Vista Grande Villa

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

63.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 212 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 122 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.76 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 42.8 residents a day — about 71% occupied, or roughly 17 beds typically open. It usually has some room. 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.01 is below 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 3.06 hrs/resident/day on weekends vs 3.86 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.06 to 0.67 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 more than at the previous inspection — worsening. 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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · Fcited before2026-02-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment affecting 42 residents who consume food products, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings Include:On 02/18/2026 at 9:17 A.M., The ambient air thermometer in the walk-in cooler was observed with accumulated and encrusted moist black droplets resting upon the metallic surface.On 2/18/2026 at 9:26 A.M., The walk in cooler metal wire shelving units was observed soiled with accumulated and encrusted food residue.On 2/18/2026 at 10:01 A.M., The clean equipment storage rack found two shallow pans with encrusted food residue on the rim. Director of Dining Services (DODS) P removed the pans to be washed.On 2/18/2026 at 10:04 A.M., The clean equipment drying rack surface was observed with accumulated and encrusted black residue. When the drying rack was wiped with a clean white paper towel, a grey/black residue accumulation was observed…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 justify the increased dose of an antipsychotic medication for one (R9) of five reviewed. Findings include: Review of the medical record revealed R9 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder, delusional disorders, and vascular dementia. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/24/26 revealed R9 scored 1 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 02/19/2026 at 10:13 AM R9 was observed sitting in a gerichair in his room watching television with headphones and a super ear hearing device. R9 appeared calm and was very talkative. Review of the Physician's Orders revealed R9 was ordered Seroquel (antipsychotic medication) 25 milligrams (mg) twice a day for vascular dementia until 12/15/25. On 12/15/25, the Seroquel was increased to 50 mg twice a day for anxiety. Review of the Psychiatry Follow-Up…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-20 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act.for one resident (Resident #15) of one reviewed for abuse/misappropriation. Review of Resident 15s (R15) clinical record, including the Minimum Data Set (MDS) dated [DATE], revealed R15 was admitted on [DATE] with diagnosis that included cardiac diagnosis, and anxiety. R#15 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS). Further review of R15's clinical record included a progress note made by formal facility Social Worker (SW) L dated 1/23/25 at 10:04 and revealed SW L and Biller K had discovered on 01/22/25 that R15's family member had been misappropriating funds from R15's checking and savings account. The note continued to reveal that Adult Protective Services (APS) and the Ombudsman had been notified. A second progress note also written on 1/23/25…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 thoroughly investigate an allegation of abuse/misappropriation, and implement interventions to protect the resident, for one resident (#15) of one reviewed. Review of Resident 15s (R15) clinical record, including the Minimum Data Set (MDS) dated [DATE] revealed R15 was admitted on [DATE] with diagnosis that included cardiac diagnosis, and anxiety. R15 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS). Further review of R15's clinical record included a progress note made by formal facility Social Worker (SW) L dated 1/23/25 at 10:04 and revealed SW L and Biller K had discovered on 01/22/25 that R15's family member had been misappropriating funds from R15's checking and savings account. The note continued to reveal that Adult Protective Services (APS) and the Ombudsman had been notified. A second progress note also written on 1/23/25 authored by SW L revealed SW L offered assistance in helping R15 notify the bank…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 complete a Level II screening for one (R9) of one reviewed.Findings include:Review of the medical record revealed R9 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder, delusional disorders, and vascular dementia. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/24/26 revealed R9 scored 1 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 02/19/2026 at 10:13 AM R9 was observed sitting in a gerichair in his room watching television with headphones and a super ear hearing device. R9 appeared calm and was very talkative. Review of R9's medical record revealed the Annual Resident Review (ARR) Level I screening was completed on 9/22/25. The Level I screening indicated Yes responses for questions one through four in Section II. The Level I screening revealed If any answer to items 1-6 in SECTION II is Yes, send ONE copy…

