Vista Knoll Specialized Care Facility
2000 Westwood Road · Vista, CA · 92083 · 7606302273
119 certified beds For profit - Limited Liability company Chain: The Ensign Group
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D September 26, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 20, 2025 · Resident Rights
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Potential for harm · D September 26, 2025
Honor 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.
Corrected December 20, 2025 · Resident Rights
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Potential for harm · D September 26, 2025
Ensure each resident receives an accurate assessment.
Corrected December 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 20, 2025 · Quality of Life and Care
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Potential for harm · D September 26, 2025
Ensure 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.
Corrected December 20, 2025 · Quality of Life and Care
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Potential for harm · D September 26, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 20, 2025 · Quality of Life and Care
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Potential for harm · D September 26, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 20, 2025 · Quality of Life and Care
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Potential for harm · D September 26, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 20, 2025 · Pharmacy Service
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Potential for harm · D September 26, 2025
Dispose of garbage and refuse properly.
Corrected December 20, 2025 · Nutrition and Dietary
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Potential for harm · D September 4, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 1, 2024 · Pharmacy Service
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Potential for harm · D April 15, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 1, 2024 · Quality of Life and Care
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Potential for harm · D August 26, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2022 · Resident Rights
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Potential for harm · E August 26, 2022
Honor 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.
Corrected September 26, 2022 · Resident Rights
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Potential for harm · D August 26, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 26, 2022 · Pharmacy Service
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Potential for harm · D August 26, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 26, 2022 · Pharmacy Service
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Potential for harm · E August 26, 2022
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.
Corrected September 26, 2022 · Pharmacy Service
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Potential for harm · D August 26, 2022
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.
Corrected September 26, 2022 · Pharmacy Service
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Potential for harm · D August 26, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 26, 2022 · Nutrition and Dietary
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Potential for harm · D August 26, 2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 26, 2022 · Nutrition and Dietary
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Potential for harm · D August 26, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2022 · Nutrition and Dietary
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Potential for harm · E August 26, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 28, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 28, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2019
Respond appropriately to all alleged violations.
Corrected March 28, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 4, 2019
Assist a resident in gaining access to vision and hearing services.
Corrected March 28, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555425 · certified since May 30, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.