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Nursing HomeMedicaid Top Rated

Vista Knoll Specialized Care Facility

Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy teams. Still worth an in-person visit.

2000 Westwood Road, Vista, CA 92083119 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 113 Google reviews

5
4
3
2
1
Vista Knoll Specialized Care Facility Nursing Home in Vista, CA — Street View
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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 details
Food3.0Staff6.0Clean7.0ActivitiesN/AMeds2.0MemoryN/AComms4.0Value3.0

Strengths

  • 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

234'13(1)'17(2)'19(2)'21(2)'23(22)'25(22)'26(16)

Distribution · 91 analyzed

5
62
4
7
3
0
2
2
1
20

How They Respond to Reviews

77%response rate
Good

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.

Rehab patient · 2019★★★★★

The therapy department is wonderful and the CNA & nursing staff did their best to help take care of mine and every patients needs.

Rehab patient's family · 2025★★★★★

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.

Rehab patient's family · 2025★★★★★
Source: 113 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
92%
Registered nurses for medical care
Total Nursing
4.00hrs
98%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.4%
Better than Avg
Here
3.4%
US
15.3%
CA
10.5%
San diego
9.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
CA
7.0%
San diego
9.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
19.5%
CA
13.7%
San diego
15.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
99.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Mixed vs Avgs
Here
8.0%
US
14.4%
CA
10.4%
San diego
7.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.2%
Mixed vs Avgs
Here
14.2%
US
19.4%
CA
10.7%
San diego
11.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
81.8%
CA
94.2%
San diego
96.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.1%
Mixed vs Avgs
Here
96.1%
US
79.8%
CA
93.2%
San diego
96.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (15.4)
2 complaint-triggered

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, 2025Routine
18
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0690Potential for harm · IsolatedCorrected

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.

0693Potential for harm · IsolatedCorrected

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0223Potential for harm · IsolatedCorrected

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 4, 2024Complaint
1
0755Potential for harm · IsolatedCorrected

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, 2024Complaint
1
0676Potential for harm · IsolatedCorrected

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, 2022Routine
15
0584Potential for harm · PatternCorrected

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.

0758Potential for harm · PatternCorrected

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.

0842Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0806Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0347Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Mar 4, 2019Routine
17
0685Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0771Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

0600Potential for harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0688Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0849Potential for harm · IsolatedCorrected

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.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · IsolatedCorrected

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Vista Knoll Specialized Care Facility

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

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

Baroudi, SamManaging Control - Governing BodyBurnam, SoonManaging Control - Governing BodyGardner, ClaytonManaging Control - Governing BodyWillits, AdamOfficer / DirectorBurnam, SoonOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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