Wings Recovery Center, LLC
Oceanside · 0.3 mi · 6 beds
CitationsNoneSubstantiated0
Vista Knoll Specialized Care Facility
2000 WESTWOOD ROAD, Vista, CA, 92083
Nursing home119 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 9 deficiencies against Vista Knoll Specialized Care Facility in Vista, California at its most recent standard inspection on 2025-09-26. Medicare rates it 5 out of 5 overall.
5 / 5Medicare overall rating
119certified beds
9deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.31
Potential for minimal harmThe least serious band.0
Most recentDDDDDDDDDDDEEEDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · F0693 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · F0694 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · F0699 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · F0814 · 2025-09-26 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-09-04 · from a complaint · No actual harm, potential for more than minimal harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · F0676 · 2024-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · F0806 · 2022-08-26 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.78747
Nursing staff turnoverShare of nursing staff who left in a year39.8%
Ownership
Who owns Vista Knoll Specialized Care Facility
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| FLAGSTONE HEALTHCARE SOUTH LLC | Organization | NOT APPLICABLE | since 01/30/2006 |
| THE ENSIGN GROUP INC | Organization | NOT APPLICABLE | since 10/01/2003 |
| BAROUDI, SAM | Individual | NOT APPLICABLE | since 04/12/2016 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 01/02/2014 |
| GARDNER, CLAYTON | Individual | NOT APPLICABLE | since 10/01/2009 |
| WILLITS, ADAM | Individual | NOT APPLICABLE | since 01/30/2019 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 01/30/2006 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| ELITE WORK FINDERS INC | Organization | NOT APPLICABLE | since 10/01/2003 |
| BAROUDI, SAM | Individual | NOT APPLICABLE | since 04/12/2016 |
| GARDNER, CLAYTON | Individual | NOT APPLICABLE | since 10/01/2009 |
| PORT, BARRY | Individual | NOT APPLICABLE | since 06/22/2025 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Pacific Villas Post Acute
Oceanside · 0.4 mi
CitationsNoneSubstantiated0
La Paloma Healthcare Center
Oceanside · 0.4 mi · 93 beds
Citations0Substantiated0
Alta Vista Senior Living
Vista · 0.5 mi · 98 beds
Citations5Substantiated5
Aging Gracefully Care of Tri-city
Oceanside · 0.7 mi · 6 beds
CitationsNoneSubstantiated0
Coastline ARF INC. Palo Verde
Oceanside · 0.7 mi · 4 beds
CitationsNoneSubstantiated0
Contact
Ask Vista Knoll Specialized Care Facility a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555425.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction