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Deficiency Records for Buena Vista Care Center
A list of the most recent deficiencies for Buena Vista Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Buena Vista Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-15 | 2023-11-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-17 | 2023-10-18 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-02-14 | 2023-03-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-14 | 2023-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-14 | 2023-03-15 | N |
| 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. | Health | 2023-02-14 | 2023-03-15 | N |
| 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. | Health | 2023-02-14 | 2023-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-14 | 2023-03-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-14 | 2023-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-14 | 2023-03-15 | N |
| 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. | Health | 2023-02-14 | 2023-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-14 | 2023-03-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-15 | N |
| 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. | Health | 2023-02-14 | 2023-03-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-14 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-14 | 2023-03-15 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-14 | 2023-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-14 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-14 | 2023-03-15 | N |
| Keep all essential equipment working safely. | Health | 2023-02-14 | 2023-03-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-16 | 2023-03-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-13 | 2023-02-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-20 | 2022-08-15 | Y |
| 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. | Health | 2022-07-20 | 2022-08-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-05-19 | 2022-06-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-16 | 2022-05-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-01 | 2021-12-15 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-21 | 2019-09-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-21 | 2019-09-21 | N |
| 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. | Health | 2019-08-21 | 2019-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-21 | 2019-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-21 | 2019-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-21 | 2019-09-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-21 | 2019-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-30 | 2018-11-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-15 | 2018-09-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-15 | 2018-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-15 | 2018-09-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-15 | 2018-09-06 | N |
| 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. | Health | 2018-08-15 | 2018-09-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-08-15 | 2018-09-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-15 | 2018-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-15 | 2018-09-06 | N |
| Keep all essential equipment working safely. | Health | 2018-08-15 | 2018-09-06 | N |
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