Inspection Reports for
Buena Vida Rehabilitation and Nursing Center

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.

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 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.

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 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.

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.

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

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

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.

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 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.