care has a 5-star overall rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported no fines in the last 24 months, but its nurse staffing was 3.79 hours per resident per day, below the federal benchmark of 4.1 hours.
Facility ratings
Health inspections
Staffing
3.7875 hrs/resident/day
Quality measures
Last inspection: June 11, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7875.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.90
- Nurse aides
- 2.22
- Weekend nursing
- 3.30
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 48%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—10.9%—
Residents with a fall causing major injury
2.4%2.4%No change
Residents with pressure ulcers (bedsores)
2.7%2.7%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.1%7.8%No change
Residents whose ability to walk got worse
7.6%2.3%Improving
Long-stay residents on antianxiety or sleep medication
24.7%15.7%Improving
Short-stay residents newly given an antipsychotic
0.5%1.2%Worsening
Residents with a long-term catheter
0%3.5%Worsening
Residents with new or worsening incontinence
11.1%15.7%Worsening
Residents with depressive symptoms
1.3%2.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.1%—
Short-stay residents given the pneumonia vaccine
99%97.9%Worsening
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2019 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 153.2 residents on an average day (129% of 119 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.