Vista Knoll Specialized Care Facility
Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy teams. Still worth an in-person visit.
based on 113 Google reviews

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What this means for your family
This facility is an excellent choice for short-term rehabilitation, as the physical and occupational therapy departments are consistently rated as top-tier. However, if your loved one requires long-term skilled nursing, you must closely monitor hygiene, medication accuracy, and staff responsiveness to call lights, as these are significant areas of documented concern.
Google Reviews
Google Reviews
113 reviews on Google“Families looking for rehabilitation will find the physical, occupational, and speech therapy teams to be exceptionally skilled and a major strength of this facility. However, there are significant and recurring reports of neglect in long-term nursing care, including issues with hygiene, medication errors, and slow response to call lights. While the grounds are beautiful and peaceful, the quality of daily nursing care appears inconsistent between rehab patients and long-term residents.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy teams
- Beautiful, peaceful outdoor grounds and gardens
- Professional and skilled rehabilitation staff
- Clean and well-maintained facility environment
Concerns
- Neglect regarding hygiene and incontinence care (mentioned by 3 reviewers)
- Slow response times to call lights and nursing requests (mentioned by 4 reviewers)
- Medication administration errors or delays (mentioned by 2 reviewers)
- Poor communication from nursing and administrative staff (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 91 analyzed
How They Respond to Reviews
The owner provides personalized responses to positive reviews, often mentioning specific staff members or recovery milestones. For negative reviews, the owner uses a consistent professional tone, expressing concern and inviting direct communication to resolve issues.
Questions for Your Tour
- 1We've heard wonderful things about your therapy teams; could you tell us more about how the physical and occupational therapists work with residents on their daily mobility goals?
- 2The gardens and outdoor grounds look so peaceful; how often are residents encouraged to spend time enjoying the outdoor spaces?
- 3What is your process for ensuring medication is administered accurately and on schedule, especially during shift changes?
- 4How does the nursing staff prioritize responding to call lights to ensure residents' needs are met promptly throughout the night?
- 5Could you describe the daily dining experience, including how much input residents have regarding their meal options and nutrition?
- 6What are your protocols for managing medical emergencies or sudden changes in a resident's health after hours?
Personalized based on this facility's data
Key Review Excerpts
“The rehab/PT side of this facility is wonderful. Unfortunately, the nursing home side of this facility has been a total nightmare from the very first day I arrived.”
“The therapy department is wonderful and the CNA & nursing staff did their best to help take care of mine and every patients needs.”
“My elderly father received physical therapy at Vista Knoll for 3.5 weeks after hip surgery. His mobility was limited prior to falling and breaking his hip... His evening nurse, Nina, was exceptional and one of the CNAs, Minjo, did such a great job.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
2
measures
5
measures
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Vista Knoll has a concerning pattern of recurring deficiencies across multiple surveys, with families filing complaint reports that triggered investigations into medication management and infection control issues. The facility shows persistent problems in medication management, fire safety systems, and resident care, with deficiencies appearing repeatedly across 2019, 2022, and into 2025 surveys. While all issues show correction dates, the recurring nature of problems in critical areas like pharmaceutical services and safety systems suggests ongoing challenges with maintaining consistent compliance standards.
Sep 26, 2025Routine18
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
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
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
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Sep 4, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 15, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Aug 26, 2022Routine15
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Mar 4, 2019Routine17
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Ownership & Operations
Who Operates This Facility
Vista Knoll Specialized Care Facility
for profit
Chain Affiliation
The Ensign Group
342 facilities nationwide
Chain avg rating: 3.2/5 · Rank 35 of 328 (Best)
Ownership & Management
Owners
Flagstone Healthcare South LLC
Owner · Organization
The Ensign Group INC
Owner (parent company) · Organization
Port, Barry
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
113 reviews from families & visitors
Official Website
Visit vistaknoll.com
Medicare data downloads
Original nursing home datasets
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