Vista Hills Health Care Center

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

harm. She stated the DON and ADONs were responsible for ensuring nursing staff were completing assigned responsibilities. She stated the DON and ADON should have followed up with LVN E. She stated being busy was not an acceptable reason for nurses not to follow up on STAT x-rays. In an interview on 10/16/2025 at 04:46 PM over the phone with Provider H, he stated he was aware of Resident #1's case and recalled seeing her during the subsequent hospital evaluation on 05/30/2025 to 06/04/2025. Provider H stated that facility staff contacted the on-call service after a CNA C reported hearing a pop during peri-care.

He stated RN G promptly notified the answering service, and a STAT x-ray was ordered. He emphasized that because the setting was a nursing facility, there was typically a delay between the order, the mobile x-ray's arrival, and the radiologist's read. He explained that once the x-ray report was received, he instructed staff to transfer the resident to the local hospital due to findings consistent with a fracture. He stated that, in his view, staff acted appropriately and proactively. He expressed that he had no concerns regarding the care provided and pain was managed and effective, noting that the CNA and nurse followed proper procedure by reporting the incident and ensuring timely physician notification and diagnostic follow-up.Record review of Professional Service Agreement with the x-ray provider revealed the facility and

the x-ray provider had been in contractual partnership since 12/16/2019. An exert under Now; Therefore in section 2 stated, Any notice or communication required or permitted to be given by one party to the other pursuant to this agreement shall be in writing, shall be effective upon receipt and shall be sent by United states mail, by telegram, telefax, or facsimile transmission.The facsimile transmission of any signed document shall be the same as a delivery of an original. At request of either party, parties will confirm facsimile transmitted signatures by signing the original document for delivery between the parties. In a secondary exert under Exhibit A Scope of Work in section 1 - C stated .[x-ray provider] shall be responsible for transporting the image to the radiologist and facsimile transmission of results . Record review of the facility's Nursing Policy and Procedure Manual: Abuse/Neglect policy dated 03/29/2018 revealed the facility defined neglect as, the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress.Record review of the facility's Nursing Policy and Procedure Manual: Notifying the Physician of Change in Status policy undated revealed .the nurse will gather and organize resident information.

Applicable information will include current medications, vital signs, signs and symptoms initiating call, current laboratory information.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/31/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Vista Hills Health Care Center

1599 Lomaland Dr El Paso, TX 79935

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

resident and received positive head gestures from the resident when asked about comfort and preference.

No distress was noted. 10/16/25 at 10:56 am- Resident #3 was repositioned by CNA K and CNA L. The resident was repositioned, and a pillow was placed behind his back. Another staff member assisted by turning the resident to his left side and placing a pillow between his legs. The staff informed the resident

they would raise the bed and asked him to extend his legs. The CNA asked the resident if he was doing okay, to which he responded yes and requested the light be turned off. The call light was positioned within reach on his right side. No distress was noted.

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