Inspection Reports for
Buena Vida Rehabilitation and Nursing Center
48 Cedar St, Brooklyn, NY 11221, United States, NY, 11221
Back to Facility Profile6 Reports · 1 Summary
Inspection Summary
12 inspections covered, June 2022 – May 2026.
Inspection Reports Summary
Visit Reason
State-compiled facility profile showing 12 inspections from June 2022 to May 2026 with citation and complaint history including enforcement actions and fines.
Complaint Details
The state logged 159 complaints about this facility; 14 led to on-site inspections.
Findings
Across 12 inspections, 6 had no citations and 6 resulted in 13 total citations, including 8 standard health and 5 Life Safety Code violations. The facility had 159 complaints with 14 on-site inspections and one enforcement action with fines.
Citations (13)
Standard Health Citation — quality of care: Tube Feeding Management and restoring Eating Skills was deficient.
Standard Health Citation — quality of care: Failure in Reporting Of Alleged Violations.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System deficiencies noted.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System deficiencies noted.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Receptacles were deficient.
Life Safety Code Citation — NFPA requirements: Plan Based On All Hazards Risk Assessment was inadequate.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrier was deficient.
Standard Health Citation — quality of care: Failure to Develop and implement Comprehensive Care Plan.
Standard Health Citation — quality of care: Failure to Investigate, prevent, and correct Alleged Violations.
Standard Health Citation — quality of care: Quality Of Care deficiencies noted.
Standard Health Citation — quality of care: Failure in Reporting Of Alleged Violations.
Standard Health Citation — quality of care: Failure in Reporting - National Health Safety Network.
Standard Health Citation — quality of care: Failure in Reporting - National Health Safety Network.
Report Facts
Inspections on page: 12
Total violations/deficiencies cited: 13
Inspections with violations: 6
Inspections without violations: 6
Total complaints: 159
On-site complaint inspections: 14
Enforcement actions: 1
Total fines: 2000
Citations from complaints: 6
Individual Reports
One document per inspection visit.
Inspection Report — Apr 2, 2024
Abbreviated Survey
Date: Apr 2, 2024
Visit Reason
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.
Findings
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.
Citations (1)
Failure to ensure that a resident fed by enteral means received appropriate care to prevent complications, including lack of documented medical follow-up for persistent diarrhea and inadequate weight monitoring despite significant weight loss.
Report Facts
Bouts of loose stool: 26
Bouts of loose stool: 18
Bouts of loose stool: 34
Bouts of loose stool: 18
Bouts of loose stool: 22
Bouts of loose stool: 26
Bouts of loose stool: 16
Bouts of loose stool: 18
Weight: 138
Weight: 130.4
Weight: 121.2
Weight: 118.6
Weight: 113.6
Weight: 108
Weight: 100
Weight: 108
Weight: 105.2
Weight: 100
Weight: 103
Weight: 103.5
Weight loss percentage: 21.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed on 02/09/24 and stated not employed at time Resident #1 resided in facility |
| Medical Doctor | Medical Doctor | Interviewed on 02/09/24 and 04/03/24; provided information on Resident #1's condition, feeding changes, and medical evaluations |
Inspection Report — Feb 28, 2024
Complaint Investigation
Date: Feb 28, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Citations (1)
Failure to timely report suspected abuse, neglect, or injury of unknown origin to proper authorities within 2 hours.
Report Facts
Residents reviewed for abuse: 4
Total sampled residents: 35
Time delay in reporting: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #6 | Heard Resident #24 screaming in pain and observed the resident with right shoulder pain | |
| Director of Nursing | Director of Nursing | Interviewed on 02/27/2024, stated unawareness of the injury reporting and confirmed non-compliance |
| Administrator | Administrator | Interviewed on 02/27/2024, stated unawareness of the incident and reporting |
Inspection Report — Feb 28, 2024
Date: Feb 28, 2024
Visit Reason
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.
Findings
No health deficiencies were found during the survey.
Inspection Report — Jun 22, 2023
Abbreviated Survey
Date: Jun 22, 2023
Visit Reason
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.
Findings
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.
Citations (1)
Failed to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured for Resident #1 with diabetes.
Report Facts
Residents sampled: 3
Units of insulin: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Stated that care plans for new admissions are initiated by the Registered Nurse Supervisor and that the unit manager is responsible for ensuring care plans are implemented and updated. |
Inspection Report — Dec 21, 2021
Recertification
Date: Dec 21, 2021
Visit Reason
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.
Complaint Details
The survey included a complaint investigation component related to care planning and medication practices, as well as infection control concerns.
Findings
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.
Citations (3)
Failure to develop and implement a complete care plan addressing resident's anticoagulant use with measurable objectives and time frames.
Resident metered dose inhalers were not labeled with resident's name, medication name, prescribed dose, strength, and route of administration.
