SNF

VISTA KNOLL SPECIALIZED CARE FACILITY

CCN: 555425 · VISTA, CA 92083 · San Diego County

Overview

Address
2000 WESTWOOD ROAD, VISTA, CA 92083
Phone
7606302273
Certified beds
119
Avg daily residents
115 (96% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-05-30
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.28 3.67 4.51 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.77 0.64 0.81 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.97 0.81 1.02 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.54 2.21 2.68 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.74 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.15 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.69
hrs / resident / day
RN (weekend)
0.51
hrs / resident / day
Total nurse (adjusted, weekend)
3.88
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
34.7%
annual
RN turnover
30.8%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.30
higher acuity than avg
Case-Mix Index Ratio
0.94
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-09-26 9 9 0 36 1 36
Cycle 2/3 (prior) 2022-08-26 13 10 3 64 1 64
Total weighted health score
43.0
lower is better

Deficiencies (32)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

32 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-09-26 2025-12-20
0584 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. D 2025-09-26 2025-12-20
0641 Ensure each resident receives an accurate assessment. D 2025-09-26 2025-12-20
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-09-26 2025-12-20
0693 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. D 2025-09-26 2025-12-20
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-09-26 2025-12-20
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-09-26 2025-12-20
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-09-26 2025-12-20
0814 Dispose of garbage and refuse properly. D 2025-09-26 2025-12-20
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-09-04 2024-10-01
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-04-15 2024-05-01
0880 Provide and implement an infection prevention and control program. D 2023-05-03 2023-05-25
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2022-08-26 2022-09-26
0584 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. E 2022-08-26 2022-09-26
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2022-08-26 2022-09-26
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2022-08-26 2022-09-26
0758 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. E 2022-08-26 2022-09-26
0761 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. D 2022-08-26 2022-09-26
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2022-08-26 2022-09-26
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2022-08-26 2022-09-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2022-08-26 2022-09-26
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2022-08-26 2022-09-26
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2019-03-04 2019-03-28
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2019-03-04 2019-03-28
0610 Respond appropriately to all alleged violations. D 2019-03-04 2019-03-28
0685 Assist a resident in gaining access to vision and hearing services. E 2019-03-04 2019-03-28
0688 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. D 2019-03-04 2019-03-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2019-03-04 2019-03-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2019-03-04 2019-03-28
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2019-03-04 2019-03-28
0849 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. D 2019-03-04 2019-03-28
0880 Provide and implement an infection prevention and control program. E 2019-03-04 2019-03-28

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 15.2% Medicaid 63.5% Other 21.3%

Operating performance

Operating Margin
20.9%
Total Margin
21.0%
Occupancy Rate
95.8%
Cost per Resident Day
$81

Revenue & costs

Net Patient Revenue
$22.7M
Total Costs
$3.4M
Net Income
$4.8M

Balance sheet

Total Assets
$57.4M
Total Liabilities
$9.7M
Fund Balance
$47.7M
Current Ratio
22.51

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE ENSIGN GROUP

Chain ID
507
Facilities in chain
329
Legal business name
VISTA WOODS HEALTH ASSOCIATES, LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3

Owner / manager organizations (2)

Organization Role Association
FLAGSTONE HEALTHCARE SOUTH LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/30/2006
THE ENSIGN GROUP INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2003

Owner / manager individuals (4)

Name Role Association
GARDNER, CLAYTON OPERATIONAL/MANAGERIAL CONTROL since 10/01/2009
WILLITS, ADAM CORPORATE DIRECTOR since 01/30/2019
BURNAM, SOON CORPORATE OFFICER since 01/30/2006
GARDNER, CLAYTON W-2 MANAGING EMPLOYEE since 10/01/2009

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $81 metrics.cost_per_resident_day
Cost Report Current Ratio 22.51 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 63.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 15.2% metrics.medicare_day_share
Cost Report Net Income ($) $4,755,656 metrics.net_income
Cost Report Net Patient Revenue ($) $22,669,924 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 95.8% metrics.occupancy_rate
Cost Report Operating Margin (%) 20.9% metrics.operating_margin
Cost Report Total Assets ($) $57,378,602 metrics.total_assets
Cost Report Total Costs ($) $3,366,007 metrics.total_costs
Cost Report Total Fund Balances ($) $47,654,855 metrics.fund_balance
Cost Report Total Liabilities ($) $9,723,747 metrics.total_liabilities
Cost Report Total Margin (%) 21.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.01950 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.67663 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.80963 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.50576 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.87919 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 114.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.81405 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.21240 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64165 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.66810 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.23305 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 507 Chain ID
Provider Information Chain Name THE ENSIGN GROUP Chain Name
Provider Information City/Town VISTA City/Town
Provider Information CMS Certification Number (CCN) 555425 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish San Diego County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-05-30 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 33.1918 Latitude
Provider Information Legal Business Name VISTA WOODS HEALTH ASSOCIATES, LLC Legal Business Name
Provider Information Location 2000 WESTWOOD ROAD,VISTA,CA,92083 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -117.28 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 119 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 329 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.29944 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.94323 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2000 WESTWOOD ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name VISTA KNOLL SPECIALIZED CARE FACILITY Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 470 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 36 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 9 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-09-26 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 36 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-08-26 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 64 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 3 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 64 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.51277 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 30.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.73778 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.96858 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.54296 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.15155 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.76920 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.28073 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 7606302273 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.68545 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 34.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 43.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 92083 ZIP Code