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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 | 2024-08-08 | 2024-09-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-23 | 2024-05-03 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-03 | 2024-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-01-22 | Y |
| 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 | 2023-12-26 | 2024-01-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-02 | 2023-07-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-02 | 2023-07-01 | Y |
| Have policies on smoking. | Health | 2023-06-02 | 2023-07-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-16 | 2023-03-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-12 | 2023-02-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-22 | 2022-09-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-22 | 2022-09-13 | Y |
| 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 | 2022-03-03 | 2022-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-03 | 2022-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-03 | 2022-05-03 | 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 | 2022-03-03 | 2022-05-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-03 | 2022-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-03 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-05-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-03 | 2022-05-03 | 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 | 2022-03-08 | 2022-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-03-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-08 | 2022-03-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-02 | 2019-05-16 | 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 | 2019-05-02 | 2019-05-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-05-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-08 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-04-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-08 | 2019-03-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-08 | 2019-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-08 | 2019-03-20 | 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 | 2019-03-08 | 2019-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-08 | 2019-03-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-08 | 2019-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-08 | 2019-03-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-03-08 | 2019-03-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-08 | 2019-03-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-08 | 2019-03-08 | N |
| Post nurse staffing information every day. | Health | 2019-03-08 | 2019-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-08 | 2019-03-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-13 | 2018-05-01 | 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 | 2018-03-13 | 2018-05-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-13 | 2018-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-13 | 2018-05-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-13 | 2018-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-13 | 2018-05-01 | 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 | 2018-03-13 | 2018-05-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-13 | 2018-05-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-13 | 2018-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-13 | 2018-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-13 | 2018-05-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-13 | 2018-05-01 | 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 | 2018-03-13 | 2018-05-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-03-13 | 2018-05-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-03-13 | 2018-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-13 | 2018-05-01 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-03-13 | 2018-05-01 | N |
| Dispose of garbage and refuse properly. | Health | 2018-03-13 | 2018-05-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-03-13 | 2018-05-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-13 | 2018-05-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-03-13 | 2018-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-13 | 2018-05-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-13 | 2018-05-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-13 | 2018-05-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-03-13 | 2018-05-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Develop a communication plan. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-03 | 2018-04-18 | N |
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