Infection control deficiencies including oxygen tubing and urinary catheter tubing observed touching the floor, expired alcohol-based hand sanitizers in dispensers, and failure to ensure residents' hands were sanitized prior to meals.
Report Facts
Residents reviewed for Unnecessary Medication: 7
Resident inhalers observed unlabeled: 3
Units observed for Infection Control: 5
Units observed for Dining: 6
Hand sanitizer dispensers with expired sanitizer: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Unit Manager | Interviewed regarding responsibility for initiating clinical care plans for residents with medical changes. |
| Assistant Director of Nursing (ADON) | Assistant Director of Nursing | Interviewed regarding coordinating assessments and care planning reviews. |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding audits of care plans, medication labeling, infection control practices, and hand sanitizer monitoring. |
| Licensed Practical Nurse (LPN) #1 | Licensed Practical Nurse | Interviewed about inhaler labeling practices and oxygen tubing. |
| Licensed Practical Nurse (LPN) #2 | Licensed Practical Nurse | Interviewed about inhaler labeling practices. |
| Registered Nurse Supervisor (RNS) | Registered Nurse Supervisor | Interviewed about inhaler labeling and oxygen tubing. |
| Pharmacist Consultant (PC) | Pharmacist Consultant | Interviewed about medication labeling. |
| Quality Assurance Pharmacist (QAP) | Quality Assurance Pharmacist | Interviewed about inhaler labeling requirements. |
| Certified Nursing Assistant (CNA) #1 | Certified Nursing Assistant | Interviewed about oxygen tubing care. |
| Licensed Practical Nurse (LPN) #3 | Licensed Practical Nurse | Interviewed about oxygen tubing and hand hygiene during meal service. |
| Registered Nurse (RN) #1 | Registered Nurse | Interviewed about oxygen tubing rounds. |
| Infection Control Preventionist (ICP) | Infection Control Preventionist | Interviewed about infection control practices including oxygen tubing, catheter care, hand sanitizer monitoring, and hand hygiene. |
| Housekeeper (HK) #1 | Housekeeper | Interviewed about hand sanitizer dispenser maintenance and expiration. |
| Housekeeper (HK) #2 | Housekeeper | Interviewed about hand sanitizer expiration and replacement. |
| Housekeeper (HK) #3 | Housekeeper | Interviewed about hand sanitizer dispenser maintenance. |
| Housekeeper (HK) #4 | Housekeeper | Interviewed about expired hand sanitizer dispenser. |
| Director of Housekeeping (DOH) | Director of Housekeeping | Interviewed about distribution and monitoring of hand sanitizer dispensers. |
| Certified Nursing Assistant (CNA) #2 | Certified Nursing Assistant | Interviewed about hand hygiene importance and meal service practices. |
Inspection Report — May 7, 2019
Annual Inspection
Date: May 7, 2019
Visit Reason
The inspection was a recertification survey conducted to assess compliance with federal regulations for nursing home care.
Findings
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.
Citations (6)
Staff were observed spoon-feeding a resident while standing next to her instead of seated, violating dignity rights.
Failure to conduct a significant change Minimum Data Set (MDS) assessment within 14 days of identified significant change in resident's condition.
Resident's drug regimen included Valproic Acid without ordered lab monitoring of drug levels.
Resident received antipsychotic medication Seroquel without appropriate indication, including use for bipolar disorder without documented diagnosis.
Facility lacked a water management plan to identify and test for Legionella and other waterborne pathogens.
Resident's oxygen tubing was observed laying on the floor, and staff placed a meal ticket that fell on the floor back onto a resident's meal tray, violating infection control protocols.
Report Facts
Residents sampled: 38
Residents reviewed for unnecessary medications: 5
Residents reviewed for unnecessary medications: 35
Medication dose: 250
Medication dose: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Interviewed regarding feeding practices and resident behavior |
| LPN #1 | Licensed Practical Nurse, Charge Nurse | Interviewed regarding feeding practices and infection control |
| Director of Nursing | Director of Nursing (DNS) | Interviewed regarding staff training and infection control policies |
| Medical Director | Medical Director | Interviewed regarding medication management and resident diagnosis |
| Psychiatrist | Psychiatrist | Interviewed regarding resident's psychiatric diagnosis and medication use |
| CNA #2 | Certified Nursing Assistant | Interviewed regarding infection control breach with meal ticket |
| CNA #3 | Certified Nursing Assistant | Interviewed regarding resident behavior and calming techniques |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding resident behavior and safety |
| RN #1 | Registered Nurse | Interviewed regarding resident behavior and care |
6 CMS Surveys
CMS Survey — Jun 22, 2023
Jun 22, 2023
CMS Survey — Feb 28, 2024
Feb 28, 2024
CMS Survey — Apr 2, 2024
Apr 2, 2024
CMS Survey — May 13, 2019
May 13, 2019
CMS Survey — Dec 21, 2021
Dec 21, 2021
CMS Survey — Feb 28, 2024
Feb 28, 2024
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