Vista Pacifica Convalescent Hospital

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 49 beds and averages 48.5 residents a day — about 99% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.05 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.05 hrs/resident/day on weekends vs 4.75 on weekdays — 15% thinner on weekends. RN hours go from 0.29 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 11 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · K2024-02-12 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
  Provide 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure, for seven of seven residents (Residents 1, 16, 21, 22, 28, 29, and 151) reviewed for range of motion (ROM the full movement potential of a joint), a system or process was in place to: 1. Identify, assess, evaluate, and monitor residents with limited ROM and contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to (abnormality and stiffness of the joints); and 2. Provide an appropriate care and treatment to improve, maintain, or prevent contractures and/or limitation with ROM. On February 9, 2024, at 7:20 p.m., the Administrator (ADM), the Assistant Director of Nursing (ADON), and the Director of Staff Development (DSD) were verbally notified of the Immediate Jeopardy (IJ situation in which the provider's noncompliance with one or more requirements of participation has caused or likely to cause serious injury, harm, impairment, or death to a resident), due to the facility failure to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-27 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement infection control and prevention program when: 1. For one of three residents reviewed (Resident 12), the facility did not ensure the oxygen nasal cannula (a plastic device that delivers oxygen through a tube and into the nose) was stored in an appropriate container or bag when not in use; and 2. For 16 of 47 residents reviewed (Residents 2, 5, 6, 8, 13, 16, 20, 26, 28, 30, 31, 36, 39, 40, 46, and 47), annual TB (tuberculosis-a type of contagious respiratory infection) skin test (test used to diagnosed TB) was not conducted timely. These failures increased the potential for the spread of infection to an already medically compromised resident population of 47 residents. Findings: 1. On February 25, 2025, at 9:51 a.m., a concurrent observation and interview was conducted with Resident 12 in her room. Resident 12's oxygen cannula was placed inside an open white translucent unlabeled bag and was tied on an oxygen concentrator…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-27 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a comprehensive Minimum Data Set (MDS - a standardized resident assessment tool) assessment was conducted after a significant change in status assessment (SCSA- an assessment that indicates a major decline or improvement in the resident's status), for one of two residents reviewed for resident assessments (Resident 24), when Resident 24 was admitted and discharged from hospice (a specialized form of medical care provided to individuals who are nearing the end of their life and have a prognosis of six months or less to live) care. This failure had the potential for Resident 24 to not receive the care and services necessary to maintain her highest possible level of care. Findings: On February 25, 2025, at 1:59 p.m., Resident 24 was observed lying in her bed. On February 27, 2025, Resident 24's record was reviewed. Resident 24 was admitted to the facility on [DATE], with diagnoses which included dementia (memory loss). A review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure Midodrine (a blood pressure medication used to increase the blood pressure) was administered according to the physician's orders, for one of 17 residents reviewed (Resident 34). This failure had the potential to inadequately control Residents 34's blood pressure, which could affect overall health condition. Findings: On February 27, 2025, Resident 34's record was reviewed. A review of Resident 34's admission Record, indicated, Resident 34 was admitted to the facility on [DATE], with diagnoses which included hypertension (elevated blood pressure). A review of Resident 34's Physicians Order, dated October 8, 2024, indicated, Midodrine HCL Oral tablet 10 mg (milligrams - unit of measurement), give one tablet via G-tube (gastrostomy tube - tube inserted through the abdomen that brings nutrition directly to the stomach) three times a day for hypotension, hold if SBP is greater than 110. A review of Resident 34's, Medication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-27 · tag F0727 — failed to provide required RN coverage — isolated
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a Registered Nurse (RN) was scheduled for eight consecutive hours in a 24-hour period on January 12, 2025. This failure had the potential to adversely affect oversight and direction regarding residents' quality of care and quality of life directly impacting overall health and well-being. Findings: On February 27, 2025, at 9:26 a.m., during a review of the Licensed Nurse Schedule, dated January 2025, indicated there was no RN coverage for January 12, 2025. A review of the facility's nursing staffing assignment and sign-in sheet indicated there was no RN coverage on January 12, 2025. On February 27, 2025, at 10:12 a.m., an interview was conducted with the Director of Nursing (DON). The DON stated there was no RN scheduled to cover the facility on January 12, 2025. The DON stated there should have been RN coverage for January 12, 2025. The DON further stated an RN was essential for a higher level of expertise in assessing, planning, implementing and evaluating nursing care for residents. A review of facility's undated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-12 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a comprehensive care plan (specific interventions to provide effective and person-centered care to meet the resident's needs) was initiated, for five of seven residents (Residents 1, 21, 22, 29, and 151) when: 1. Residents 1, 21, 22, 29, and 151 had limited range of motion (ROM- the full movement potential of a joint) and/or contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to abnormality and stiffness of the joints); and 2. Resident 21 had Apixaban (medication that helps prevent blood clots) These failures had the potential to result in the delay in treatment and care for Residents 1, 21, 22, 29, and 151. Findings: 1. On February 8, 2024, at 12:26 p.m., Resident 1 was observed sitting in her wheelchair in the hallway with both hands flexed at the wrist and all fingers on both hands were clenched. Resident 1 was observed to be able to extend both hands with minimal effort but…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-12 · tag F0710 — pattern
