Inspection Reports for Buena Vida Rehabilitation and Nursing Center

The inspection was conducted as an abbreviated survey to evaluate the facility's compliance with care standards related to enteral feeding and nutritional care for residents, specifically focusing on Resident #1 who was fed by enteral means.

The facility failed to ensure appropriate care and monitoring for a resident receiving enteral feeding, resulting in persistent diarrhea and significant weight loss over several months without adequate medical follow-up or increased weight monitoring. Multiple feeding formula changes were made, but diarrhea persisted and weight loss was not properly addressed.

One isolated Level 2 deficiency related to tube feeding management and restoring eating skills, corrected by May 8, 2024.

One isolated Level 2 deficiency related to tube feeding management and restoring eating skills, corrected by May 8, 2024.

The inspection was conducted as a recertification and complaint survey from 2/21/2024 to 2/28/2024, triggered by a complaint regarding the facility's failure to timely report an injury of unknown origin involving Resident #24.

The facility failed to report Resident #24's dislocated right shoulder of unknown origin to the New York State Department of Health within the required 2-hour timeframe. Interviews with the Director of Nursing and Administrator confirmed lack of awareness of the incident and non-compliance with reporting requirements.

The complaint investigation found that the facility did not report Resident #24's injury of unknown origin within 2 hours as required. The complaint was substantiated based on interviews and record review.

The document is a statement of deficiencies and plan of correction for Buena Vida Rehab and Nursing Center, summarizing the findings of a survey completed on 2024-02-28.

No health deficiencies were found during the survey.

Multiple deficiencies including one isolated Level 2 health citation for reporting alleged violations and several Level 2 life safety code citations related to electrical systems, smoke barriers, and hazard risk assessment, all corrected by late April 2024.

Multiple deficiencies including one isolated Level 2 health citation for reporting alleged violations and several Level 2 life safety code citations related to electrical systems, smoke barriers, and hazard risk assessment, all corrected by late April 2024.

The inspection was conducted as an abbreviated survey to evaluate the facility's compliance with care planning requirements, specifically focusing on the development and implementation of a comprehensive person-centered care plan for residents.

The facility failed to develop and implement a comprehensive person-centered care plan with measurable objectives and timeframes for Resident #1, who had diagnoses including Diabetes Mellitus. Despite physician orders for insulin administration, the care plan lacked interventions for diabetes management. The Director of Nursing confirmed that care plans should have been initiated and implemented for Resident #1.

One isolated Level 2 deficiency for developing and implementing a comprehensive care plan, corrected by August 21, 2023.

One isolated Level 2 deficiency for developing and implementing a comprehensive care plan, corrected by August 21, 2023.

Several isolated Level 2 deficiencies related to investigating alleged violations, quality of care, reporting violations, all corrected by September 8, 2022.

Several isolated Level 2 deficiencies related to investigating alleged violations, quality of care, reporting violations, all corrected by September 8, 2022.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

One widespread Level 2 deficiency for reporting to the national health safety network, not corrected as of report date.

Three isolated Level 2 deficiencies related to abuse and neglect, reporting alleged violations, and resident rights, all corrected by March 9, 2022.

Three isolated Level 2 deficiencies related to abuse and neglect, reporting alleged violations, and resident rights, all corrected by March 9, 2022.

The inspection was conducted as a Recertification and Complaint survey to assess compliance with regulatory requirements related to care planning, medication labeling, infection control, and other facility practices.

The facility was found deficient in developing comprehensive care plans for residents on anticoagulants, labeling of resident inhalers, infection prevention and control practices including oxygen tubing and catheter tubing touching the floor, expired hand sanitizers in dispensers, and failure to ensure residents' hands were sanitized prior to meals.

The survey included a complaint investigation component related to care planning and medication practices, as well as infection control concerns.

Multiple isolated and pattern Level 2 deficiencies in comprehensive care planning, infection prevention, drug labeling, building construction, combustible decorations, fire protection features, physical environment, hazard risk assessment, and roles under waiver, all corrected by early 2022.

Multiple isolated and pattern Level 2 deficiencies in comprehensive care planning, infection prevention, drug labeling, building construction, combustible decorations, fire protection features, physical environment, hazard risk assessment, and roles under waiver, all corrected by early 2022.

The inspection was a recertification survey conducted to assess compliance with federal regulations for nursing home care.

The facility was found deficient in multiple areas including failure to maintain resident dignity during feeding, failure to conduct timely assessments after significant changes in condition, use of unnecessary medications without proper monitoring or indication, lack of infection prevention controls including improper oxygen tubing handling and absence of a water management plan.