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Complaint Investigation

Santa Fe Post-acute

September 4, 2025 · Vista, CA · 247 E. Bobier Drive
Citations 3
CMS Rating 2/5
Beds 187
Provider ID 555723
Healthcare Facility
Santa Fe Post-acute
Vista, CA  ·  View full profile →
Inspection Summary

SANTA FE POST-ACUTE in VISTA, CA — inspection on September 4, 2025.

Found 3 citations. 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.

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Inspection Findings

FF0641
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

by an RN accurately, to prevent pressure ulcers and properly assess pressure ulcers to prevent a delay of care.

The DON further stated her expectations was for the initial admission assessments to have been accurately coded according to the Resident Assessment Instrument (RAI) Manual.

The DON stated it was important that accurate information be sent to the federal database.A review of Centers for Medicare and Medicaid Services (CMS, a federal agency) RAI Manual 3.0 October 2024, (Page M-8) Section M 0300: Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage .If the pressure ulcer/injury was present on admission/entry or reentry and subsequently increased in numerical stage during the resident's stay, the pressure ulcer is coded at that higher stage, and that higher stage should not be considered as present on admission .If the pressure ulcer/injury was present on admission/entry or reentry and becomes unstageable due to slough or eschar, during the resident's stay, the pressure ulcer/injury is coded at M0300F and should not be coded as present on admission .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Santa Fe Post-Acute

247 E.

Bobier Drive Vista, CA 92084

SUMMARY STATEMENT OF DEFICIENCIES

existing pressure ulcers or other skin conditions

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Santa Fe Post-Acute

247 E.

Bobier Drive Vista, CA 92084

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited SANTA FE POST-ACUTE in VISTA, CA for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-09-04.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 3 deficiencies cited during this inspection of SANTA FE POST-ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-15.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in VISTA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SANTA FE POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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