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the medical supervision of the care of each resident by a physician and that orders for the resident's immediate care and needs were provided for seven of seven residents (Residents 1, 16, 21, 22, 28, 29, and 151 ) with limited range of motion (ROM- the full movement potential of a joint), and or contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to abnormality and stiffness of the joints). These failures resulted in the delay in treatment and care for Residents 1, 16, 21, 22, 28, 29, and 151. Findings: 1. On February 8, 2024, at 12:26 p.m., a concurrent observation and interview was conducted with Resident 1. Resident 1 was observed sitting in her wheelchair in the hallway with both hands flexed at the wrist and all fingers on both hands were clenched. Resident 1 was observed to be able to extend both hands with minimal effort but unable to open all her fingers except the right…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-12 · tag F0727 — failed to provide required RN coverage — pattern
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a Registered Nurse (RN) was scheduled for eight consecutive hours in a 24-hour period for January 26, 2024, and February 1, 2024. This failure had the potential to adversely effect the oversight and direction regarding the quality of care and quality of life, directly impacting overall health and wellbeing of all residents. Findings: During a review of the Licensed Nurse monthly schedule for the dates indicated: - On January 26, 2024, there was no RN coverage. -On February 1, 2024, there was no RN coverage. On February 5, 2024, at 3:26 p.m., an interview was conducted with the Director of Staff Development (DSD). The DSD stated there should have been RN coverage for January 26, 2024, and February 1, 2024. A review of the facility's policy titled, Staffing dated June 2015, had no verbiage stating, a licensed registered nurse will be onsite at least eight consecutive hours a day, 7 days a week to provide and monitor the delivery of resident care services.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-12 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based interview and record review, the facility failed to ensure accurate accountability of controlled medications (those with high potential for abuse or addiction) when random controlled medication use audits did not reconcile for three out of four residents (Residents 16, 22, and 30). The medications were signed out of the Narcotic and Hypnotic Record (NHR, an inventory sheet that keeps record of the usage of controlled medications) but not documented on the Medication Administration Record (MAR) to indicate they were given to the residents. There was a total of 5 controlled medications unaccounted for. This failure had the potential for misuse or abuse of controlled medications. Findings: The Narcotic and Hypnotic Record (NHR) for four (4) random residents receiving PRN (meaning as-needed) controlled medications were requested for review during the survey. 1. Resident 30 had a physician's order, dated September 23, 2022, for tramadol (a potent controlled medication for pain) 25 milligrams (mg, unit of measurement) by mouth every 12 hours as needed for moderate to severe pain.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-12 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities during the monthly medication regimen review (MRR) when: 1. a. Resident 19 was administered lurasidone (an anti-psychotic medication for schizophrenia and bipolar depression) without adequate behavioral monitoring documented during use of lurasidone; b. Resident 21 was administered Risperdal (an anti-psychotic medication for schizophrenia and bipolar disorder) without adequate behavioral monitoring documented during use of Risperdal; c. Resident 39 was administered Zyprexa (an anti-psychotic medication for schizophrenia and bipolar disorder) and Haldol (an anti-psychotic medication for schizophrenia) without potential adverse effect monitoring documented during use of Zyprexa and Haldol. 2. Resident 21 received apixaban (brand name Eliquis, an anti-coagulant, or blood thinning medication) without a clear indication for its use; and the nursing staff did not monitor for signs…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-12 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure three of five sampled residents (Residents 19, 21, and 39) were free from unnecessary psychotropic (drugs that affects brain activities associated with mental processes and behavior) medications when: 1. Resident 19 was administered lurasidone (an anti-psychotic medication for schizophrenia and bipolar depression) without adequate behavioral monitoring documented during use of lurasidone; 2. Resident 21 was administered Risperdal (an anti-psychotic medication for schizophrenia and bipolar disorder) without adequate behavioral monitoring documented during use of Risperdal; 3. a. Resident 39 was administered Zyprexa (an anti-psychotic medication for schizophrenia and bipolar disorder) without adequate behavioral monitoring documented during use of Zyprexa; and without potential adverse effect monitoring documented during use of Zyprexa and Haldol (an anti-psychotic medication for schizophrenia); b. Resident 39 received an as-needed Haldol without…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$52,611 in federal fines across 1 penalty.

• $52,611 — penalty dated 2024-02-12

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in CA