Vista Pacifica Convalescent Hospital
3662 Pacific Avenue, Jurupa Valley, CA 92509
Vista Pacifica Convalescent Hospital is a nursing home in Jurupa Valley, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 4 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (951) 682-4833
- Last standard health inspection
- February 27, 2025 (1 year ago)
- Certified beds
- 49
- Residents per day, on average
- 47.6
- Ownership type
- For profit - Corporation
- Legal business name
- Vista Pacifica Enterprises INC.
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the California average (28 vs 50).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
5 citations
Health inspection on February 27, 2025
CMS lists this as a standard inspection.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 26, 2025.
CMS has cited this home for F0880 3 times since 2022.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on March 14, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 21, 2025.
Citation F0727. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 27, 2025.
CMS has cited this home for F0727 2 times since 2024.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on February 27, 2025.
CMS has cited this home for F0912 3 times since 2022.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
14 citations
Health inspection on February 12, 2024
CMS lists this as a standard inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
105 of 1,165 California homes (9%) got a citation at the immediate jeopardy level in 2024.
Citation F0688. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 12, 2024.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on February 28, 2024.
Citation F0710. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
CMS lists it as corrected on February 29, 2024.
Citation F0727. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 27, 2024.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on March 1, 2024.
CMS has cited this home for F0755 2 times since 2023.
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on March 1, 2024.
Citation F0758. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 1, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 4, 2024.
CMS has cited this home for F0812 2 times since 2022.
Citation F0865. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on February 28, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 1, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on March 1, 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on March 1, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 1, 2024.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on February 12, 2024.
6 citations
Fire safety inspection on February 12, 2024
CMS lists this as a standard inspection.
Citation K0352. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on February 28, 2024.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on February 28, 2024.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on February 28, 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 28, 2024.
CMS has cited this home for K0353 2 times since 2022.
Citation K0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on February 28, 2024.
Citation K0753. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on February 28, 2024.
Fine
February 12, 2024 (2 years ago)
CMS fine of $52,611 on February 12, 2024.
1 citation
Health inspection on October 2, 2023
CMS lists this as a complaint inspection.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on October 12, 2023.
8 citations
Health inspection on February 11, 2022
CMS lists this as a standard inspection.
Citation F0814. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on March 9, 2022.
Citation F0806. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on March 9, 2022.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 9, 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 9, 2022.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on March 9, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 9, 2022.
Citation F0803. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 9, 2022.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on March 9, 2022.
5 citations
Fire safety inspection on February 11, 2022
CMS lists this as a standard inspection.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 25, 2022.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 25, 2022.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on February 25, 2022.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on February 25, 2022.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on February 25, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CHERYL JUMONVILLE LEGACY TRUST5% or greater direct ownership interest · 96% · since 12/31/2013
- JUMONVILLE, CHERYL5% or greater direct ownership interest · no percentage provided · since 12/31/2013
- JUMONVILLE, CHERYLOperational/managerial control · not applicable · since 12/31/2015
Questions
When was Vista Pacifica Convalescent Hospital last inspected?
CMS lists February 27, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Vista Pacifica Convalescent Hospital have?
CMS lists 28 health citations since February 11, 2022. CMS also calls these deficiencies.
Has Vista Pacifica Convalescent Hospital been fined?
CMS lists 1 fine in the past three years, $52,611 in total.
What is the CMS star rating of Vista Pacifica Convalescent Hospital?
Its CMS overall star rating is 4 of 5.
Is Vista Pacifica Convalescent Hospital a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.