  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 · Dcited before2026-02-20 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 revise care plans for two (R16, R58) of 12 reviewed. Findings include:R16 Review of the medical record revealed R16 admitted to the facility on [DATE]. R16 was diagnosed with COVID-19 on 2/10/26. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/1/26 revealed R16 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 02/18/2026 at 9:15 AM, R16 was observed lying in bed. R16 reported she was recently diagnosed with COVID-19. There was no signage or Personal Protective Equipment (PPE) on the door. On 02/19/26 at 9:40 AM, R16 did not have signage or PPE available at the door. Review of the Progress Notes dated 2/10/26 revealed Resident tested positive for covid [at 11:35 AM]. [Symptoms] unproductive cough, runny nose, headache, nausea, and fatigue x 1 day. Review of R16's care plans revealed they were not updated to indicate R16 was diagnosed with COVID-19…

  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 · D2026-02-20 · 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 implement physician's orders for daily weights for edema monitoring for one (R27) of one reviewed. Findings include: Review of the medical record revealed R27 was admitted to the facility on [DATE] with diagnoses that included hypertension and spinal stenosis. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/4/26 revealed R27 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 02/18/2026 at 9:05 AM, R27 was observed sitting in a recliner in their room with their feet down on the floor. R27 reported they had concerns with worsening edema in their legs, especially the left leg. Both legs were observed to be edematous. Compression stockings were observed on R27's bed. On 02/18/2026 at 2:33 PM, R27 was observed in their recliner with their legs elevated and compression stockings on both legs. R27 reported she was weighed more frequently now, but not…

  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 · D2026-02-20 · tag F0756 — failed to review each resident's drug regimen — isolated
  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 observation, interview, and record review, the facility failed to implement pharmacy recommendations for one (R9) of 5 reviewed. Findings include: Review of the medical record revealed R9 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder, delusional disorders, and vascular dementia. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/24/26 revealed R9 scored 1 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 02/19/2026 at 10:13 AM R9 was observed sitting in a gerichair in his room watching television with headphones and a super ear hearing device. R9 appeared calm and was very talkative. Review of the Physician's Order dated 12/15/25, revealed an order for Seroquel 50 milligrams (mg) twice a day for anxiety. The Physician's Order dated 2/18/26 revealed an order for additional Seroquel 25 mg in the afternoon for anxiety. Review of the Note to Attending Physician/Prescriber dated…

  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 · D2026-02-20 · tag F0880 — failed to prevent and control infections — isolated
  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 transmission-based precautions according to the Centers for Disease Control and Prevention (CDC) for one (R16) of two reviewed. Findings include: R16 Review of the medical record revealed R16 admitted to the facility on [DATE]. R16 was diagnosed with COVID-19 on 2/10/26. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/1/26 revealed R16 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 02/18/2026 at 9:15 AM, R16 was observed lying in bed. R16 reported she was recently diagnosed with COVID-19. There was no transmission-based precautions (TBP) signage or Personal Protective Equipment (PPE) on the door. On 02/19/26 at 9:40 AM, R16 did not have signage or PPE available at the door. Review of the Progress Notes dated 2/10/26 revealed Resident tested positive for covid [at 11:35 AM]. [Symptoms] unproductive cough, runny nose, headache, nausea,…

  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 · D2025-11-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake #2622799Based on observations, interviews, and record review, the facility failed to protect the resident's right to be free from mental, verbal and physical abuse by staff, for one Resident #1, of three residents reviewed.Findings include:Resident 1 (R1) was admitted to the facility on [DATE] with diagnoses that include chronic obstructive pulmonary disease,repeated falls and macular degeneration and was admitted for short term rehab after a fall from her walker while at home. Review of the Minimum Data Set (MDS)dated 9/11/25, revealed R1 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS). Review of the facility reported incident dated 09/08/2025 reveled R1 reported while toileting her on 09/07/25 Certified Nursing Assistant (CNA) E, CNA E kept demanding R1 lock the wheelchair, R1 stated she couldn't and CNA E huffed. R1 stated she had trouble pulling down her pants and CNA E finished pulling down her pants and made the comment These people…

  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.

  Freedom from Abuse, Neglect, and Exploitation 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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners 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.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI