Vista Cove at Rancho Mirage.

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Patrick McAdoo-Morton, Administrator, and informed them of the purpose of the visit. At the time of the visit, there were 14 staff members and 37 residents present. Facility Overview: The facility is 2 unit one story building with (26) bedrooms and (18) bathrooms. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. This facility has laundry rooms in each unit. Sharp and dangerous objects were securely locked and inaccessible to residents. LPA reviewed fire marshal's annual inspection report with no deficiencies. The hot water temperature was 115°F. There were 16 fire extinguishers in the facility with current inspection tags. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C..... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for five (5) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five (5) resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for five (5) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 11-05-2025, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided. LPA left the facility at 12:05 PM and returned at 1:05 PM.

(Page 2) Report continued from LIC 9099... During today’s visit, starting at 11:50 a.m. LPA conducted the entrance interview and a brief physical plant tour to ensure there are no immediate health and safety concerns, and facility is in compliance with Title 22 Regulations. Starting at 12:40 p.m. LPA Mosley conducted a file review for R1, at 1:00 p.m. conducted an in-person interview with the RSD, at 1:25 p.m. conducted an in-person interview with R1, at 1:42 p.m. attempted to conduct a telephonic phone call with SR1, at 2:10 p.m. conducted an in-person interview with the ED and obtained copies of pertinent documents relevant to the investigation. On the allegation Facility is threatening to evict a resident, it is the concern of the reporting party (RP) that the facility threatened to evict Resident #1 (R1). To investigate this complaint, LPA’s Delgado and Mosley conducted in person interviews, telephonic interviews, file and record review corresponded via email and obtained copies of pertinent documents relevant to the investigation. Interview with the ED at the time revealed that they did not issue an eviction notice to R1. At the time R1 only had one (1) late payment which was on August 31, 2023. R1 received a late payment fee as agreed upon in the admission agreement. It was noted that any resident who pays their rent after the 5 th of each month will receive a late fee. Additionally, it was noted that R1 was made aware that if payment was not received an eviction notice would be given after the 30 th day. Interview with SR1 revealed that they receive funds through Genworth Financial, a long-term care insurance company that funds R1 to stay at the facility. The insurance company payments do not always arrive on the scheduled payment due date resulting in late payments. It was noted that an agreement was made with the facility to accept the resident based on the payment fluctuations. Interview with R1 revealed that due to their condition they are unable to provide information. Interview with the current ED revealed that R1 is still in the community. R1 has lived in the community since 2020. R1’s invoice is paid regularly, however the dates on when payments are made fluctuate however payments are made within the designated month. Record review revealed that R1 does not have any formal documentation in their file related to an eviction. R1’s statement revealed that on 08/01/2023 R1 had a balance of $6,132.00 that was not paid. On 09/01/2023 R1’s statement balance was $12,214.00. On 09/05/2023 a payment of $6,132.00 was made and on 09/21/2023 the remaining balance of $6,082.00 was made. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Facility is threatening to evict a resident is deemed unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.

On 07/23/2021, Home Health staff assessed the wounds as worsening and on 07/24/2021 R1, was sent to the hospital for wound care. Based on the evidence and interviews, there is no substantial confirmation that the unstageable wounds originated solely while R1 was under the facility's care. Allegation #2: Neglect/Lack of Care and Supervision The allegation indicates that R1, developed unstageable pressure wounds due to Neglect/Lack of care and supervision. R1 was diagnosed with an unstageable pressure wound on 07/24/2021. Interviews conducted and records review by Department staff revealed that on 07/07/2021, facility med tech staff (S1) notified R1’s PCP about a blister on R1’s left heel, after which staff provided routine care and bandaging. On 07/19/2021, R1’s Podiatrist noted heel ulcerations, which were free of eschar, and recommended Home Health services. On 07/20/2021, the facility administrator contacted R1’s PCP to request a referral for Home Health services. On 07/23/2021, and on 07/24/2021, a Home Health nurse assessed R1’s condition, noting the presence of eschar and classifying the wounds as unstageable. Interviews with a Certified Wound Specialist (S2) indicated that the initial description of the blister was consistent with a Stage II ulcer. The facility staff followed proper protocols, including timely notification of healthcare professionals when Home Health services were deemed necessary. Based on the information gathered, there is insufficient evidence to substantiate the allegations that R1 developed unstageable wounds or that neglect and lack of supervision occurred. The allegations are Unsubstantiated. A copy of this report was signed by LPA Prieto and Executive Director Patrick McAdoo-Morton . A copy of the report was provided to the administrator.

On 11/20/2024, Licensing Program Analysts (LPAs), Andrei Castillo and Seo Jeon arrived at the facility unannounced to conduct the required annual inspection. Upon entry, LPAs were greeted by Executive Director, Jack Poyfair and informed him of the purpose of the visit. At the time of the visit, there were ten staff members and forty seven residents present. LPA conducted a tour of the facility with the Executive Director, reviewed facility documents and conducted interviews. The following is a summary of the visit: Facility Overview: The facility has two buildings with total thirty bedrooms and eighteen bathrooms. Resident bedrooms had the required bedding, furniture, and lighting. Facility sketch, exit routes, personal rights, “If you See Something, Say Something,” LTC Ombudsman, complaint information and emergency phone numbers were observed posted in the facility. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care. Infection Control: There were hand hygiene and hand washing stations, and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: Floors, windows, and doors were clean and well-maintained. Furniture and fixtures were in good condition. The outdoor areas were free of hazards and have shaded areas with outdoor furnitures. Laundry equipments were in good working condition. LPA observed fully charged fire extinguishers. Disinfectants, cleaning solutions, and sharp and dangerous objects were securely locked and inaccessible to residents. Cont. LIC 809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The annual fire extinguisher service maintenance was done on 10/11/2024 by a licensed fire marshal. The hot water temperature was measured at 120°F which is within the required limits. Safety night lights were observed throughout the facility. There were no bodies of water located on the property. According to the Executive Director, there are no firearms or ammunition on the premises. Food Service: The facility’s kitchens were clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. Administrator’s license is posted in the facility with an expiration date of 10/22/2025. Record Review and Resident/Staff Files: LPA reviewed files for four staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for five residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, the fire drill was last conducted on 10/11/2024. All facility indoor and outdoor passageways and exits were clear of obstructions and or debris. No deficiencies were found during the visit. An exit interview was conducted, and a copy of this report was reviewed and given to Executive Director, Jack Poyfair..

Licensing Program Analyst (LPA) Yolanda Delgado made an unannounced visit for the purpose of conducting a health and safety check. LPA Delgado met with Executive Director Jack Poyfair, explained the nature of the visit and was granted entry into the facility. LPA toured the facility with the ED. The LPA did not observe any health and safety concerns during the visit. An exit interview was conducted where this report was provided to Jack Poyfair.

On July 27, 2023 LPA, Stephanie Martinez, removed facility records from the facility. The LPA returned all records to the facility on this date. The records were removed to assist in the investigation of complaint #18-AS-20230724152734. This report was reviewed with Administrator, Jack Poyfair, and a copy was provided