CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 5554252026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Vista Knoll Specialized Care Facility

2000 Westwood Road · Vista, CA 92083 · San Diego County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds119CMS provider file
Recent citation rows56current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-09-26132025-09-269
Cycle 22022-08-26112022-08-265
Cycle 32019-03-04112019-03-047
02 / CITATION DETAIL

56 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-11 · HEALTHF0640Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Correction field: Deficient, Provider has no plan of correction · complaint
2026-06-11 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has no plan of correction · complaint
2026-06-08 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-06-26 · complaint
2026-06-08 · HEALTHF0919Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction field: Deficient, Provider has date of correction · 2026-06-26 · complaint
2025-09-26 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0694Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0699Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · HEALTHF0814Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Correction field: Deficient, Provider has date of correction · 2025-12-20
2025-09-26 · FIREK0223Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0345Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0351Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-12-09
2025-09-26 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0912Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0918Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2025-09-26 · FIREK0923Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2025-11-19
2024-09-04 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint
2024-04-15 · HEALTHF0676Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Correction field: Deficient, Provider has date of correction · 2024-05-01 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FLAGSTONE HEALTHCARE SOUTH LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/30/2006
  • THE ENSIGN GROUP INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2003
  • BAROUDI, SAMIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/12/2016
  • BURNAM, SOONIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 01/02/2014
  • GARDNER, CLAYTONIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/01/2009
  • WILLITS, ADAMIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/30/2019
  • BURNAM, SOONIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/30/2006
  • KEETCH, CHADIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2011
  • ELITE WORK FINDERS INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2003
  • BAROUDI, SAMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/12/2016
  • GARDNER, CLAYTONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2009
  • PORT, BARRYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 06/22/2025
  • ENSIGN SERVICES INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2003
  • OHI ASSET (CA), LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2003
  • BAROUDI, SAMIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 06/22/2025
  • GARDNER, CLAYTONIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 06/22/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.79per resident day
RN hours0.66per resident day
Weekend nurse hours3.30per resident day
Staff turnover39.8%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.