Royal Vista Care Center
ROYAL VISTA CARE CENTER in SAN GABRIEL, CA — inspection on April 29, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 4/28/2026 at 4:48 PM, CNA 2 stated she took care of Resident 3 on 3/10/2026 and 3/11/2026 and was not notified by any of the licensed staff including IPN of the resident's scabies diagnosis.
During an interview on 4/28/2026 at 4:52 PM, CNA 3 stated she had taken care of Resident 3 and helped CNA 2 provide care to Resident 3. CNA 3 also stated she was not informed by the IPN to monitor herself for any symptoms of scabies.
During a review of the facility's Policy and Procedure (P&P) titled, Scabies Prevention and Control Policy, dated 3/2026, indicated its purpose was to prevent, identify, and control transmission of scabies among residents, staff, and visitors in accordance with California Department of Public Health (CDPH), Los Angeles County Department of Public Health (LACDPH), and Centers for Disease Control (CDC, a major agency in the United States federal government dedicated to protecting public health and safety to detect, prevent, and respond to health threats, and injuries, providing data and guidance to communities worldwide).
The policy also indicated that the facility shall promptly identify, isolate, and treat suspected or confirmed scabies cases, prevent outbreaks, and report as required.
The P&P further indicated that the facility would do the following including:1.
Contact Tracing to include roommates, caregivers, and staff with direct contact within six (6) weeks. 2.
Staff management which included screening staff for symptoms.3.
Surveillance monitoring for 6 weeks after the last case and maintain line lists.
During a review of the CDC's Public Health Strategies for Scabies Outbreaks in Institutional Settings, dated 12/18/2025, the strategies indicated suggestions for preventing, detecting, and responding to single or multiple cases of non-crusted scabies in an institution.1.
Prevention- Early detection, treatment, and implementation of appropriate isolation and infection control practices are essential in preventing scabies outbreaks.
Epidemiologic and clinical information about patients/residents with confirmed and suspected scabies should be collected and used for systematic review to facilitate early identification of and response to potential outbreaks.2.
Surveillance - establish surveillance.
Have an active program for early detection of infested patients/residents and staff.
Maintain a high index of suspicion that scabies may be the cause of undiagnosed skin rash; evaluate and confirm suspected cases by obtaining skin scrapings.
Screen all new patients/residents and staff for scabies.3.
Control & Treatment - establish appropriate procedures for infection control and treatment.
Maintain records with patient/resident name, age, sex, room number, roommate(s) name(s), skin scraping status and result(s), and name(s) of all staff who provided hands-on care to the patient/resident.
Use epidemiological data about the distribution of confirmed cases by building, room, floor, wing, occupation (for staff), dates of admission, and onset of scabies-like condition to determine levels of risk for patients/residents and staff.
Identify and treat all people (e.g., staff, relatives, patients/residents) having prolonged, direct skin-to-skin contact with an infected person before they were treated.https://www.cdc.gov/scabies/php/public-health-strategy/
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.