Senior Care Records.

Facility Evaluation Report

Vista Montana Senior Living, Hemet12/16/2025Licence 336426330

Capacity120
Census84
Date signed12/16/2025 01:42:35 PM
Name of licensing program analystAntonine Richard
Name of licensing program managerAntonine Richard
The inspector’s account

On December 16, 2025, Licensing Program Analyst (LPA) Antonine Richard conducted a case management deficiency visit regarding Complaint Control Number 18-AS-20240924112333. During the investigation, LPA Richard identified a deficiency and submitted a report to Vista Montana Senior Living. While reviewing records of a resident reported missing on September 22, 2024, and deceased on September 23, 2024, LPA observed that the Physician Report LIC602A indicated the resident was able to leave the facility unassisted but needed assistance from one person.

The deficiency is being cited based on observations, interviews, and record review, in accordance with the California Code of Regulations, Title 22, see LIC809D—a violation concerning Personal Rights and Procedures for responding to incidents and complaints.

An exit interview was conducted, and the Plans of Corrections were reviewed and developed.

A copy of this report and appeal rights were discussed and left with the Administrator, Maria Forkrud.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction