Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vista Pacifica Convalescent Hospital during CMS and state inspections, most recent first.
The facility failed to implement an effective infection control program, as evidenced by improper storage of a resident's oxygen nasal cannula in a bag also used for trash, and the lack of timely annual TB skin tests for 16 residents. The IP and DON acknowledged these deficiencies, which did not comply with the facility's infection control policies.
A facility failed to conduct a Significant Change in Status Assessment (SCSA) for a resident admitted and later discharged from hospice care. The resident, with severe cognitive impairment, did not receive the required MDS assessment following these significant changes. Interviews with the MDS Nurse and DON confirmed the oversight, highlighting a lapse in following the facility's policy for timely assessments.
A resident with hypertension did not receive Midodrine according to physician's orders, as it was administered when the SBP was above the specified threshold and missed when it was below. The LVN and DON acknowledged the error, which violated the facility's medication administration policy.
The facility failed to schedule an RN for eight consecutive hours on a specific day, as required. The Licensed Nurse Schedule and staffing records confirmed the absence of RN coverage, which was acknowledged by the DON. The facility's staffing policy lacked specific requirements for RN presence, contributing to this deficiency.
The facility failed to meet the required 80 square feet per resident in six rooms, providing only 71.5 square feet per resident. Despite this, care was provided without restrictions, and residents reported comfort. A waiver was requested and recommended for approval, as it was determined not to adversely affect health and safety.
Infection Control Deficiencies in Oxygen Storage and TB Testing
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by two main deficiencies. Firstly, for one resident, the oxygen nasal cannula was improperly stored in an unlabeled plastic bag that was also used as a trash bag. This was observed during an interview with the resident, who confirmed using the bag for trash. The Licensed Vocational Nurse (LVN) acknowledged the potential for misidentification and contamination, and the Infection Preventionist (IP) and Director of Nursing (DON) confirmed that the storage method did not comply with the facility's infection control policy. Secondly, the facility did not conduct timely annual tuberculosis (TB) skin tests for 16 residents. The Infection Preventionist admitted that the required TB tests were not documented in the electronic medication administration record (eMAR) for these residents. The IP explained the importance of the TB test in screening for exposure or active TB disease, emphasizing the risk of an outbreak if not conducted. The DON expected adherence to the facility's infection control program, which mandates TB screening upon admission and annually. The facility's policies on respiratory care and TB screening were not followed, leading to these deficiencies. The respiratory care policy required proper storage of oxygen cannulae to prevent infection, while the TB screening policy mandated timely testing to prevent the spread of TB. The failure to adhere to these policies increased the potential for infection spread among the medically compromised resident population.
Failure to Conduct SCSA for Hospice Admission and Discharge
Penalty
Summary
The facility failed to conduct a comprehensive Minimum Data Set (MDS) assessment following a significant change in status for a resident who was admitted and later discharged from hospice care. The resident, who had severe cognitive impairment due to dementia, was admitted to hospice care with a diagnosis of senile degeneration of the brain. Despite the significant change in the resident's care status, there was no documented evidence of a Significant Change in Status Assessment (SCSA) being conducted when the resident was admitted to hospice services on September 18, 2024, and discharged from hospice on January 6, 2025. Interviews with the MDS Nurse and the Director of Nursing (DON) revealed that the facility's policy required a SCSA to be completed within 14 days of a significant change, such as admission to or discharge from hospice care. The MDS Nurse acknowledged the oversight and stated that a SCSA should have been completed for the resident. The DON confirmed that the MDS nurses were expected to follow the facility's policy and conduct the necessary assessments to ensure appropriate interventions and services were identified to maintain the resident's highest possible level of care.
Failure to Administer Midodrine According to Physician's Orders
Penalty
Summary
The facility failed to administer Midodrine, a blood pressure medication, according to the physician's orders for a resident diagnosed with hypertension. The physician's order specified that Midodrine should be given via G-tube three times a day for hypotension, but it should be held if the systolic blood pressure (SBP) was greater than 110. However, the Medication Administration Record (MAR) indicated that Midodrine was administered on multiple occasions when the resident's SBP was above 110, specifically on February 3, 9, 20, and 23, 2025. Additionally, on February 21, 2025, the medication was not administered when the SBP was 89, as the tablet was found stuck in the bubble pack. During an observation and interview, the Licensed Vocational Nurse (LVN) confirmed that the medication should have been administered according to the physician's order. The Director of Nursing (DON) also acknowledged the failure to follow the physician's order. The facility's policy on administering medications requires verification of vital signs before administration, which was not adhered to in this case, leading to the deficiency.
Failure to Ensure RN Coverage for Eight Consecutive Hours
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was scheduled for eight consecutive hours in a 24-hour period on January 12, 2025. This deficiency was identified during a review of the Licensed Nurse Schedule and the facility's nursing staffing assignment and sign-in sheet, which both indicated a lack of RN coverage on that date. During an interview, the Director of Nursing (DON) confirmed that no RN was scheduled to cover the facility on January 12, 2025, and acknowledged that RN coverage is essential for providing a higher level of expertise in assessing, planning, implementing, and evaluating nursing care for residents. The facility's undated policy and procedure titled 'Staffing Policy & Procedure' was reviewed and found to lack specific verbiage stating that a licensed registered nurse must be onsite for at least eight consecutive hours a day, seven days a week, to provide and monitor the delivery of resident care services. This omission in the policy contributed to the failure to ensure adequate RN coverage, potentially impacting the quality of care and quality of life for residents.
Deficiency in Resident Room Size
Penalty
Summary
The facility failed to ensure that the required space of at least 80 square feet per resident was met in six of the 25 resident bedrooms, specifically in Rooms 1, 9, 11, 12, 14, and 26. These rooms were set up as two-bed bedrooms, but each room only provided 71.5 square feet per resident, falling short of the regulatory requirement. During the entrance conference, the Administrator acknowledged that these rooms did not meet the space requirement. The facility's document titled 'Client Accommodations Analysis' confirmed that the rooms measured 143 square feet in total, which is insufficient for two residents. Despite the deficiency in room size, observations during the survey indicated that all care and services were provided without restrictions, and residents expressed comfort with the space provided. Health record reviews did not show any compromise to the health and safety of the residents due to the room measurements. The facility requested a continued waiver for these rooms, and approval of the waiver was recommended, as it was determined that granting the waiver would not adversely affect the residents' health and safety.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Jurupa Valley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vista Pacifica Center | 0 mi | ★★★★★ | 0 | 0 |
| Jurupa Hills Post Acute | 0.5 mi | ★★★★★ | 7 | 0 |
| Riverside Behavioral Healthcare Center | 2.6 mi | ★★★★★ | 15 | 0 |
| Community Care On Palm | 2.7 mi | ★★★★★ | 15 | 0 |
| The Grove Care And Wellness | 3.2 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.