Starfile

Starfile / California

VISTA KNOLL SPECIALIZED CARE FACILITY

2000 WESTWOOD ROAD, VISTA, CA 92083 · CCN 555425

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★★★ 5
Staffing
★★★★★ 5

Facility

Ownership type
For profit - Limited Liability company
Certified beds
119
Avg residents/day
114.6
Phone
7606302273

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-09-26915.69.5-6.6 better
22022-08-261217.49.8-5.4 better
32019-03-041117.19.3-6.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning1
Resident rights2
Nutrition and dietary1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.2834.7%
RN staffing (reported)0.7730.8%
Total nurse staffing (adjusted)4.51

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (32)

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  2. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  3. DF0641Ensure each resident receives an accurate assessment.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  4. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  5. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  6. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  7. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  8. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  9. DF0814Dispose of garbage and refuse properly.2025-09-26 · Health · corrected 2025-12-20

    Potential for more than minimal harm

  10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-04 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  11. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-15 · Health · corrected 2024-05-01

    Potential for more than minimal harm

  12. DF0880Provide and implement an infection prevention and control program.2023-05-03 · Health · corrected 2023-05-25

    Potential for more than minimal harm

  13. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  14. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  15. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  17. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  18. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  19. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  20. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  21. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  22. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-08-26 · Health · corrected 2022-09-26

    Potential for more than minimal harm

  23. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  25. DF0610Respond appropriately to all alleged violations.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  26. EF0685Assist a resident in gaining access to vision and hearing services.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  27. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  29. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  30. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  31. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

  32. EF0880Provide and implement an infection prevention and control program.2019-03-04 · Health · corrected 2019-03-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FLAGSTONE HEALTHCARE SOUTH LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2006-01-30
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2003-10-01
GARDNER, CLAYTONIndividualOPERATIONAL/MANAGERIAL CONTROL2009-10-01
WILLITS, ADAMIndividualCORPORATE DIRECTOR2019-01-30
BURNAM, SOONIndividualCORPORATE OFFICER2006-01-30
GARDNER, CLAYTONIndividualW-2 MANAGING EMPLOYEE2009-10-01

Other facilities in VISTA

NameOverallBeds
VISTA VIEW POST ACUTE★★★☆☆176
SANTA FE POST-ACUTE★☆☆☆☆187

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.