A list of the most recent deficiencies for Buena Vida Rehab and Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-22 | 2023-08-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-04 | 2022-09-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-04 | 2022-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-09-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-21 | 2022-03-25 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-21 | 2022-03-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-19 | 2022-03-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-19 | 2022-03-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-19 | 2022-03-09 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Meet other general requirements. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-02-19 | 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 | 2021-12-21 | 2022-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-02-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-13 | 2019-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-13 | 2019-06-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-13 | 2019-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-13 | 2019-06-30 | 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 | 2019-05-13 | 2019-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-13 | 2019-06-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-13 | 2019-06-30 | 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 | 2019-05-13 | 2019-05-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-13 | 2019-05-27 | 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 | 2017-08-11 | 2017-09-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-11 | 2017-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-11 | 2017-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-11 | 2017-09-22 | N |
