Inspection citations
8’22
1’23
14’24
5’25
28 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Feb 27, 2025 | D · potential | Assess the resident when there is a significant change in condition | Routine |
| Feb 27, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 27, 2025 | D · potential | 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. | Routine |
| Feb 27, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 27, 2025 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Feb 12, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Feb 12, 2024 | K · harm | 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. | Routine |
| Feb 12, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Feb 12, 2024 | E · potential | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Routine |
| Feb 12, 2024 | E · potential | 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. | Routine |
| Feb 12, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 12, 2024 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Feb 12, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Feb 12, 2024 | E · potential | 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. | Routine |
| Feb 12, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 12, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 12, 2024 | E · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Feb 12, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 12, 2024 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Oct 2, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Feb 11, 2022 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 11, 2022 | D · potential | Ensure 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. | Routine |
| Feb 11, 2022 | D · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Feb 11, 2022 | E · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Feb 11, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 11, 2022 | F · potential | Dispose of garbage and refuse properly. | Routine |
| Feb 11, 2022 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 11, 2022 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Vista Pacifica Convalescent Hospital
3662 Pacific Avenue, Jurupa Valley, CA 92509 · (951) 682-4833
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055361
- Certified beds
- 49
- Legal owner
- Vista Pacifica Enterprises INC.
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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